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HGB fluctuation
Hi all. I have been going to hemotology each week to have a pint of blood removed because of hemochromatosis. Things were going well until last week it suddenly jumped to 15. It was originally 12.5. I was wondering if you had any thoughts in the reason for the major jump. I haven't changed anything accept the diet for the better but I have been stressed. And I do smoke. Probably more lately due to personal reasons. So any input would be greatly appreciated.
Jules
Jules
It really doesn't give a time frame ?
Many factors can produce hemoglobin fluctuations in the same individual and in a group of individuals. Hemoglobin may decrease as much as 1 gm/dL with bed rest. Changes in fluid balance may affect plasma volume and therefore hemoglobin concentration. Gender and age are responsible for important normal variations. Lower hemoglobin values are seen in childhood. Postpubertal males have higher hemoglobin values secondary to the effects of androgens in erythropoiesis. The differences between the values for men and women disappear in the elderly. Hemoglobin decreases about 1 gm/dL during the 2nd and 3rd trimester of pregnancy. Altitude has a predictable effect with an increase of 1 gm/dL for each 3-4% decrease in arterial oxygen saturation. A heavy smoker may increase his/her hemoglobin level by 0.5 to 1.0 gm/dL. A low value that would be abnormal in one person might be appropriate for another. On the other hand, a value within the reference range may be below normal when specific factors relating to the patient and his environment are considered. {include_content_item 92 Spurious hemoglobin results can be obtained if there is incomplete release of hemoglobin from red cells. High lipid concentrations can interfere with the photometric measurement.
Reference range is 13-17 g/dL for men and 12.0 -15.0 g/dL for women. Hb levels below 6.0 g/dL are considered critical values.
Many factors can produce hemoglobin fluctuations in the same individual and in a group of individuals. Hemoglobin may decrease as much as 1 gm/dL with bed rest. Changes in fluid balance may affect plasma volume and therefore hemoglobin concentration. Gender and age are responsible for important normal variations. Lower hemoglobin values are seen in childhood. Postpubertal males have higher hemoglobin values secondary to the effects of androgens in erythropoiesis. The differences between the values for men and women disappear in the elderly. Hemoglobin decreases about 1 gm/dL during the 2nd and 3rd trimester of pregnancy. Altitude has a predictable effect with an increase of 1 gm/dL for each 3-4% decrease in arterial oxygen saturation. A heavy smoker may increase his/her hemoglobin level by 0.5 to 1.0 gm/dL. A low value that would be abnormal in one person might be appropriate for another. On the other hand, a value within the reference range may be below normal when specific factors relating to the patient and his environment are considered. {include_content_item 92 Spurious hemoglobin results can be obtained if there is incomplete release of hemoglobin from red cells. High lipid concentrations can interfere with the photometric measurement.
Reference range is 13-17 g/dL for men and 12.0 -15.0 g/dL for women. Hb levels below 6.0 g/dL are considered critical values.
I guess it depends which scale you are using. I am suppose to be below 12 in order to start tx.
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