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Help in to increase hb
I have thalassemia trait, and my hemoglobin usually stays around 11 g/dL. My MCV is low, while my RBC count is relatively high. I would like to increase my hemoglobin by around 1–2 g/dL. Could hydroxyurea help increase my hemoglobin in thalassemia trait, and is it appropriate or recommended for someone with thalassemia trait to use it?
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MCV is generally low in Thalassemia trait.
Hb 11 is fine. No need to worry.
Hydroxyurea is not indicated as it has serious adverse effects.
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Thalassemia trait commonly causes mild anemia with low MCV and a relatively high RBC count. Hb around 11 g/dL can be typical.
Next Steps
Pehle serum ferritin aur iron profile check karwa lena, kyunki iron deficiency saath mein ho sakti hai. Iron supplement tabhi lena jab deficiency confirm ho.
Health Tips
Thalassemia trait mein Hb ko 1–2 g/dL badhana generally zaroori nahi hota. Hydroxyurea khud se bilkul start na karein. Agar Hb aur kam ho raha hai, weakness/saans phoolna jaise symptoms hain, to physician/hematologist se evaluation karwa lein.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Hydroxyurea has no role in thalassemia trait, so please do not go that way - it is used in selected cases of thalassemia major or sickle cell disease and it has real side effects. In trait, Hb around 11 with low MCV is basically your own baseline. It can be pushed up only if some separate deficiency like iron or B12 is sitting on top of it.
Next Steps
Get serum ferritin, iron studies and vitamin B12 done. If ferritin is truly low, iron correction under supervision helps; if it is normal, avoid iron tonics on your own because trait patients can overload iron. Folic acid and protein-rich diet is what genuinely helps. Also get your future partner's Hb electrophoresis done before marriage. If you want me to see the reports, teleconsult or Synergy Miraj OPD is fine.
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Need consultation with doctor for further evaluation
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You yourself say it's Thalassemia trait means you already got Hemoglobin electrophoresis done
MCV will be low in this case
Hb 11 is quite ok
Check your serum ferritin before you supplement Iron tonic
hydroxurea not indicated
Next Steps
Take Folic acid supplements 5mg daily
Health Tips
check Thalassemia trait in your would be spouse too in order to prevent Thalassemia Major
Go for Premarital Counselling
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I understand your concern , but what u have to do is check serum ferritin level , vitamin b12
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Please consult a physician physically for clinical evaluation.
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Hydroxyurea is not indicated for thalassemia trait
please get iron studies and a consultation before starting any treatment.
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???????
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sachin Bhiwaji Sanap
General Practitioner
8 yrs exp
Hingoli
need more information
kindly consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Reesha Varshney
General Physician
1 yrs exp
Hathras
Hydroxyurea in thalassemia trait is not the recommended drug of choice
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