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My mother has radiation proctopathy and has had bleeding to the point that she had angina and was rushed to the hospital. She is now in a rehab trying to raise her rbc and hemoglobin. Her rbc was 2.09 -then 1.94 now 2.11. Her hemoglobin was 5.2 then 5.5 now 4.9. She is taking Procrit along with iron. Does it make sence that if the RBC came up dramatically as it did (3 days) that the hemoglobin just didn't keep up with that rapid increase in cells? Just hoping to make it good news not bad.
[QUOTE=bbnmom;3691802]My mother has radiation proctopathy and has had bleeding to the point that she had angina and was rushed to the hospital. She is now in a rehab trying to raise her rbc and hemoglobin. Her rbc was 2.09 -then 1.94 now 2.11. Her hemoglobin was 5.2 then 5.5 now 4.9. She is taking Procrit along with iron. Does it make sence that if the RBC came up dramatically as it did (3 days) that the hemoglobin just didn't keep up with that rapid increase in cells? Just hoping to make it good news not bad.[/QUOTE]

I'm sure it will be fine now that she is being treated. When I was anemic and my hemoglobin and hematocrit were below normal, my RBCs were fine. So it could be that the RBCs are more stable and respond better than the other two numbers (the three values--hematocrit, hemoglobin and RBCs together--are used to diagnose anemia). It can take awhile for all fo them to rise. How much iron are they giving her?
bbnmom,
I'm really sorry that your Mom is going through all of this. This year both of my parents had to have surgery and it was so much harder than I thought it would be just because I could not make them feel better afterwards...it sucks when you turn into the parent!

Did they run any sort of scans on your mom to rule out internal bleeding? I was admitted to the hospital last month because I had almost the same hemoglobin count as your Mom did. In my case I had a section of my intestines bypassed years ago and since I don't have it anymore I am not absorbing iron the way that a "normal" body does (your intestines is what absorbs the iron according to the doctors). Did they check her iron levels, including the Ferretin level, the iron binding capability and the iron saturation % as well as her B12 level? There are different types of anemia one of which is from being low on B12 not iron.

I do understand the religous beleif to some point; I have familiy members that beleive the same way so I've learned to accept their beleif. When I was in teh hospital with a hemoglobin of 5 I was told I had about 1/3 of the amount of blood in my body that I should and that they were surprised I had not blacked out from it...I was in an emergency room that sees possibly hundreds of patients a day and they had never seen anyone that low that had not blacked out. Besides that they looked at me and said the whites of my eyes were blue from not getting enough blood flow, my skin was extremely pale and my tounge was swelled and looked "beefy" (I think this is when it is swelled up and really red). I obviously had outward signs of my body breaking down because of the lack of blood. They gave me 3 units of blood which put me up to a 9.0 and said I was still very low and needed iron infusions by IV for awhile. Right now I am still very tired and having lots of trouble breathing etc. even at a 10.6 (its going up slowly) because I am still a little under the "normal". I can't imagine what your Mom feels like if she is at less than a 5 still.

I hope that the doctors that are treating her are able to get her levels back up soon so she can feel better. If they haven't done so soon I hope they do some CAT scans etc to see if she is bleeding or just loosing gradually like I did. I know this must be very hard on you & all of your family.

Best wishes ;)
Amanda
An up-date on my mother. One month ago they sent mom home from Cleveland Clinic to home hospice with what they figured was another three or so days to live. They did a treatment to stop the bleeding but she suffered a heart attack when her hemo dropped to 3.9. Well I am here to tell ya she's still with us up to a 10.6 hemoglobin as of a week ago and I am sure she is normal or near by now. She has gotten out of her bed into a wheelchair for the last five days in a row and though she still hasn't regained enough strength to support herself I am confident it will be coming soon.

So as a note of encouragement to those whose situation may be similar Procrit and the expertice of the Cleveland Clinic team saved my mothers life. Good wishes and tanks to all for you thoughts and concern.





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