i am not a hematologist.
Hemolytic anemias are of various types but it sounds from your history that you have a type called autoimmune hemolytic anemia. With this particular type, the body produces antibodies against its own red cells which are destroyed mainly in the spleen.
The mainstay treatment for this ailment is to give immunosuppressant medications to suppress the overactive immune system of the body and at the same time supress the severity of the immune reaction that destroys the red blood cells as well.
The main immunosuppressants used by doctors are steroids. Steroids are used in a slue of illnesses with different regimens. The best one to decide the regimen used in a particular disease is the specialst him/herself.
So, even though we are all doctors, yet, i am not familiar with the regimens used for hemolytic anemia.
i know steroids have lots of side effects, but for the time being, i would advise you to stick with what your doctor wants you to do.
As for removing the spleen, it is sometimes resorted to in resistant cases of auto-immune hemolytic anemia. There are other immunosuppressants that can be used but still they have far more side effects and are used in cases where steroids and splenectomy fail to control the hemolysis.
Thank you very much for using our website http://doctorslounge.com
and i hope that this information helped.
Yasser Mokhtar, M.D.