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Low Haemoglobin
My mother is 60 years old and her Haemoglobin level is 6.1. please suggest what needs to be done. She has diabetes mellitus type 2, hypertension.
Answers (21)
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A hemoglobin of 6.1 g/dL is severely low and needs urgent medical attention â this is not something that can be managed with diet or home remedies alone. Normal hemoglobin for a woman is 12-16 g/dL, so at 6.1 she is at less than half the required level. In a 60-year-old woman with diabetes and hypertension, severe anemia puts extra strain on the heart and increases the risk of heart attack and organ damage. At this level, a blood transfusion may be required. The cause of such severe anemia in a diabetic hypertensive woman is most likely one or more of: iron deficiency (often from a slow GI bleed or poor absorption), Vitamin B12 deficiency (very common in diabetics on metformin, which depletes B12), or anemia of chronic kidney disease (diabetic patients often develop kidney disease that reduces red blood cell production).
Next Steps
Please take her to a hospital today â do not delay. She needs an urgent CBC with peripheral smear, serum iron and ferritin, Vitamin B12, kidney function tests (creatinine, urea), reticulocyte count, and a stool occult blood test. She may need a blood transfusion or IV iron depending on the evaluation. If she is experiencing breathlessness, chest pain, extreme weakness, or is unable to walk â go to the emergency room immediately. Once the cause is known, long-term treatment (iron infusion, B12 injections, or EPO injections for CKD-related anemia) can be started. Please consult me directly on Practo for a detailed evaluation.
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Kindly take green leaves
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She need to check her Sr. Vit B12, Sr Vit D3, Sr Ferritin, Sr Iron, HBA1C, and KFT, after that could be suggested if she need only oral Treatment or she get admitted for Inj B12, Inj Iron, also need good Diabetes control,
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Have the folic acid 5 mg po od for a month will help it put … if there is extreme weaknes go for blood transfusion 1 unit PRBC
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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She needs blood transfusion after complete hematologic tests.
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Kindly consult.
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Do consu6
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Can you tell me which drugs is she taking... Because few diabetes drugs can reduce hemoglobin level.... If you need full assistance contact us
Dr. Kshitiz joshi
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Iv IMFERON
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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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Intravenous iron supplementation is recommended
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Injectable iron infusion needed.go nearby hospital asap.because its severe iron deficiency its means blood transfusion required after this limit.i hope you understand now.
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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. 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. Abdul Rasheed
General Physician
35 yrs exp
Bangalore
She needs further tests serum iron profile and vitamin b 12 level, renal function tests.Ideally she should be admitted in the hospital for appropriate investigation and treatment
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Dr. Arun Biju
General Physician
3 yrs exp
Kollam
Hemoglobin of 6.1 is very low. First of all we need to know how soon this low levels were seen.
Blood transfusion is needed in such low levels. Could go FATAL if left untreated.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Start livogen
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Please share details of her medical history, cbc report. Serum vit b12 levels. Reason of her anemia should be investigated. Give her iron supplements, vit c supplements, vit b12, supplements.
Give her more of fresh green leafy vegetables, beetroot, pumpkin, fruits like pomegranate, apple.
Repeat Haemoglobin after 6 weeks.
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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