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My mom hemoglobin is 19.5 .how to reduce hemoglobin
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Hematologic Diseases
Question #10324
347 days ago
558

My mom hemoglobin is 19.5 .how to reduce hemoglobin

Arun

My mom age 65 .she having sugar.bp and thyroid and shetaking tablets .her hemoglobin is 19.5 how to reduce hemoglobin.last 2 months back went stjones hosp.and give blood 250 ml .for hemoglobin high doctor give esosprin75

Age: 38
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Doctors' responses

Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
284 days ago
5

1. A hemoglobin level of 19.5 g/dl is high and may be due to conditions like polycythemia, chronic lung disease, or dehydration needs proper evaluation.

2. Regular phlebotomy (removing blood under medical supervision) is the standard way to bring hemoglobin down safely.

3. Continue antiplatelet (Ecosprin 75) as advised to reduce clotting risk, since high hemoglobin increases risk of stroke/heart attack.

4. Lifestyle: stay well hydrated, avoid smoking, and manage sugar, BP, and thyroid strictly.

5. Please follow up with a hematologist for monitoring do not try to lower hemoglobin on your own with medicines or home remedies.

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Elevated hemoglobin levels, like your mom’s level of 19.5 g/dL, can be concerning and it’s important to address potential underlying causes. Elevated hemoglobin could stem from secondary polycythemia, which might be a response to conditions such as chronic hypoxia or inconsistent oxygen levels due to issues like chronic lung or heart disease. It could also be linked to dehydration or adjustments in medication, among other factors. Given her history with blood donation and current medication regimen, it’s essential to have a tailored strategy for managing her hemoglobin. Firstly, ensure the primary causes are being addressed by consulting with her healthcare provider to review and optimize treatment for her existing conditions, such as diabetes and thyroid issues, which might indirectly contribute. Adjustments in her medications might be required based on clinical evaluation. Encouraging adequate hydration can prevent any dehydration-related increase in hemoglobin. Regular exercise, if not contraindicated by her medical status, can also help improve general circulation and may contribute to stabilizing hemoglobin levels. Since your mom also has a history of cardiovascular issues and is on antiplatelet therapy like Ecosprin, close monitoring for any cardiovascular risks or changes in her oxygen saturation is necessary. The approach to manage elevated hemoglobin should be comprehensive and coordinated with her healthcare team. Periodic blood donations are sometimes utilized as a temporary measure, but addressing the root causes is crucial. Follow up with her healthcare provider promptly to ensure her treatment plan is appropriately individualized and adjusted based on her response and the root cause of the elevated hemoglobin levels.

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