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What's the lowest Hemoglobin level before transfusion??
How low can ones hemoglobin go before a transfusion is necessary?
"A doctor should know your labs before he sees you for an appointment."
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Yes your doctor "SHOULD" know the results of your labs before he/she
sees you. I don't have enough fingers or toes (I have 20) to count how many times a doctor failed to have the required labs when I got to an appointment. They order them at the appointment.
When it comes to your blood level its very important that you personally know and understand what it means to not be in a "in range". Its also important to understand that your blood level can continue dropping while
you are waiting for lab reports. If your blood count has been dropping stay on top of the lab report. Don't wait for your doctor to tell you if your can get the information right away. Get it and call your doctor to set up what
you will need to correct a blood count that is to low before it drops before
transfusion level.
________________________________________
Yes your doctor "SHOULD" know the results of your labs before he/she
sees you. I don't have enough fingers or toes (I have 20) to count how many times a doctor failed to have the required labs when I got to an appointment. They order them at the appointment.
When it comes to your blood level its very important that you personally know and understand what it means to not be in a "in range". Its also important to understand that your blood level can continue dropping while
you are waiting for lab reports. If your blood count has been dropping stay on top of the lab report. Don't wait for your doctor to tell you if your can get the information right away. Get it and call your doctor to set up what
you will need to correct a blood count that is to low before it drops before
transfusion level.
a doctor should know your labs before he sees you for an appointment. Your treatments depend on the results of your labwork.
This sounds like a "women's health" issue. Why don't you post on that forum.
If you can resolve your issue there....call your doctor. There is many thing that can cause blood in urine. Some are serious and others not serious at all.
Best to you
If you can resolve your issue there....call your doctor. There is many thing that can cause blood in urine. Some are serious and others not serious at all.
Best to you
doctor said i am anemic and got a unit of blood then when i urinate it was with blood is it any serious problem
Blood transfusions are usually done at 8.0. If you are at 8.8 and dropping you should alert your medical provider to start setting up a transfusion. Because it usually takes a few days and then you could be below 8.0.
If you are currently at 6.6 you should go to the emergency room. Or call your medical provider or local emergency room for instruction. 6.6 requires a blood transfusion.
Hope this helps
If you are currently at 6.6 you should go to the emergency room. Or call your medical provider or local emergency room for instruction. 6.6 requires a blood transfusion.
Hope this helps
Tell him about your symptoms and concerns and ask again.
Did you mean to post "My doc says it has to go below 80 " did you mean it has to go below 50 as you just said your level is 66.
Sorry I'm having trouble following your math. You said it was 88 ten days ago the dropped 2 points to 66?. Did you mean it dropped 22 points from 88 to 66 or it dropped 2 points from 88 to 86?
Did you mean to post "My doc says it has to go below 80 " did you mean it has to go below 50 as you just said your level is 66.
Sorry I'm having trouble following your math. You said it was 88 ten days ago the dropped 2 points to 66?. Did you mean it dropped 22 points from 88 to 66 or it dropped 2 points from 88 to 86?
2 Comments
First off both 88 and 66 are waaaay to high for a hemoglobin level and you would never be transfused at that level and even if it did drop 22 to points at that level it wouldn’t be considered low by any means, you may want to find a new Doctor if you are being told those levels are low and reason for concern because either the Doctor you have went to a crap school or has smoked to much crack!!!!!
This comment was from 2015. Thread was started in 2007 I doubt anyone will see your comment
I have a mechanical aortic and also a mechanical mitral valve. Also have a pacemaker which I am dependent on, over thr past five or so years I have had Numerous blood transfusions.
My hemoglobin was tested ten days ago and was 88. It was tested again two days ago and had dropped 2 points to 66. My doc says it has to go below 80 Before I can have a transfusion. Don't know what to do. Have no energy, am freezing cold , shaking and on top of that I have an awful cold, dry cough and feel like I am at deaths door. Waste of time talking to my doc. What can I do.
My hemoglobin was tested ten days ago and was 88. It was tested again two days ago and had dropped 2 points to 66. My doc says it has to go below 80 Before I can have a transfusion. Don't know what to do. Have no energy, am freezing cold , shaking and on top of that I have an awful cold, dry cough and feel like I am at deaths door. Waste of time talking to my doc. What can I do.
I'd say 7 with severe heart pounding and you need ER.
But over-all 8-8.5 is severe too as mentioned above. Under 9 is not good.
I'd lost so much blood after my last bleed-out that there were no more veins to use for transfusions so they had to let me go home when I was at 8.5.
It took 6 months to recover from that.
Under 9 you should begin to be concerned.
But over-all 8-8.5 is severe too as mentioned above. Under 9 is not good.
I'd lost so much blood after my last bleed-out that there were no more veins to use for transfusions so they had to let me go home when I was at 8.5.
