Doctor insights on:
Warfarin And Anemia
Transfusion/infusion: Blood ( pack red blood cells) transfusion is usually given in the setting of significant anemia due to blood loss. Intravenous iron infusion is given to treat iron deficiency anemia. However both blood transfusion and iron infusion can be given in anemia due to blood loss and iron deficiency anemia- decision will depend on how severe the anemia/symptoms & how quickly you want to treat the anemia. ...Read moreSee 1 more doctor answer
Can aspirin(50 mg daily)and Coumadin (warfarin) cause deficity of iron. Hemoglobin of my 10 month old is 106, how to increase hemiglobin without iron sypplements?
Anemia: By your question it is hard to know if your child is taking Aspirin and Coumadin (warfarin) or somebody else. If a person is on Coumadin (warfarin) he is closely monitored. The combination of the two drugs can causemicroscopic bleeding . Nevertheless , by eating cereals you can replace iron. ...Read more
Is milk thistle dangerous for people with neutropenia, thrombocytopenia and anemia but with iron overload?
What issues are there for taking milk thistle and Coumadin (warfarin) 5mg? for elevated liver enzymes or is being normal with Coumadin (warfarin)?
Anticoagulant: Coumadin (warfarin) is an anticoagulant that works to block production of some of the building blocks used in blod clotting. It needs to be monitored regularly due to the fact that the levels can very in the body, affected by foods you eat, interactions with other medications, and your own metabolism. ...Read moreSee 3 more doctor answers
How can one tell the difference between low b12 and pernicious anaemia? Mildly low ferritin, b12, folate (folic acid) and red blood cells. Hair loss too.
Are any of the new anticoags useful for factor v leiden and lupus anticoag. Antibody. On lovenox (enoxaparin) 100mg bid. Venous and arterial clotting and pes. ?
Maybe: The newer medications to prevent blood clots are not approved for use in the us for your condition. There is published research in europe showing that these medications can be used effectively for your type of problem. My personal bias is that you should wait until more research has been done. Your doctor can help advise you as to the status of this research as it evolves. ...Read more
Many fractures, low HCT, low Hgb, low RBC... can the fractures cause the other three? (WBC and platelets are normal. On anticoagulant Lovenox)
The opposite: B"sd that combination certainly needs to be looked into, imagine it already has. Fractures will not cause anemia, but a cause of pathological or other categories of fracture can be due to conditions that cause anemia - most commonly multiple myeloma. For sure you should have a thorough evaluation. As an endocrinologist am consulted on bone and mineral metabolism. would be glad to help ...Read more
Currently on iron pills to treat iron deficiency. Dizziness, sweating, and fainting on my period. Could that be low blood sugar or low blood pressure?
Low: Yes, it could be either or both. But it could be something entirely unrelated. Please see your doctor as soon as possible. ...Read more
Clotting factors: Vitamin k is used to create several factors in the clotting cascade (the system that ends in a blood clot). If vitamin k isn't there, then those factors are deficient, and blood won't clot as well. This is why newborns get a vit k shot, to avoid something called "hemorrhagic disease of the newborn.". ...Read moreSee 1 more doctor answer
Cell maturation: B12 and folic acid are need for DNA synthesis and maturation of all cells. The cells affected are not only red cells, white cell, and platelets but almost all cells in the body, including brain and spinal cord cells. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more
Can patients with polycythemia vera take folic acid and vitamin B12 supplements when deficient or will it cause clots?
B12/Folate: If i understand your question correctly if a patient with pcv polycythemia vera have documented Folic Acid or B12 deficiency, then those could be replaced. However, if the levels of B12 and folate (folic acid) are normal in blood, then i would not recommend it. Thanks. ...Read moreSee 3 more doctor answers
Blood transfusions 4x n a year, 5-6 units each time what could cause server anemia like this when no bleedouts can b found etc. Taking Coumadin (warfarin) 4 clots?
Hemolysis: There are multiple possibilities. Blood loss can be present without visible bleeding. Your severe anemia sounds like you are not producing enough red cells, regardless of whether you are bleeding or not. You should see a hemotologist for a full workup, including a bone marrow biopsy. ...Read more
Many: As dr. Villaplana said, there are several. There are shots and pills. Although using alternatives to warfarin means that you don't have to be as careful about what you eat and you don't have to have regular blood tests to check whether you are getting too much or too little warfarin, they still have drawbacks. One of the most significant is that the alternatives are all a lot more expensive. ...Read moreSee 1 more doctor answer
Two measurements: The first measurement is hemoglobin (oxygen-carrying protein inside red blood cells). This is reported as grams per 100 ml (g/dl). Values <12 (14 for men) are considered anemic. The second is hematocrit. This indicates the % of volume of blood taken up by red blood cells. Values <36 (42 for men) are considered anemic. Note: different labs might have slightly differing normal ranges. ...Read moreSee 1 more doctor answer
Yes, depending on ..: Severity and intervention. Hematocrits can fall to where o2 delivery is insufficient to support organ function, particularly the heart, which must work even harder due to severe anemia. Death can occur. If anemia develops slowly, patients can compensate to even very low hematocrits, but then precipitously decompensate. In contrast, rapid development may preclude compensation w/ grave consequences. ...Read moreSee 1 more doctor answer
Hundreds of causes: It takes me an hour as a medical school lecturer just to basically rattle off the list. Heads up -- if you are iron deficient and eat a reasonable amount of meat (despite the disinformation, vegetables are poor in iron), you're likely losing blood possibly into the gut from serious disease. Don't let them miss it. Any physician can begin the anemia workup. Good luck. ...Read more
Type ; cause: It is very important to know what kind of anemia and what causes it. Iron deficiency is one of the main causes but there are others: vitamin b12/folate deficiency, chronic disease like infection or cancer, genetic conditions, certain medications, toxins, etc. Consulting with your doctor or a hematologist for proper testing and diagnosis is a must before starting any treatment. ...Read moreSee 1 more doctor answer
Polycythemia....: Is the fancy word for an excessive red cell mass. There is a myeloproliferative disorder (polycythemia vera-pv) that is characterized by a pathologically elevated hematocrit, and often dysfunction in the jak-stat signaling pathway. High o2 affinity hemoglobins are also associated with elevated rbcs. However, acquired elevations are more common, such as from smoking and decreased tissue oxygenation. ...Read moreSee 1 more doctor answer