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Critically low hemoglobin - 5.8
My wife is suffering from low hemoglobin levels since 1 year. Levels fell down 5 months after marriage due to continuous bleeding for a month, she has thyroid, pcos. With all medicines, food & juices her fatigue reduced, thyroid in control and hemoglobin got increased to 7 in December 2024. Now since 1 month again she is having continuous bleeding & dizziness, fatigue, low BP, high pulse, hemoglobin at 5.8..
Family doctor asked to take Iron Injections.. at least 5 ..
Pls suggest if thats ok ? Will there be any side effects? And what would be the cost ?
Answers (15)
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Avoid fried food and spicy
Water intake more
Green leafy vegetables and fruits
Do connect and consult
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To the Patient:**
Your wife's critically low hemoglobin (5.8 g/dL) with persistent bleeding requires urgent attention. Here's my professional assessment:
Critical Concerns:**
1. **Severe Anemia Risks:**
- Symptoms (dizziness, fatigue, tachycardia) indicate her body is struggling to oxygenate
- This level can strain heart function and requires prompt treatment
2. Underlying Causes:**
- PCOS + thyroid disorder likely contributing to menstrual bleeding irregularities
- Potential iron/B12/folate deficiency from chronic blood loss
Treatment Plan:**
1. Immediate Action:**
- Iron injections (e.g., Iron Sucrose) are appropriate and necessary at this stage
- Typically 5-10 doses (cost ≈ ₹300-500 per injection)
- Minor side effects may include nausea or metallic taste
2. Concurrent Management:**
- Must control abnormal uterine bleeding (may need hormonal therapy)
- Continue thyroid medication optimization
- Start oral iron supplements post-injection course
3. Monitoring:**
- Weekly CBC checks until hemoglobin stabilizes
- Investigate for other bleeding causes if persists
Urgent Consultation Needed:**
This is a medical emergency requiring:
- Complete hematological workup
- Gynecological evaluation for bleeding source
- Personalized transfusion/injection plan
For Immediate Guidance:**
Contact me directly to coordinate her care.
**My WhatsApp:** Eight Zero Zero Nine Eight Two One Three Three Two
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Blood transfusion
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You can take iron injections. Since you have taken them before, you can take them again safely. After 3 to 5 injections, continue with iron tablets
Take vitamin c 500mg one morning and one evening for a month on empty stomach, as that would be beneficial.
Cost you can ask from a pharmacist.
Next Steps
Adv- gynaec consultation for excess bleeding.
Health Tips
Take pomegranates, green leafy veggies, beetroot, jaggery etc which provide iron naturally
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Yes , please take iron injections soon
There is a iron deficit of around 1500 mg
Almost 3 injections , each of 500 mg per dose will be sufficient
Each may cost around 2000 rupees
Consult gynecologist for evaluation of vaginal bleeding as that needs to be treated , otherwise taking iron injections will be in vain
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Gynaecologist consultation.
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Hemoglobin level of 5 is significantly low ,may need blood transfusion to improve her hemoglobin level,but the actual cause of bleeding needs to be evaluated and appropriately managed by consulting a gyenocologist.
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Dr. Reshma Rahman
General Physician
3 yrs exp
Delhi
Kindly connect….
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Recheck hb and have a follow up.
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Neha Singh
General Physician
7 yrs exp
Pune
Hi firstly take iron injections alternate day and once she’s stabilised go for a sonography of pelvis to know the exact cause of bleeding . One month bleeding is considered as abnormal uterine bleeding and should be evaluated thouroughly
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for proper evaluation. Kindly consult.
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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