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Blood Peripheral Smear Test Result Consulation, Occluded Blood , Hemoglobin

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Posted on Thu, 17 Oct 2019
Question: blood peripheral smear test result consulation, occluded blood , hemoglobin test done
doctor
Answered by Dr. AJEET SINGH (1 hour later)
Brief Answer:
Microcytic anaemia

Detailed Answer:
Hi....
Welcome to "Ask a Doctor"service.
I am Dr Ajeet XXXXXXX

I have gone through your query and reports and here is my opinion.

You have anaemia with a Hb of 9.4.
It has marginally improved since last time.

Peripheral blood film is indicative of Microcytic anaemia.Here ,small size microcytes are formed which do not mature.
Most common cause of it is iron deficiency.
Other causes of microcytic states are anemia of chronic disease, thalassemia, and sideroblastic anemia.

Examination of your stools reveal occult blood.You are having gastrointestinal bleeding and you are losing blood in stools (May be that it is microscopic and you would not be able to notice)

Please share all your symptoms in detail so that I can correlate clinically.
Investigations are always read in context of patient's history and are of limited clinical significance if read in isolation.

Happy living.
Regards.



Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. AJEET SINGH (22 hours later)
my father is having diabetics and blood pressure in control with above attached medicines.
4.5 month back his heomglobin level was 8.5, he was taking livogen , also pomegranite daily. it eached 10.5 after 2.5 month test. later he stopped hemologin , continued livogen. 2 month no test done.
on 19 sept test was done, heomoglobinwas 8.3. he started taking pomegranite alos, test done on 24 sept the hemoglobin is 9.4.
kindly advice
doctor
Answered by Dr. AJEET SINGH (16 minutes later)
Brief Answer:
Microcytic anaemia

Detailed Answer:
Welcome back.

It is good that his diabetes and blood pressure are well controlled on drugs.

He has also modified his diet.
Jaggery,green leafy vegetables,pomegranate and organ meat are good sources of iron.
But that would not suffice.

Iron supplementation in the form of diet,commercially available oral preparations(like livogen),iron injections and even blood transfusion will not help him because of ongoing intestinal bleeding.

The cause of gastrointestinal bleeding should be ascertained.
Treatment of the root cause will only make him retain iron in his body.

Best regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. AJEET SINGH

General & Family Physician

Practicing since :1994

Answered : 2151 Questions

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Blood Peripheral Smear Test Result Consulation, Occluded Blood , Hemoglobin

Brief Answer: Microcytic anaemia Detailed Answer: Hi.... Welcome to "Ask a Doctor"service. I am Dr Ajeet XXXXXXX I have gone through your query and reports and here is my opinion. You have anaemia with a Hb of 9.4. It has marginally improved since last time. Peripheral blood film is indicative of Microcytic anaemia.Here ,small size microcytes are formed which do not mature. Most common cause of it is iron deficiency. Other causes of microcytic states are anemia of chronic disease, thalassemia, and sideroblastic anemia. Examination of your stools reveal occult blood.You are having gastrointestinal bleeding and you are losing blood in stools (May be that it is microscopic and you would not be able to notice) Please share all your symptoms in detail so that I can correlate clinically. Investigations are always read in context of patient's history and are of limited clinical significance if read in isolation. Happy living. Regards.