Suggest Treatment For Anemia Along With Osteopenia

Posted on Sat, 29 Nov 2014

Question: my hemoglobin is 8.2 (low)-normal is 11.7 - 15.5 and hematocit is 26 (low)- normal is 35.0 - 45.- and patient is experiencing all symptoms of low blood level. Sodium level is also slightly low. I have been in pain first because of humeral head fracture and subsequent shoulder surgery which resulted in my retirement. I am still suffering from a pain mid bicep that runs from my neck down my arm to thumb and have been on Norco since 4/2012. I have asked for a referral to pain specialist to get off Norco and been told no. I also asked for help with the blood issue and a recent bone scan i requested that shows I have bone loss is back and hip. He indicated nothing can be done. I probably need a new doctor and am trying to look through them. However, I'm exhausted all the time and this is overwhelming when you are in constant pain and exhausted.

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
Tiredness is due to low hemoglobin level.

Detailed Answer:
Hello XXXX

Sorry to know about your illness.
Tiredness is due to low hemoglobin level.Low hematocrit is also related to this.
You are rightly taking iron rich food.Additionally you should take iron and folic acid tablet once daily.You can take vitamin C tablet along with iron tablet because it increases iron absorption.
You can take table salt for low sodium level.

Osteopenia(decreased bone density due to low mineral in bones)is common in your age group among females.You can take calcium supplementation regularly.

Pain in upper limb need proper evaluation.MRI (cervical spine)can be done for assessing nerve involvement.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar