My daughter age is 18 month And 05 days. When his age is 6 and half months than we find that she is suffering from Iron deficiency Anemia based on report 1) RBC=Anisochromia andanisopoikilocytosis. Microcytic hypochromic rwe cell with some tear drop cells, elliptical cell, target cells and occasional fragmental red cell are noted.
2) That time hemoglobin level is 6.5%
3) WBC- Matured with increase total count. Few reactive lymphocytes are also seen.
4) Platelets;- Increased, Serum Ferritin-05 ng/ml.
5) Comments- severe microcytic hypochromic anemia with leukocytosis and thrombocytosis.
Please correlate clicinally and evaluate for iron deficiency anemia and hemoglobin disorder.
That time hemoglobin level is 6.5% and that time required blood transfusion and that time HB% was-12.20%. After again one month later that when she admitted in hospital that time Hemoglobin level is 10.38% and at presently we take some test. At present Hemoglobin % is 12.20 and LDH level 597U/L and S. Ferritin level is 63.8 ng/ml and we also taken HB ELECTROPHORESIS and result is HB A- 96.5%, HB A2-2.3% and HB F -1.2%. On dated 01/05/2016 HB% becomes down 10.20% RBC-4.18% and Blood culture report and Urin RME and Stool RME report is ok. Some times we give her nebulizer. Most of the time Runny nose itchy eye and regular cold and fever problem. Now I want to know the above report result mean. On the other hand last 4 months his weight is constant at 9 kg. How we can gain weight my baby. We are worry about that.
1 Doctor Answered.
Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
50 years experience
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Above report is more in favor of Iron/ multi nutritional deficiency anemia. Blood transfusion increases Hb temporarily. Intermittent fall of Hb may be due to interrupted treatment and lack of nutritional diet as indicated by constant wt at 9 kg. To improve his wt and normalize Hb, give him Iron, B Complex, Vit C and other micro nutrients and continue at least for about 3 months after Hb comes to normal, add oil/ ghee in his nutritious diet for wt gain.
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