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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Leg And Headache In A Low Hemoglobin Child?

My son was admitted to the hoapital with low hemoglobin... 5.7 two weeks ago. He had a endoscopy and colonostomy and found nothing. He had kawasaki and selling in heart and got off aspirin after two years in Feb. Now he has pain in his legs. .. blood in stoll but small amounts and stuff neck with headache plus pain in his shinns and feet. The doctors have tested his white blood cells and they seem normal. No anemia. Nothing in GI. Saw the hematologist and nothing is coming up. Normal kidneys and liver. The doctors are losing momentum. Where do I go from here. He just turned three. He is to young and healthy for this.
Mon, 1 Jun 2015
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Pathologist and Microbiologist,  's  Response
Hi I did review your concern.
I would advice a bone marrow aspirate and biopsy and rule out rare causes of anemia like sideroblastic anemia. pure red cell aplasia childhood fibrosis aplastic anemia and so on.
Bone marrow study will be the best study in this case. Also if not done, hemoglobin electrophoresis and detailed study may be undertaken afterwards followed by enzyme studies to look for obscure causes of anemia.
I hope this helps.
Wish you all the best.
Thank you for choosing healthcare magic.
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What Causes Pain In Leg And Headache In A Low Hemoglobin Child?

Hi I did review your concern. I would advice a bone marrow aspirate and biopsy and rule out rare causes of anemia like sideroblastic anemia. pure red cell aplasia childhood fibrosis aplastic anemia and so on. Bone marrow study will be the best study in this case. Also if not done, hemoglobin electrophoresis and detailed study may be undertaken afterwards followed by enzyme studies to look for obscure causes of anemia. I hope this helps. Wish you all the best. Thank you for choosing healthcare magic.