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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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End Stage Renal Failure, Congestive Heart Failure, Polyp In Urethra. What Level Of Hemoglobin Is Dangerously Low?

Good Morning, my mother currently has end stage renal failure and congestive heart failure. Her hemaglobin level is 7.4. She is experiencing platelet dysfunction where she bleeds when rubbing her skin. She also bleeds significantly due to a polyp in her urethra. I am concerned about the continued lowering of her hemaglobin level as with the urethra bleeds, it usually goes down at least 2 to 2 1/2 points. She is on procrit and it is no longer as effective as it once was. What hemaglobin level is considered dangerously low. Thank you! Barbara
Fri, 21 Jun 2013
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General & Family Physician,  's  Response
HI, thanks for using healthcare magic

Procit is a form of erythropoietin which is a chemical made by the kidneys that stimulates the production of red blood cells.
Since some persons with kidney disease are unable to produce this hormone, it is supplemented.

In kidney failure ,the lowest dose that can be used to reduce the need for transfusions is used to reduce the risk of stroke and heart disease.

It was found that some persons with kidney disease you were set higher targets for hemoglobin (13-14) , had a greater chance of complications that those with lower targets of 9 to 11.

Procit will not stop your mother from bleeding, it would just help to maintain her hemoglobin. It takes 2 to 6 weeks before a response is seen.

At 7.4, the hemoglobin is low, since one of the sources is the urethra, you may want to consider speaking to her gynaecologists about the options available.

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End Stage Renal Failure, Congestive Heart Failure, Polyp In Urethra. What Level Of Hemoglobin Is Dangerously Low?

HI, thanks for using healthcare magic Procit is a form of erythropoietin which is a chemical made by the kidneys that stimulates the production of red blood cells. Since some persons with kidney disease are unable to produce this hormone, it is supplemented. In kidney failure ,the lowest dose that can be used to reduce the need for transfusions is used to reduce the risk of stroke and heart disease. It was found that some persons with kidney disease you were set higher targets for hemoglobin (13-14) , had a greater chance of complications that those with lower targets of 9 to 11. Procit will not stop your mother from bleeding, it would just help to maintain her hemoglobin. It takes 2 to 6 weeks before a response is seen. At 7.4, the hemoglobin is low, since one of the sources is the urethra, you may want to consider speaking to her gynaecologists about the options available. I hope this helps