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Diagnosed as chronic anemic patient. Scared of blood transfusions.

 
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  • Answered by:Internist
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Customer Question

Diagnosed as chronic anemic patient. Scared of blood transfusions. Is there an alternate?

 

Optional Information:
Gender: female
Age: 56

Already Tried:
Vit B 12 sublinguial. Diet high in iron rich foods. Would blood platelets be a better match?

Submitted: 1120 days and 13 hours ago.
Category: Medical
Value: $38
Status: CLOSED
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Expert:  Internist replied 1120 days and 12 hours ago.

What is the cause of your anemia? Iron deficiency?

Customer replied 1120 days and 12 hours ago.

Heavy menstrual cycles. Have had several D &C and recently a Hysteroscopy and D&C. Am adviced to get blood transfusion to raise hemocrit. Scared of blood transfusions. Want to feel better.

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Expert:  Internist replied 1120 days and 12 hours ago.

Having trouble with computer. Be patient.

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Expert:  Internist replied 1120 days and 12 hours ago.

If you have heavy menstrual cycles most likely you are deficient in iron as chronic and continuous blood loss causes an deficiency. Usually vitamin B12 deficiency will occur when there is a chemical in your stomach called intrinsic factor missing. I doubt you have vitamin B12 deficiency. If you have iron deficiency anemia your choices for treatment are several. You may take a diet high in iron however usually if your iron levels are low you'll need more supplementation. You may take oral iron medications such as ferrous sulfate which will slowly raise your iron level. These preparations may irritate your stomach and making your stool black. you may also receive intravenous iron preparation called iron dextran which will bring your iron levels up more quickly however there are side effects of headaches and flushing. The quickest way to bring your blood levels up if they are life-threatening would be blood transfusion. Although I understand you're trepidation blood transfusions currently are very safe as they are tested for viral contaminants such as HIV and hepatitis C. You must choose one of the foregoing suggestions as having an anemia if it is severe can be dangerous as the Oxygen flow to your heart and brain can be compromised.

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Expert TypeBoard Certified Physician
Category: Medical
Pos. Feedback: 99.0 %
Accepts: 3242
Answered: 3/17/2010

Experience: Int. Med., Gastroenterology. Fellow American College of Physicians. Trained, located in the U.S.

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