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Ask Dr. Y. Vasavada Your Own Question
Dr. Y. Vasavada
Dr. Y. Vasavada, Pediatrician
Category: Paediatrics
Satisfied Customers: 3248
Experience:  M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
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HiMy little 13 month old was anaemic at 10 months. He was

Customer Question

Hi
My little 13 month old was anaemic at 10 months. He was put on an iron supplement of 5 mls a day. He had a blood test after 2 weeks but no change in iron or haemogloblin levels. He had to continue on it for another 6 weeks and bloods were repeated again. His iron had come up from 4 to 9 but still not at normal levels (normal level starts at 11). He continued on the iron for another 4 weeks and bloods were checked again. His iron is now 11- bottom of normal range but still in normal range. Haemogloblin moved from 9 to 14( 14 is the bottom of the normal range). They also requested folic acid and vitamin b12 to be taken. These showed a high reading. Not sure what that means exactly. Is high better than a low reading. Haptogloblius was also taken but don't hve those results yet.
I am meeting the consultant on Saturday and would like to be armed with knowledge and the right questions to ask. Haemogloblin was very slow to move with the iron supplement. Should he stay on the iron going forward or stop and assess again in 6 weeks. What does high folic and vit b12 mean. Could it be thalassaemia.. What does haptogloblius test show. What questions should I be asking. Would ur opinion be to keep him on the iron. What if he comes off it and his levels drop again.
Submitted: 2 years ago.
Category: Paediatrics
Expert:  Dr. Y. Vasavada replied 2 years ago.
Hello,
Sorry about this issue. High folic acid or b-12 are no cause for worry, these being water-soluble vitamins.
There may have been some impediment to rise in hemoglobin like hidden infection.
You have to state iron dose in mg of elemental iron, and he has to be on oral supplement for at least 3 months more to create buffer store in body.
Haptoglobin is a special molecule to carry free hemoglobin in blood, outside of red cells, and is reduced when red cells are destroyed abnormally. Please see link : http://www.nlm.nih.gov/medlineplus/ency/article/003634.htm
Expert:  Dr. Y. Vasavada replied 2 years ago.
Hi,
If baby responded with almost normal hemoglobin with therapy, thalassemia is not the issue at all.
Not all orally given iron is absorbed, so if one needs to raise hemoglobin in such late responders, injectable iron once a week or so may be given.