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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Poor RBC Production By The Bone Marrow?

What causes the bone marrow not to produce enough red blood cells. My husband has had several blood tests, went to see his cardiologist and got good report there, but his GP said that he is anemic and that his bone marrow wasn't making enough red blood cells. He is very short of breath, weak, and has begun falling asleep after sitting down for a few minutes. Any clues about this?
Tue, 17 Jul 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

As you said his bone marrow is not working properly, how do you know that? Does his retic count test been performed or bone marrow biopsy? However there are multiple causes for this, but what I am suspecting in this case is, does he taking any drugs which may have bone suppression side effect as you said he is seeing cardiologist? Or there may be aplasia of bone which may be due to infiltration of other things, but bone marrow examination can confirm that. How about his platelet or white cell count?

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Imran Zeb
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What Causes Poor RBC Production By The Bone Marrow?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you said his bone marrow is not working properly, how do you know that? Does his retic count test been performed or bone marrow biopsy? However there are multiple causes for this, but what I am suspecting in this case is, does he taking any drugs which may have bone suppression side effect as you said he is seeing cardiologist? Or there may be aplasia of bone which may be due to infiltration of other things, but bone marrow examination can confirm that. How about his platelet or white cell count? Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Imran Zeb