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Reticulocyte Count In Sickle Cell Crisis
Not necessarily....: Patients with sickle cell disease have elevated reticulocyte counts at baseline, as their red cells have significantly reduced half lives relative to normal rbcs. More rapid red cell synthesis, reflected by the high retic count, is needed to maintain steady state, albeit lower than normal. Are you having other symptoms suggesting vaso occlusive crisis? If so, you should seek medical attention.See 1 more doctor answer
"young" red blood cells. They have just emerged from the bm into the circulation. They tend to be larger and slightly purple on the smear. A special stain can be done to make them stand out and the lab can count them. This is usually a sign of a robust production of rbcs and therefore good news. Especially if the patient is recovering from blood loss or ...Read more
Supportive care: It depends--sickle cell crisis can manifest as pain crisis, acute chest syndrome, stroke, priapism etc. But basically supportive care like- vigorous hydration, pain medication, adequate oxygenation, are needed. Exchange transfusion vs simple transfusion often times also has to be done depending on the level of hb.
I recently was admitted for a sickle cell crisis and the pain in my shoulder has gotten worst. I have avn in that shoulder what are my options?
Ortho eval: Sickle crisis can certainly impact on pain levels. As the initial answer said you need an orthopedic evaluation. I am in the atlanta area, send me a private message and I will share some possible doctors for you to see.See 1 more doctor answer
I don't think you can: Sickle cell crisis only happens if you have a diagnosis of sickle cell anemia. The degree of anemia sometimes is not that severe-however you will have anemia if you have sickle cell disease - not just a trait. If you only have a sickle cell trait -you will not have a sickle cell crisis.See 1 more doctor answer
Take pain medicine: First take pain medicine that worked well for you before, wam bath, heating pad, or cold pack, and try to relax may help. There is no single remedy that works for everyone or that works all the time. If these measures are not effective, you need to call your doctor.See 1 more doctor answer
Yes: Environmental issues can definitely cause a crisis. Cold weather can decrease blood flow causing cells to sickle. Hot weather can cause dehydration, which can lead to a crisis. Certainly environmental issues can lead to respiratory infections, which can lead to a crisis.
Usually pain.: There are several kinds of crises - pain or vaso-occlusive crisis (blood flow to an area is "clogged" by sickled cells leading to areas of cell death), splenic sequestration crisis (trapping of large volume of blood in the spleen), and aplastic crisis (life-threatening anemia caused by inability to make enough new red blood cells to keep up with the very short life span of sickled red cells).See 2 more doctor answers
Not typically: If you have the sickle cell trait, it is possible to have an anemic crisis in the setting of severe dehydration or stress to the immune system, though this is rare. In most cases, individuals with the sickle cell trait live perfectly healthy lives. Remaining hydrated especially in the setting of physical activity and excessive heat should help to prevent any symptoms.See 1 more doctor answer
PAIN WITH SICKLECELL: Sickle cell disese is a painful conditon and can have hemolytic crises, sequestration and thrombotic crises. The thrombotic crises is the one which causes the pain in any part of the body. They can be extremely painful requiring narcotics and some times have to be admitted to the hospital for IV fluids and pain medications.See 1 more doctor answer
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Most less severe: Most are less severe in sickle cell thalassemia, but depends. HbS/B (0)thal: similar to HbSS in severity maybe slightly less severe. HbS/B (+)thal: has 60% HbSS and 30% HbA, thus less severe than HbSS (sickle cell alone). HbS/A-thal: less severe than HbSS due to decreased HbSS amount.
No; treats it.: Sickle cell crises are often precipitated in low oxygen tension situations. Oxygen therapy can help avaid a crisis and/or help treat an evolving one and decrease rbc sickling.
Yes: There are different types of crisis in sickle cell. Untreated aplastic crises can cause death to to severe anemia. Untreated acute chest syndrome can cause death due to respiratory failure. Untreated splenic sequestration can cause death due to severe anemia. I would recommend not ignoring any crisis id sickle cell.See 1 more doctor answer
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