Doctors Lounge - Hematology Answers
"The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician."
Forum Name: Hematology Topics
Question: neutropenia and anemia
|kat - Fri Aug 26, 2005 11:17 am|
i was referred to a haematologist by my gp a few months ago and have seen him once i was slightly anemic with haematocrit 32 and haemoglobin 11.9 and WBC was 2.8 and neutrophils was 1.2 and the anemia was macrocytic and so thought i might have pernicious anemia so i had a course of B12 injections. i felt nauseous last week and went to see my gp who sent me to have another CBC and showed that,
and platelets were normal at 277. i will have to wait and see what my haematologist thinks but would you think i would need a bone marrow aspirate? because there has been a further slight decrease in haem and white cells despite having the B12 does that mean i do not have pernicious anemia? what other conditions would cause neutropenia and anemia? could i have myelodysplastic syndrome? i am 21.
thanks very much xxxx
|Theresa Jones, RN - Sat Aug 27, 2005 5:21 am|
Since the B12 injections have not improved your hgb/hct levels in my opinion a bone marrow aspiration is certainly warranted. Other conditions that may suppress bone marrow function are alcohol use, certain medications, viruses, and many malignant disorders. Again, a bone marrow aspiration is warranted to identify the causative factor. I hope that when your time permits that you will consider posting an update to your post.
|kat - Mon Aug 29, 2005 7:56 am|
thanks very much for your reply, i really appreciate it :)
i have an appointment with my gp on tuesday and so will see what he says. i will post back what he suggests, thanks. kat
|kat - Sun Sep 25, 2005 5:22 am|
i had some more blood tests and saw my haematologist again. I talked to him over the phone and he just told me few results:
white blood cell count- 1.4
he said that he would put me on folic acid for a month and then if i was still anaemic then it was probably my bone marrow. he said my folic acid was a bit low-160 but this is slightly up on last time (152) and yet hb dropped from 10.5 to 8.1 in space of 2 weeks. if it was my folic acid it doesnt make sense that it is a bit higher and yet more aneamic. my liver protein and albumin is a bit high too.
Its weird im not feeling stressed really, i just think i know that things are really not right. I could have leukaemia couldnt i? At what point does your haemoglobin have to get to when the doctors think of possibility of blood transfusion?
|| Check a doctor's response to similar questions|
Are you a Doctor, Pharmacist, PA or a Nurse?
Join the Doctors Lounge online medical community
Editorial activities: Publish, peer review, edit online articles.
Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.