HB Of Children Is Always Low From 5 Months Of Age?

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Afternoon, my child is now 1 year 10 months old, when he was born, my child has leukocytes exceeding the normal limit, so the pediatrician is given antibiotics to normalize real leukocytes, but from babies 5 months of age their skin turn yellow and it is difficult to drink milk / formula, the child I drink very little, not according to the amount of milk that should be drunk at his age. At the age of 6 months, it is difficult to eat MPASI, and at 7 months, I tried all kinds of ways, we checked our children k pediatricians, and because they are pale, told to check the lab and sure enough, the blood pressure dropped to 5 … So our child was transfused, before the transfusion, my child was undergoing some blood tests, and blood test results showed some abnormal blood forms and a month after the transfusion it turned out that iron increased and was sentenced by a doctor the possibility of thallasemia due to HB continues to decrease every month. But after undergoing more than 10 x transfusions and checking for blood, iron, etc., then my husband and I were also checked for the possibility of thallasemia minor or major, but my husband and my results were negative, we were healthy and did not carry thallasemia, then our child also fed iron-rich beef every day, but the iron is always normal now. Dr. underwent a transfusion once a month, now every two months. And when you have a routine blood check before the transfusion, the HB is 6.7 / 6.8 and now the platelets are also decreasing. From the results of urine and feces check there is no problem, then the SGPT and SGOT are also normal and the body’s immune is also normal, then the heart check is also normal, the TB check is also negative and finally there is also a liver check through ultrasound also normal. It’s just that the spleen swells due to the breakdown of red blood cells continuously … If you want to do other checks such as for the spleen, need to wait until 3/4 months when our child’s blood does not mix with donor blood .. According to HealthReplies.com, what is the right solution to find out what causes my child’s blood to decrease each month huh? And what do you think is causing my child’s blood to continue to decrease? Thanks

1 Answer:

Hello. Good night. Thank you for asking HealthReplies.com.


Related to what was conveyed by Mother with a continuous decrease in hemoglobin it was an anemia condition and with a continuous solution that was marked by an enlarged spleen and there was a yellow period that was a hemolytic condition, namely the red blood cell rupture. So that the condition is hemolytic anemia which is the destruction of red blood cells (erythrocytes) faster than their formation. Usually the cause will be divided into extrinsic (hemolytic anemia caused by an immune system response that stimulates the spleen to destroy red blood cells) and intrinsic (hemolytic anemia caused by abnormal red blood cells).


Conditions associated with intrinsic hemolytic anemia are:

Sickle cell anemia.
Thalassemia.
Deficiency of the enzyme glucose-6-phosphate dehydrogenase (G6 on).
Deficiency of the enzyme pyruvate kinase

While some conditions that can cause extrinsic hemolytic anemia are:

Enlarged spleen.
Epstein-Barr virus and hepatitis infection.
Bacterial infections of Coli, Salmonella typhi, and Streptococcus sp.

White blood cell cancer
Lupus
Long-term use of paracetamol, ibuprofen, antibiotics, interferon drugs.

There are so many causes of hemolytic anemia that need to be investigated one by one the exact cause of blood damage to the patient. Some of the initial tests are total blood cell count, bilirubin, reticulocyte count, and liver function which are assisted with additional tests such as


Urine test, in order to detect the presence of blood cells in the urine.

Bone marrow biopsy, to determine the number of red blood cells produced and their shape.

Blood staining (peripheral blood smear). Blood staining is used to see the shape of blood cells through microscopic observation

Study of lactate dehydrogenase enzyme. Lactate dehydrogenase enzyme is one of the important indicators in determining the presence of hemolysis in patients. Patients suffering from hemolytic anemia can be diagnosed from an increase in serum lactate dehydrogenase in the blood.

For further information along with examinations that still need to be carried out by your child, you can consult with a pediatrician


Thus the information we can convey. May be useful. Thank you

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