It took 6 months to recover from that.
Under 9 you should begin to be concerned.
Hi
Sorry to hear about yours mom's health problems. You have commented to an old post in the hepatitis c community. We here are patients or care givers of people with hepatitis c.
Maybe you could try this community and post a new question by selecting the green post a question link
http://www.medhelp.org/forums/Blood-Disorders/show/930
Best wishes to you and your mom
Sorry to hear about yours mom's health problems. You have commented to an old post in the hepatitis c community. We here are patients or care givers of people with hepatitis c.
Maybe you could try this community and post a new question by selecting the green post a question link
http://www.medhelp.org/forums/Blood-Disorders/show/930
Best wishes to you and your mom
Hi all, My mother had symptoms like irritation in mouth and throat(small pimples like structure), irritation in tongue, swollen hands and feet, swallowing difficulty, fatigue and dizziness. When I checked her with a doctor, her HBG count was 4.5, she was immediately transfused amount of blood with 4 HBG count to make it 8.5. She had heavy menstrual bleeding before, which might have been the cause of Low HBG count. The transfusion took place 2 days ago and she says she had black coloured stool, little back pain and had fever which disappeared after some time. What are the things I should take care of, at home? Should I be worried?? Would she ever recover her HBG count to normal? If yes what are the procedures?? What should be in her daily diet?? Please help i am too worried... :((
Hi all, My mother had symptoms like irritation in mouth and throat(small pimples like structure), irritation in tongue, swollen hands and feet, swallowing difficulty, fatigue and dizziness. When I checked her with a doctor, her HBG count was 4.5, she was immediately transfused amount of blood with 4 HBG count to make it 8.5. She had heavy menstrual bleeding before, which might have been the cause of Low HBG count. The transfusion took place 2 days ago and she says she had black coloured stool, little back pain and had fever which disappeared after some time. What are the things I should take care of, at home? Should I be worried?? Would she ever recover her HBG count to normal? If yes what are the procedures?? What should be in her daily diet?? Please help i am too worried... :((
Hi all, My mother had 4.5 HBG count and got a blood transfusion in a hospital 2 days ago. They gave her amount of blood equal of 4 HBG count. She had symptoms like irritation in mouth and throat(small pimples like structure), irritation in tongue, swollen hands and feet, swallowing difficulty, fatigue and dizziness. What are the things I should be careful after the transfusion? After transfusion she had mild fever once, little back pain and black coloured stool. She has heavy menstrual bleeding and have a disease, I don't exactly know the name but I know that iron in her body passes from the urine. What are the measures I should take to treat her. She is under medical surveillance, but what are the things i should take care of at home??? I am very much worried.
Bet you have Kaiser. If you do... start demanding early. You don't want to get under 7.0. I texted a close associate who works in the ER at a large University Hospital in California. The current policy is 7.0 in that ER.
Best to you
Best to you
hi koaster, sorry to hear about your challenge.
i had your situation recently. current policy is apparently not to transfer below hb of 7. however, i recently got one with something slightly above 7. i went to the ER, said that i came for my transfusion and that they had told me to come when i wasn't feeling well. understand that these policies are somewhat flexible. i have repeatedly gotten good unusual deals in the ER because i was able to project a certain confidence about my case (and i wasn't a pain in the neck, i guess :)).
try going there in a good frame of mind (i.e. mood) and use the terminology they use (for example here in germany i'd say: i've come to get 'two EKs' because that's what they call the transfusions here and that would be the typical amount.) even tell them, that you know it's ususally 7 these days but you have a pretty good radar when you need them.
from the sound of your message, though, i feel that it's more important for you to come to terms with the psychological challenges of your condition. two packs of packed cells don't make that much of a difference - personally, i always told myself & others that i respect pain but that this little bit of weakness is nothing. but in whatever way you do it, take it on, i'd say because there is going to be a lot more challenges like that coming our way. this is just the warm up... :)
good luck!
i had your situation recently. current policy is apparently not to transfer below hb of 7. however, i recently got one with something slightly above 7. i went to the ER, said that i came for my transfusion and that they had told me to come when i wasn't feeling well. understand that these policies are somewhat flexible. i have repeatedly gotten good unusual deals in the ER because i was able to project a certain confidence about my case (and i wasn't a pain in the neck, i guess :)).
try going there in a good frame of mind (i.e. mood) and use the terminology they use (for example here in germany i'd say: i've come to get 'two EKs' because that's what they call the transfusions here and that would be the typical amount.) even tell them, that you know it's ususally 7 these days but you have a pretty good radar when you need them.
from the sound of your message, though, i feel that it's more important for you to come to terms with the psychological challenges of your condition. two packs of packed cells don't make that much of a difference - personally, i always told myself & others that i respect pain but that this little bit of weakness is nothing. but in whatever way you do it, take it on, i'd say because there is going to be a lot more challenges like that coming our way. this is just the warm up... :)
good luck!
