Doctors Lounge - Hematology AnswersBack to Hematology Answers List
If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge (www.doctorslounge.com) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.
DISCLAIMER: 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. Please read our 'Terms and Conditions of Use' carefully before using this site.
Date of last update: 10/12/2017.
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.