Guest guest Posted March 23, 2005 Report Share Posted March 23, 2005 Hi , I hope your posting had a mistyping. A hemo of 5.4 is extremely low and certainly is on the " doorstep " of having a tranfusion or at least a few more red blood cells. I think that " normal " for a woman is about 13.5. So please assure you have the correct information and if so maybe a retest to assure accuracy. I have had iron therapy and while it didn't cause any ill effects it was also not very effective. How about a dinner of liver and onions about twice a week? Barring nutritional deficiency for a long period, a daily multi-vitamin can also help there providing iron, copper and chromimum and zinc, the next issue could be easily a source of internal bleeding. That could be investigated with first a fecal hemocult test, then a lower GI, then a upper GI. That's a long road to begin. I certainly hope you just have a case of misinformation. Best wishes, Poncho - GA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 23, 2005 Report Share Posted March 23, 2005 Well I finally called the doc office and they said my labs were sent on Feb 15. They must have gotten lost in the mail and I asked the nurse to please resend them and she will. She did tell me that my hemoglobin was 5.4, that is really low and they reccomend iron therapy. Yuck! My A1c was 6.5, so I need to be more concientious of my blood sugars but my C-peptide was 1.5 and that is really great; so the islets are doing fine. I didn't ask about the hepatic panel, wish I had, but hopefully I will get the all results soon. Are any of ya'll on iron therapy? What do you take? I know I haave had tons of patients on iron therapy and they always complain of stomach pain and constipation and often stop taking the iron because of that. The last thing I need is more intestinal difficulties since my guts are still healing from all that anastomosis and rearranging. If anybody can suggest a good source of iron thats not too nasty or difficult to take, I would really appreciate it. I hope every body is doing well. Warmly, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 23, 2005 Report Share Posted March 23, 2005 christine, They should admit you overnight and do an iron transfusion for a level that low. They did that to me when I got down to 8.1 I know it is something to be very cautious, and they did it slowly but I could feel an immediate difference. And it has been good ever since (2 years later). Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 23, 2005 Report Share Posted March 23, 2005 Hi , I also want to say that a hemoglobin level of 5.4 is dangerously low. You should be having signs and symptoms if this is a true number. That is, you should be very, very pale, out of breath, and having vision problems (tunneled vision - darkness at the periphery with only the center working) and maybe even some mental confusion. When I had my bad surgery, I went down to around 6 I think, and I had two units of packed RBCs transfused. The doctors were quite adamant that this had to be done (because of my background I was hesitant to accept blood at first, I didn't want to sign the consent). I guess, my advice is if you are not showing any S&Ss of this, you can probably handle this on your own but if you are, you need to get back to your doctor soon........and maybe this explains your blood sugar levels? You also need to figure out why your hemoglobin is so low. Usually this is seen when there is no RBC production, or too high RBC consumption or you are having a hidden bleed somewhere......Compare the hemoglobin with your hematocrit...they should support each other. If the heme is this low, your crit should be in the low 20s or even high teens I think. Also see what your RBC count is. If the heme is the only odd one, then I would think it is a mistake. Laurie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 23, 2005 Report Share Posted March 23, 2005 , I have had to do iron therapy before. The prescription iron really constipated me. The iron that works best for me is Feosol. The carbonyl kind not the sulfate kind. It seemed to absorb better since I have malabsorption issues due to my gastric bypass. It seemed to not bother my tummy as much. When I got really low right before and after my hysterectomy in October they put me back on the prescription iron and it constipated me again. As soon as my iron came back up I went back to the Feosol. My mom in law works for Glaxo-kline so she gets it for me really cheap. That helps alot also! One other thing I learned from my gastric bypass doc was to take Vitamin C with my iron and it absorbs better. Hope this helps, Angie in SC " The happiest of people don't necessarily have the best of everything; they just make the best of everything that comes along their way. " Quote Link to comment Share on other sites More sharing options...
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