I have severe iron diff anemia! My hgb is 7.6. I had a blood transfusion a year and a half ago when my hgb was 6.5. I haven't had any treatment since my transfusion! I feel horrible and drained all the time! I had to go to the ER over the weekend for severe back pain and my anemia. I was hoping that I could get a blood transfusion as well! They said that I wasn't low enough at 7.6! I am so frustrated and depressed! Any suggestions from anyone?
1 Comments
Hi you should look into getting iron infusions which is getting iron in your vein through an iv for 1-4 hrs. I have the same severe anemia due to extremely heavy periods and i get iron infusions (Venofer brand) every few months. They are life changing and are less concerning than getting blood transfusions (which I have also had at 7.1). You feel some effects within days and you gain more energy each week. You should also seek to find the cause of your anemia if you don't already know. If you are female and your anemia is related to your menstrual cycle as mine is you can also try birth control pills. I have just started with the pills so I cannot comment on their effectiveness but many have told me that they decrease bloodflow and pain which should help with iron deficient anemia due to menstruation. I hope this helps and good luck to you.
i don't understand what 'take blood for sister's nerve' could possibly refer to, nor what 'too difficult to identify nerve' could mean. however, hb 6.7 means that she should find a way to get transfusions now.
it is really important to find out why her hb is so low. if there is no obvious reason, like the side effect of hcv medication (esp ribavirin), the hospital should try to find out, for example, by checking for internal bleeding etc. you can do something yourself, though, and that is to find out how quickly the hb has been falling to where it is now. if you can find records of previous bloodwork, let's say 2-3 months ago and the hb was at 8 then it looks like it's falling really slow and there is no need to panic. if it was a week ago at 14, however, you should look for immediate hospitalization. i'm telling you this because hospitals tend to neglect this back-check in my experience, even here in germany.
good luck and let us know if there is anything that you don't understand.
it is really important to find out why her hb is so low. if there is no obvious reason, like the side effect of hcv medication (esp ribavirin), the hospital should try to find out, for example, by checking for internal bleeding etc. you can do something yourself, though, and that is to find out how quickly the hb has been falling to where it is now. if you can find records of previous bloodwork, let's say 2-3 months ago and the hb was at 8 then it looks like it's falling really slow and there is no need to panic. if it was a week ago at 14, however, you should look for immediate hospitalization. i'm telling you this because hospitals tend to neglect this back-check in my experience, even here in germany.
good luck and let us know if there is anything that you don't understand.
Do you know why your sister has a low Hb? Does she have Hepatitis C?
Is she on Hepatitis C treatment?
Is she on Hepatitis C treatment?
My sister ve only 6.7 Hb level , but she have Type 1 Diabetes also when nurse try to take blood for sister's nerve its too difficult to identify nerve so anybody please help me its little bit urgent ***@****
hi poonamdesigner,
3.1 is crazy! the original standard i was given was 8 transfusions, 6 ER, 4 non-returner (brain-damage or death). in reality, everybody will tell you that it doesn't work that way because people who slowly adjust can handle far lower hb levels.
i had an hb just over 4 last year and many other low points between 5 & 6 to get transfusions (probably 2 dozen in 6 month). i found hb below about 5 to be somewhat deceptive. i managed to walk the 2.5 km to the hospital and was in a very euphoric state. it's a condition close to death, though, where nurses and docs will come to visit because they haven't seen that before. :)
you can get an ambulance to pick your mom up with that kind of hb and i would; a nurse told me that that is the fastest way to get transfusions (otherwise you may hang around for ages in the ER).
tranfusions themselves are not unpleasant or dangerous at all. i'm not sure what your mom's concerns are but there is really nothing to worry about. i asked the docs whether they ever had any problems with them (because they give you this legal thing to sign) and they said 'no.'
if her hb is really 3.1, i'd tell her that you're calling an ambulance now and then the rest is up to her but you've done your best. maybe the doc in the ambulance can convince her...
let me know if i can be of any other help, eg by talking to your mom or anything else. good luck!
