Often, an increase in platelets is combined with an increase in ESR. Among the reasons that increase both platelet count and ESR, pregnancy, inflammatory and infectious diseases, and liver and kidney problems are worth highlighting. An increase in ESR is observed after poisoning, injuries, surgical interventions, and in chronic diseases. A number of drugs can also increase ESR. There are many cases where platelets increase with ESR in bone marrow diseases.
First of all, when the analysis revealed an increase in platelets and ESR, it is necessary to identify the cause. By and large, to treat high platelets and ESR means to treat the pathology that provoked a high number in the analysis. In most cases, platelet count returns to normal faster than ESR. You can treat such conditions with the help of antiviral drugs, antibiotics. Other drugs are used that are consistent with the identified pathology.
It is often possible to observe a condition when leukocytes increase along with platelets. In most cases, this means the presence of an inflammatory process. When the analysis shows white blood cells above normal, it is necessary to conduct additional tests to help determine the cause.
Most often, the analysis reveals an increase in platelets and white blood cells in infectious diseases. Quite often, many cells are formed during acute respiratory viral infections and other inflammatory processes in the body. A large number of leukocytes can be present with extensive burns, heart attacks of internal organs, severe blood loss.
The rate of hemoglobin in the blood in men varies in a certain range. A slight deviation from the norm is not considered a pathology. If the indicator is slightly increased, then it is worth retaking the analysis.
The normal rate for a man under the age of 40 varies from 130 to 160 g / l (the lower limit is 120, the upper limit is 180 g / l).
What does elevated hemoglobin mean:
- about improper nutrition, eating harmful foods rich in animal fats and carcinogens;
- the presence of blood clots in the vessels (can be perceived as a symptom of atherosclerosis);
- the presence of pathologies in the work of the heart and blood vessels;
- about problems with the digestive system;
- about a lack of vitamin B12 in the body.
A deficiency in the body of vitamin B12 occurs against a background of disruption of the digestive tract. The body does not fully absorb the vitamin, which leads to consequences.
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- When platelets are not all right
- The development of erythrocytosis – increased hemoglobin in men
- Causes of Low Hemoglobin Values
- Aggregation and Distribution Width
- Causes of Low Hemoglobin Values
- Treatment of high hemoglobin in men
- Platelet lowering
- Causes of increased hemoglobin in the blood
- Deviation diagnosis
- Level correction
- Nutrition and diet with increased hemoglobin
- The danger of elevated hemoglobin
- How to reduce
When platelets are not all right
If platelets in the blood are elevated, what can this be said? When the platelet level in the blood is higher than normal, this condition is called thrombocytosis. It happens, depending on the reasons for its appearance, primary, clonal and secondary. And in each case, the reasons may be different for deviations from the reference values of the platelet count in the blood.
Clonal and primary thrombocytosis are considered the most unfavorable in nature of the course and forecasts. So why can these blood counts rise?
Clonal thrombocytosis is caused by a “breakdown” of hematopoietic stem cells contained in the bone marrow, that is, those from which different types of blood cells (leukocytes, red blood cells, platelets) are subsequently born. As a rule, in such cases, the cells acquire tumor properties and are endowed with sensitivity to the hormone responsible for their production – thrombopoietin. As a result, the reproduction of these blood cells is practically uncontrollable.
At the same time, due to disturbances in bone marrow function and the growth of local hemopoietic sites, the platelet count significantly exceeds the norm and the hemoglobin is significantly lower than the norm.
As you can see, the main cause of primary and clonal thrombocytosis is a violation of the bone marrow. In this case, we are talking about the “breakdown” of the control system for platelet production.
Inflammatory processes due to collagenosis, sarcoidosis, Kawasaki syndrome are also factors contributing to an increase in platelet levels in the blood.
It is known that approximately 30% of platelets are stored in the spleen. If the patient underwent surgery to remove it, then they all enter the bloodstream. Thus, as a result of the study of biomaterial, we get a significant increase in platelet levels.
By increasing the production of these blood cells, our body also responds to tissue integrity as a result of surgical interventions and injuries that result in blood loss. In this case, producing, the bone marrow of a person performs its natural function, which we talked about above, that is, thrombosis occurs where it is vital. Such a process is not classified as pathological.
Elevated platelets in the blood are a phenomenon characteristic of glandular deficiency anemia (low hemoglobin is noted), cancer, with severe tissue damage due to pancreatitis, in the presence of necrosis. If platelets are elevated, do not forget that this may be a reaction to taking certain drugs that increase blood clotting.
