Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HealthcareMagic!

Regarding your concern, I would explain that the decrease in RBC and Hb could be related to different possible causes:

- bleeding ( urinary or gastrointestinal bleeding, etc.)
- iron deficiency
- vitamin B12 or folic acid deficiency
- chronic inflammation or infection, etc.

For this reason, I would recommend performing further tests to investigate for the possible causes:

- PCR for inflammation
- iron and ferritin plasma levels
- folic acid and vitamin B12 plasma levels
- a stool analysis for blood
- a urine analysis.

You should discuss with his doctor on the above tests.

He may need to take iron supplements, folic acid, and vitamins.

Blood transfusion is usually indicated when Hemoglobin levels are below 7mg/dl.

What are his actual levels of Hemoglobin?

Hope to have been helpful!

I remain at your disposal for any further questions.

Kind regards,

Dr.Iliri

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Brief Answer:
My answer as follows:

Detailed Answer:
Hello again!

I would like to know if you have shortness of breath, fainting or dizziness.

How long have be been having such low levels of Hemoglobin?

You should know that if anemia is chronic (which means that it has persisted for a long time), it could be treated with medication (iron, vitamin B12, folic acid and vitamin C supplements).

But, if the installation of anemia is acute (you have symptoms like low blood pressure, dizziness, shortness of breath or fainting), you may need to take blood transfusions.

I would also advice performing further tests (as above mentioned) to investigate for the possible cause of such anemia.

Did you have any bleeding or trauma lately?

Acute bleeding and loss of blood, can lead to acute anemia. But in such of chronic anemia, it is important investigate for the possible causes.

The digestive tract (the stomach or the gut), may bleed for a long time leading to such levels of Hemoglobin. In such case a stool analysis for traces of blood, followed by GI endoscopy would be needed.

I reviewed carefully your uploaded test reports and would explain that they are unremarkable, besides:

- the presence of traces of proteins in your urine
- presence of mild concentric left ventricle hypertrophy
- mild diastolic dysfunction.

The mild changes in your cardiac ultrasound are caused by chronic high blood pressure.

For this reason, I would recommend you to closely monitor your high blood pressure, in order to stop the progression of such cardiac chambers changes.

Regarding the traces of proteins in your urine, I would recommend performing further renal tests to investigate for the cause of the presence of protein in your urine:

- a urine bacterial culture for infection
- a urinary tract ultrasound
- creatinine clearance levels
- albumin levels in the urine of 24 hours.

You should discuss with your doctor on the above issues.

Regards,

Dr. Iliri

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