3.1 is crazy! the original standard i was given was 8 transfusions, 6 ER, 4 non-returner (brain-damage or death). in reality, everybody will tell you that it doesn't work that way because people who slowly adjust can handle far lower hb levels.
i had an hb just over 4 last year and many other low points between 5 & 6 to get transfusions (probably 2 dozen in 6 month). i found hb below about 5 to be somewhat deceptive. i managed to walk the 2.5 km to the hospital and was in a very euphoric state. it's a condition close to death, though, where nurses and docs will come to visit because they haven't seen that before. :)
you can get an ambulance to pick your mom up with that kind of hb and i would; a nurse told me that that is the fastest way to get transfusions (otherwise you may hang around for ages in the ER).
tranfusions themselves are not unpleasant or dangerous at all. i'm not sure what your mom's concerns are but there is really nothing to worry about. i asked the docs whether they ever had any problems with them (because they give you this legal thing to sign) and they said 'no.'
if her hb is really 3.1, i'd tell her that you're calling an ambulance now and then the rest is up to her but you've done your best. maybe the doc in the ambulance can convince her...
let me know if i can be of any other help, eg by talking to your mom or anything else. good luck!
hi all, i NEED HELP VERY BADLY... my mother is 48 years old, she have very low hemoglobin 3.1 :( , dr. suggested to adimt het for blood transfusions but she is not ready for this.. she is doing all household work daily.. having only cane juice twice and had vely little food in dinner... i am helpless please suggest what to do????
I'm so grateful to have found this list of reports, as my docs all try to avoid committing themselves to what specific low hb values imply. Thanks everybody!
I'm just at my third set of transfusions, the latest hospitalization occurring at 4.5 hb from interferon triple (w/boceprevir); but at other times I've been referred to the ER at 6.6. Because it dropped over time, it was not so bad, as long as I didn't have to climb stairs (and temperature regulation was bad). Actually, it was a slightly euphoric state, below, say 5.5 or so.
Here in Germany, the guideline is now not to transfuse above an hb 7 for fear of complications. I have a researcher doc and he says, you really don't want it below that for long because vital organs are not supplied properly anymore.
Apparently, adaption is the key to how low you can go and how you feel it. One thing I found is that docs in hospitals don't properly check your past hb to determine how fast the drop is, so I would recommend keeping track of that yourself, if in doubt. It's a huge difference to lose 1 point in two weeks regularly to losing 2 points a week or (as with bleeding) in a few minutes.
May all beings be well!
I'm just at my third set of transfusions, the latest hospitalization occurring at 4.5 hb from interferon triple (w/boceprevir); but at other times I've been referred to the ER at 6.6. Because it dropped over time, it was not so bad, as long as I didn't have to climb stairs (and temperature regulation was bad). Actually, it was a slightly euphoric state, below, say 5.5 or so.
Here in Germany, the guideline is now not to transfuse above an hb 7 for fear of complications. I have a researcher doc and he says, you really don't want it below that for long because vital organs are not supplied properly anymore.
Apparently, adaption is the key to how low you can go and how you feel it. One thing I found is that docs in hospitals don't properly check your past hb to determine how fast the drop is, so I would recommend keeping track of that yourself, if in doubt. It's a huge difference to lose 1 point in two weeks regularly to losing 2 points a week or (as with bleeding) in a few minutes.
May all beings be well!
Hello Andrea,
You are AWESOME!!! That is sooo scary, you must have felt horrible. I learned through study people can exist at a level of 2. The quality of life is limited but the body lives through all sorts of horrors. The body adjusts and gets used to functioning at low levels some people move at a snail like pace others continue to do what they do while suffering horrific symptoms. Well they have no choice but to go on working and living paying rent etc. Yes it is really real.
You are AWESOME!!! That is sooo scary, you must have felt horrible. I learned through study people can exist at a level of 2. The quality of life is limited but the body lives through all sorts of horrors. The body adjusts and gets used to functioning at low levels some people move at a snail like pace others continue to do what they do while suffering horrific symptoms. Well they have no choice but to go on working and living paying rent etc. Yes it is really real.
I am very concerned about what is going on and would love some feedback- I had a lg. mass removed from my chest in June and have recovered from that and a paralyzed vocal cord. So 2 weeks ago when I went in to have surgery on my vocal cord my hgb was 7.6- they told me I needed to follow up with my doctor- o my symptoms for the last three months- bad leg cramps at night, headaches, dizzy, passed out twice this past weekend, tired, warm feeling throughout my entire body, heart races if i do anything physical, shortness of breath, nausea, and I crave ice so bad- thought this was all related to me recovery. ( o also had a heart attack a month after my surgery. So I go see my primary care and it is now 7.4 and I can barely walk- he puts me on iron pills twice a day and they redrew the labs today- now it is 7.8- after two weeks of being on iron pills- so it is going up but I feel worst than I did weeks ago-------So my big question do I wait and see if it continues to go up or should i go into the ER and see what their thoughts are ??? I am scared I have been through a lot and just feeling so worn out :(
I just got home from the hospital, was put in the Critical Care unit because by level was 5.4. They did two transfusions and now I am at 7.2 and at home. Next Wednesday I start iron infusion. I will be at the doctors office for 5 hours a day once a week for 5 weeks. Same symptoms of rapid and heavy heartbeat, dizziness, shortness of breath and leg cramps at night.
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