The development of erythrocytosis – increased hemoglobin in men
Another important blood indicator is hemoglobin. There are times when hemoglobin decreases following platelets. Often the analysis shows a deviation during pregnancy and childbirth. Hemoglobin in such cases becomes lower, which is explained quite simply. A large amount of iron and folic acid is sent to the baby’s body, so the mother will inevitably decrease hemoglobin. That is why during pregnancy, proper nutrition with an additional amount of various trace elements and substances is of great importance.
Decreased or increased hemoglobin can be a sign of a serious illness. In particular, when the analysis revealed reduced hemoglobin, it is necessary to exclude thalassemia, aplastic anemia, and blood diseases.
Red blood cells are also an important component of the blood. Normally, an adult test should show approximately five million red blood cells per 1 mm³ of blood. Red blood cells in the body carry oxygen and carbon dioxide. When red blood cells are elevated, this often means the presence of leukemia, congenital heart defects, or chronic pulmonary diseases.
Reducing the red blood cell count means a risk of developing anemia. It is worth noting that if the reason for the decrease or increase is not determined by general analyzes, it is worthwhile to seek the advice of a gemologist who will prescribe specialized studies. Since the function of red blood cells is very important in the body, it is not worth pulling with such studies.
A significant increase in red blood cells may be a sign of acute poisoning, impaired metabolism, dehydration, long-term lung diseases or the cardiovascular system. There is an increase in red blood cells in people living in high mountain regions. Thus, the body adapts to an insufficient amount of oxygen in the air.
Physical activity, which is often experienced by representatives of the stronger sex, can lead to changes in blood parameters, resulting in the development of erythrocytosis – increased hemoglobin in men.
But not always the reason for the increase are harmless sports. Increased hemoglobin can be a symptom of a dangerous disease.
When men should sound the alarm with increased hemoglobin and how to normalize its level in the blood – in the article you will find the answers to these questions.
Symptoms of increased hemoglobin in men depend on the stage of the disease. With moderate erythrocytosis, the spleen increases slightly, in the red bone marrow there is an increase in sprouts. The initial stage of erythrocytosis lasts several years.
In the future, the advanced stage sets in, during which thrombosis occurs. The body is depleted, the growth of basophil cells in the blood is accelerated, and an increased content of uric acid is diagnosed.
At this stage, the doctor usually diagnoses erythrocytosis. The third and last stage is anemic.
The liver and spleen enlarge, which is noticeable upon palpation. On the x-ray, foci of myelofibrosis in the bone marrow are visible.
Starting from the advanced stage, in men with increased hemoglobin, there are: crimson skin, dizziness, fainting, headache, nosebleeds.
One of the typical symptoms that a man’s hemoglobin is elevated is blue fingers and blanching of the mucous membranes and tongue. Due to a violation of cerebral circulation in a man, some mental functions can be upset.
These signs make a man see a doctor and undergo an examination. Elevated hemoglobin is detected after the first analysis – it is enough to donate blood from a finger. It remains to find out why the anomaly occurred, and undergo treatment.
Before you sound the alarm, you need to make sure that hemoglobin is really elevated.
In men and women, normal hemoglobin is different – in men, the level of this protein is always slightly higher. So, in a man older than 18 years, the normal hemoglobin level is 130 – 170 g / l.
In adolescent boys, the highest normal hemoglobin score will be 165 g / l.
In children 12 to 14 years old, the indicator should not exceed 160 g / l. The numbers above indicated indicate increased hemoglobin and are the reason for a more detailed study.
It is impossible to consider the increased level of red blood cells as a small pathology, which over time normalizes itself.
The effects of erythrocytosis may be the most negative. The disease leads to the appearance of blood clots in the bloodstream, there is a risk of heart attack and stroke.
Now you know what to do with elevated hemoglobin in men, how to treat this deviation from the norm. Timely competent treatment will help to establish the normal functioning of the circulatory system.
Causes of Low Hemoglobin Values
How is the level of platelets in the blood determined and what is considered the norm? A normal indicator is considered to be in the range of 180-420 thousand units / mcg of blood. Minor fluctuations are allowed taking into account the patient’s age, gender and lifestyle. A really high platelet level in the blood, as a rule, is accompanied by poor health, which, in fact, forces a person to see a doctor.
