Patient :My mother is 60 years old and recently she was diagnosed with low haemoglobin count of 5. She got immediate transfusions. She also underwent colonoscopy to check for any internal bleeding and the results were normal. She was then referred to a hematologist. Coombs test turned out positive and he prescribed medicines for that. Later Coombs test returned negative after taking the medicines for a month. But her hemgpobin was still around 5 and she got transfusions every 15 days. The hematologist said everything was normal in the blood and suspected liver cirrhosis cups be the reason. Then she went to a hepatologist who said liver was normal. He suggested serum frerritin tests and the ferritin level turned out to be very low ~ 7. He prescribed iron supplements and she's been taking them for the past 45 days. In the meantime, her hemiglbin went back to 5 again and she got transfusions. It then increased to 9 10 days after receiving the transfusion. Serum ferritin also increased to 17. But now again her hemoglobin dropped to 5.8 and she's recommended for transfusion. Does it take time for hemooglobin levels to increase even if ferritin increases? And how long does it take for her hemooglobin to return to the normal range. The iron supplements are high dosage supplements.
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