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I have blood count of 8.6.
I have found to be anemic with hb of 8.6 in Annual health check and could you please prescribe tablet or syrup.
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Dear Patient,
Thank you for sharing your hemoglobin report. A level of 8.6 g/dL indicates **moderate anemia**, and it’s important to address this properly. Here’s my detailed guidance:
1. First Steps for Your Anemia**
- **Do not self-medicate** – The treatment depends on the **underlying cause** (iron deficiency, B12/folate deficiency, chronic disease, etc.).
- **Required Tests:**
- Complete blood count (CBC) with peripheral smear
- Serum iron, ferritin, TIBC (for iron deficiency)
- Vitamin B12 and folate levels
- Kidney function tests (if suspected chronic disease)
2. Possible Treatment Options**
If Iron Deficiency is Confirmed:**
- **Oral Iron Therapy:**
- Ferrous sulfate/fumarate (e.g., **Fefol, Ferium-XT**) – Take with vitamin C (orange juice) for better absorption.
- Side effects: Constipation/dark stools (if this worsens, switch to **iron syrup** like Feronia-XT).
- **Iron Injections (if oral iron isn’t tolerated):**
- E.g., **Iron sucrose/Ferric carboxymaltose** – Faster correction, no GI side effects.
If Vitamin B12/Folate Deficiency:**
- Methylcobalamin tablets (1500 mcg/day) or injections (if severe).**
- Folic acid (5 mg/day).**
3. Important Notes**
- **Dietary Support:** Increase iron-rich foods (spinach, dates, eggs, red meat) + vitamin C (amla, citrus fruits).
- **Avoid tea/coffee** with meals (blocks iron absorption).
- **Monitor Hb after 4 weeks** to check improvement.
4. When to Worry**
If you experience:
- Severe fatigue, dizziness, or shortness of breath
- Black stools (sign of GI bleeding)
- No improvement after 1 month of treatment
*5. Next Steps**
Anemia should **never be ignored** – it can signal serious conditions (e.g., internal bleeding, hormonal issues).
**For a proper evaluation and prescription, please consult me via WhatsApp:** Eight Zero Zero Nine Eight Two One Three Three Two.
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Anemia with Hemoglobin Level of 8.6
ð¹ Mild Causes: â
Iron Deficiency: The most common reason for anemia, often due to poor dietary intake or blood loss. â
Vitamin Deficiencies: Deficiencies in vitamin B12 or folate can also contribute to low hemoglobin levels.
ð¹ Serious Causes (if persistent): â ï¸ Chronic Diseases: Conditions like kidney disease or inflammatory disorders can cause anemia. â ï¸ Blood Loss: From the gastrointestinal tract or heavy menstrual bleeding, often unnoticed.
What You Should Do? â
Monitor Symptoms: Look out for fatigue, paleness, or shortness of breath and report these to your doctor. â
Improve Diet: Include iron-rich foods (leafy greens, lentils, eggs) and pair them with vitamin C sources for better absorption. â
Treatment: Your doctor may prescribe iron supplements (e.g., ferrous sulfate tablets or iron syrups). Dosage and type will depend on your specific needs, so it's important to seek their advice. â
Follow Up: Ensure regular blood tests to monitor improvement in hemoglobin levels.
ð Like this info if it helped! ð ð¹ Need a detailed video consultation? Consult me on Practo here! ð© For WhatsApp queries only: Eight seven six two seven four nine nine seven four
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Take Syp Hemfer 2tsf bd.
Take iron, protein ,B12 and folic acid rich diet.
Take fresh fruits and vegetables.
Daily exercise and yoga.
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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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Hb of 8.6 will need injection of iron carboxymaltose or any iron preparation
It will take long time to recover with tablet or syrup
Also we need to see why you have such low hb
Are you having heavy bleeding during periods
Are you having any tingling or numbness anywhere in the body
Next Steps
please review with
complete blood count
peripheral smear
reticulocyte count
rbc indices
iron profile
Health Tips
tab trifer bd
tab becosules od
tab folic acid 5 mg od
cap omeprazole 20 mg od for gastritis if needed only
iron rich diet
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Home remedies
Khajur, resins, gur, with bhubaneswar Chana to be consumed.
Beetroot, carrot pomegranate juice daily for 20 days at least.
Cap fesovit one at night after dinner for two months. Change of stool color is normal.
Tab folic acid5 MG two times a day after food for 2 months.
Increase hb by 2gm%
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Kindly connect
Need few more details.
Health Tips
To increase low hemoglobin (Hb) levels, focus on a nutrient-rich diet including iron-rich foods like red meat, poultry, fish, beans, lentils, spinach, beets, and fortified cereals, vitamin C-rich foods like citrus fruits, bell peppers, and tomatoes to enhance iron absorption, folate-rich foods like dark leafy greens, legumes, and whole grains, vitamin B12-rich foods like dairy, eggs, fish, and fortified plant-based milk, and other essential nutrients like copper, zinc, and manganese found in nuts, seeds, and whole grains, aiming to include a source of iron and vitamin C in every meal to support healthy red blood cell production.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Do Consult.
Needs to be evaluated for low hb .
Low iron and b12.
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
kindly consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need more history. Please 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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