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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35051
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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My doctor just told me that my hemoglobin was 10.6. I am not

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My doctor just told me that my hemoglobin was 10.6. I am not sure what that means. He wants me to see a gastroenterologist.
Submitted: 2 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 2 years ago.
I am Dr. Arun and will be helping you today.
I am sorry that your question was unanswered for long.
A low hemoglobin is anemia. One of the possibility to be ruled out is cancer colon, or polyp (benign / non cancerous growths in colon) which ooze tiny blood causing anemia. Thus to rule that out, colonoscopy is advised. If you do not have a significant family history of cancer or polyp; the colonoscopy is likely to come out to be normal as it was one and a half year ago.
Lupus is known to cause anemia and that can be the another explanation. Apart from colonoscopy you would require further blood tests to ascertain the exact cause of anemia;
1) Complete blood count (CBC)
2) Peripheral blood film
3) Vitamin B-12
4) Folate
5) Reticulocyte count
6) LDH
7) Thyroid-stimulating hormone
8) Serum creatinine and estimated glomerular filtration rate
9) Serum ferritin
10) Serum iron
11) Total iron-binding capacity
So these investigations need to be done for the exact assessment and long term management.
The most common causes of anemia are;
1) iron deficiency (with or without blood loss),
2) chronic disease/inflammation like Lupus.
3) chronic kidney disease
4) deficiencies of folate or vitamin B-12,
5) diseases of the bone marrow
6) hypothyroidism, hypersplenism, and hemolytic anemia.
Medications sometimes too can be responsible for the anemia. Meanwhile you may take high protein diet and lot of green vegetables to improve hemoglobin.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
Thanks for using Just Answer.
Expert:  Dr. Arun Phophalia replied 2 years ago.
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