Doctor insights on:
Tallquist Hemoglobin Scale
My hemoglobin in blood test is on low side of scale at the boundary 13.5 g/dL. How can I improve it?
Low HB: Find out why it is low and correct that. But most likely just you. Repeat it. ...Read more
Blood work done 5 years ago, my reticulyte count was at 0.6 on a scale of 0.5-1.5. Everything else was normal including LDH, rbc, hemoglobin and haptoglobin. I have been told i have gilberts bc my indirect bilirubin is elevated when fasting. Normal?
Sounds like Gilbert: It is very common and a non-problem. Gilbert folks who fast for a day or two get a little deeper jaundice that you can see looking at the whites of the eyes in direct sunlight. Stop worrying m, think about trying this and best wishes. ...Read more
Two variants: Hemoglobin sc is present in people who have two variants of the beta chain of hemoglobin. One gene has sickle cell variant and the other gene has hemoglobin c variant. There disease is more sever than hb s trait, but less severe than hb s disease. ...Read more
Hemoglobin: Several methods exist for measuring haemoglobin, most of which are done by automated machines. Within the machine, the red blood cells are broken down to get Hb into a solution. The free Hb is exposed to a chemical containing cyanide which binds tightly to Hb molecule to form cyanomethehemoglobine. By shining a light through the solution and measuring how much light is absorbed =amount of Hb ...Read more
Leeding: Low hemog. Lobin is most often associated with GI tract bleeding disorders such as myelofibrosis where the marrow is fibrosed and not proucing rbcs can also ause this problem. One checks stool for blood followed by olonoscopy, if in the uppere GI tract and not seen on gastroscoopy, a tv capsule swolled and follwed on tv can frequently define a lesion in the small intestine that is bleeding. ...Read more
Yes: Your pattern of blood counts is important. Is this a new finding? Do you have blood in stools or urine or nosebleeds? Have you been on any medications that may have caused your blood counts to fall or have you had any yellowness in your eyes? Are you dizzy or lightheaded? Please see your doctor and establish what is going on or go to an Emergency Room and have them verify your blood count. ...Read more
Yes absolutely: One can die due to a very low hemoglobin level- for instance due to massive bleeding- due to lack of oxygenation on the vitals organ causing cell deaths, organ failure and ultimately death. The incidence is low in the usa, as we do have much better access to medical center. In the other part of the world- those happen frequently unfortunately. ...Read more
Polycythemia: There are only a few causes of a high hemoglobin. We divide these cases into primary and secondary high hemoglobin, or "polycythemia." secondary means caused by heart disease, hypoxemia, tobacco, sleep apnea. Primary means a benign blood disease called polycythemia vera. A hematologist can usually determine which type of polycythemia a patient has. ...Read more
12-15, 13-16: It varies based on the lab but a rough estimate for adults with no medical conditions is 12-15 g/dl for women and 13-16 g/dl for men. Medical conditions will change what are acceptable hemoglobin levels. Furthermore, a woman having a hemoglobin of 11 doesn't mean she's anemic and needs a blood transfusion — there are many other factors to consider. ...Read more
It depends: Other health conditions may force you to limit your activity. Depending on the level of hemoglobin, you may be very tired doing the things you normally do. Please ask your doctor about advice regarding exercise. ...Read more
Varies with gender: Normal hemoglobin for males: 13-16 gm/dl; females: 11.7-15 gm/dl. Exact values depend on the laboratory where the test is done and results when given should contain "reference ranges" for the normal by the lab. ...Read more
How low and why?:
It depends on the level of hemoglobin and the cause of anemia. Hemoglobin levels to about 7 gm% do not cause symptoms if the level falls slowly. Lower than that may cause weakness and shortness of breath. See this site for more info.
http://www.mayoclinic.com/health/anemia/ds00321. ...Read more
A high hemoglobin can be the result of a condition of bone marrow overactivity called polycythemia vera. It can also be caused by low oxygen levels in the blood, caused by smoking or some heart defects. Dehydration can also be a cause.
High hemoglobin causes the blood to be thick and sludgey, resulting in poor circulation to various organs. ...Read more
11.9 gm/dL: This is a bit lower than most healthy women, and you being 18 years old and complaining of fatigue may have early iron deficiency; the fatigue begins before the anemia announces itself. Your physician's here to help you. Talk with him/her about this and other possibilities; if you have a filipino thalassemia variant, this may be normal for you. ...Read more