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Low hemoglobin
Hello Doctor, I’m a bit concerned about my wife's condition. After taking Socril regularly for 3 months as prescribed, her hemoglobin has dropped from 9.4 to 8.9. She has been consistent with the medication and following dietary advice. Could there be a reason for this decrease? Should we consider adjusting the dose or trying a different iron supplement? Also, would you recommend any further tests to understand the cause? Thank you.
Answers (25)
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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.
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Hello,
Take balanced diet.
For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
Thanks.
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Please provide details- why was this medication started initially, does she have excess bleeding during periods, has she delivered a baby recently?
Get a complete blood picture done serum iron and vit. B12 levels done.
Consult with details and results of above tests.
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Tab faa 20
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I m the one who's hb doesn't increase so my cardiologist advis me to go for thalassemia in blood. But that is also Normal in my case.
I do deworm every three months advised by cardiologist.
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Please connect
Will help you
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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Do connect and consult
Will help you
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Hi,
Yes we need to understand why despite supplements her hemoglobin has dropped.
Kindly consult with all the reports once.
It could be an issue with absorption or there could.be blood loss which is too small to be seen by the naked eye
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Connect
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We need to find out the cause
Before recommending test need some further information so that we can move in a particular direction for diagnosis
Connectforfurtherevaluation
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Kindly connect
Need few more details.
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Can understand your concern.
This needs to be evaluated.
There are many causes for anemia. It could be due to nutritional causes, chronic diseases, blood loss or may be inherited too. So just by taking iron alone will not get your anemia corrected if its not caused by iron deficiency.
Kindly get a CBC, iron profile, vit b12 and peripheral smear, RFT and stool OB.
Kindly connect, requires more detailed history. Shall definitely help you overcome your problem.
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Iron deficiency anemia is confirmed before taking iron supplements?
Could be other etiology.
Need more workup.
Next Steps
kindlly connect
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This fall is insignificant.
Please get the complete Harmogram, Iron profile, and Vit B12 and D3 level and consult a General Physician.
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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. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Mithravinda Rajana
General Physician
8 yrs exp
Kolkata
If she has been taking the medication in the correct dose and manner (on an empty stomach, without following it with tea, coffee, or other supplements), her hemoglobin should have improved by now.
A continued drop in Hb despite three months of supplementation raises concern, with ongoing blood loss being one of the most important causes to consider.
Please provide additional details, such as any co-morbidities, history of heavy menstrual bleeding, or any episodes of blood noticed in the stool or urine. Keep in mind that gastrointestinal blood loss is often not obvious.
I would recommend doing a peripheral smear, serum ferritin, ESR, urine routine examination, and stool for occult blood. These will help guide further evaluation.
Next Steps
Further evaluation.
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Dr. Sunil Nagar
General Physician
17 yrs exp
Rewa
Adv. Ps comment
Vitamin b 12 test
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Use dexorange
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Dr. Anmol Kudal
General Physician
4 yrs exp
Nashik
Hello kindly take orofer xt syrup 2tsp after food
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Use socril .
No problem.
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Dr. Abdul Alim
Ayurvedic Endocrinologist & Internal Medicine Specialist
2 yrs exp
Jewargi
Hello,
I understand your concern. A drop in hemoglobin despite regular iron supplementation like Sofcril (iron + folic acid) could indicate one of the following:
Poor absorption of oral iron (often due to gastric issues, tea/coffee with meals, or low vitamin C intake)
Chronic blood loss (e.g., heavy periods, gastrointestinal issues)
Underlying causes like vitamin B12/folate deficiency or chronic conditions
Here’s what I suggest:
1. Ensure iron is taken on an empty stomach or with vitamin C (like orange juice) to improve absorption. Avoid tea/coffee within 1 hour of the dose.
2. Further tests may help:
CBC with peripheral smear
Serum ferritin
Vitamin B12 and folate levels
Stool for occult blood (if chronic GI loss is suspected)
If absorption issues or side effects persist, switching to a different form of iron (e.g., ferrous ascorbate or iron sucrose IV) may be considered after medical evaluation.
I recommend a direct consultation to assess the full picture and adjust treatment safely.
Take care!
Next Steps
consult
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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
Connect
Next Steps
Consultation
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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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Dr. Komal Kumari
General Physician
3 yrs exp
Deoghar
Try getting injectable iron. Also get iron profile done . It will give you more clarity
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