Low Hemoglobin Count

Patient

Q: Hi Doctor
My name is Anil. My dad got his blood checked yesterday and found out that he has a hemoglobin count of 3.0 which was around 7 a few months ago. The doctors then administered him with an iron injection which should have increased the count of hb atleast to another count.
The doctors now have advised 2 units of blood transfusion, one today and another tomorrow and a third unit later if necessary.
Please let me know how dangerous is it to have a hb count of 3 and what could be the possible reason.


P.S. The symptoms were bleeding nose, dizziness. My dad is 53 years old.


Thanks much.

Symptoms:  Bleeding nose, dizziness
Doctor

A:   Hello.
Welcome to Ask The Doctor.

I understand your concern.
His hemoglobin level is very low.
He requires blood transfusion and evaluation of the cause of this severe anemia.
In case, this is associated with Fever and Chills then she should be evaluated for Malaria.
I would recommend following tests immediately:
1. Hemogram with ESR to see for WBC and Platelet count.
2. Malaria antigen test
3. Liver and Kidney function test
4. Urine examination.
5. Stool for occult blood.
At present, she should be evaluated for the cause of anemia and a blood transfusion should be given.

I hope it helps.
Stay Healthy

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