To make sure that there are high platelets in the blood and you need special treatment, you can only correctly pass the appropriate analysis. To conduct a blood test in this case should be 3 times after 3-4 days to minimize the risk of erroneous results. If the indicator of interest to us is actually much higher than the normative, then hemoglobin, erythrocytes and other blood parameters are also checked for a preliminary diagnosis.
A hematologist can also schedule a consultation with a urologist (gynecologist) for an ultrasound of the internal organs, pelvis, or colonoscopy. Within 7-10 days, a diary is monitored for body temperature.
When the results of all these studies are obtained, we can talk about the true reason for the deviation of the platelet count from the norm and the appointment of an effective treatment.
Causes of low hemoglobin in the blood
may be non-pathological or associated with certain diseases.
The reasons are not pathological, as well as all those situations that lead to a decrease in hemoglobin, they are transient, easily reversible and not associated with pathology.
: Difficult sports such as cycling, skiing or marathon can lead to a decrease in hemoglobin due to an increase in blood volume and hemodilution, which lead to a decrease in the concentration of red blood cells in the blood. This is an adaptive reaction of the body to aerobic stress.
: Those who follow a vegetarian or vegan diet without eating meat may experience a decrease in hemoglobin due to low iron intake. Iron, which is mainly found in animal products, is an essential component for building hemoglobin.
- Pregnancy and childbirth
: during pregnancy, a decrease in hemoglobin levels can be observed
. It depends on many factors, first of all, the increased need for iron and folic acid, so they should be additionally included in the diet to prevent the occurrence of anemia. In addition, hemodilution due to an increase in plasma volume, but not red blood cells, leads to a decrease in the concentration of the latter and a decrease in hemoglobin values, as well as a decrease in platelets and an increase in white blood cells.
: in women with very heavy periods lasting more than 4-5 days, a decrease in the level of iron, red blood cells and hemoglobin can be observed, as a result of massive blood loss.
- Elderly people
: With age, there is a physiological decrease in hemoglobin levels, associated with lower production of red blood cells from bone marrow.
- Blood donation
: after blood donation, a transient decrease in hemoglobin values may be observed due to the amount of blood taken.
: after surgery, in which there was a large loss of blood, may have a temporary decrease in hemoglobin values.
- Cancer therapy
: Patients who have undergone cancer treatment, such as radiation therapy or chemotherapy, may have low hemoglobin values due to the fact that the therapy affects the proliferation of blood cells or bone marrow.
The main reason for the pathological decrease in hemoglobin
is anemia, defined as hypochromic, as the color of red blood cells decreases.
Among the anemia
- Железодефицитная анемия
: develops due to iron deficiency, developed due to increased demand, decreased absorption or loss of blood caused, for example, by hemorrhoids, stomach problems such as erosive gastritis or stomach ulcers, menstruation. It is diagnosed on the basis of red blood cell microcytosis and hypochromia (i.e., small and little colored), low hemoglobin values, low iron stores in the body, increased red blood cell volume and low hematocrit. Hemoglobin is low because iron is necessary for its formation.
- Pernicious anemia
: develops due to a deficiency of vitamin B12, which developed with a decrease in intestinal absorption in inflammatory processes, for example, in the case of celiac disease. Hemoglobin deficiency is associated with a decrease in the number of red blood cells in the blood. High homocysteine values may be noted, since vitamin B12, together with folic acid, are important in the metabolism of this substance.
: one form of thalassemia is associated with impaired hemoglobin production. It may be asymptomatic or manifest as a decrease in the amount of hemoglobin, red blood cells, a slightly increased value of the occurrence of small and irregular red blood cells, an increased value of the platelet level, with a normal or high supply of iron, that is, ferritin.
- Hemolytic anemia
: This type of anemia can have various causes, and is characterized by an increased rate of destruction (hemolysis) of red blood cells. Such accelerated destruction leads to a decrease in hemoglobin values, an increase in the number of red blood cells in the blood, in order to try to resist the destruction.
- Aplastic anemia
: A type of anemia in which the bone marrow does not produce enough blood cells. With thrombocytopenia, leukopenia and a decrease in the number of red blood cells, a decrease in hemoglobin values develop. It does not depend on one reason, so its origin is still unclear.
: hypothyroidism, which causes hormonal imbalances, often leads to copious menstrual cycles, which are associated with greater loss of blood and, accordingly, hemoglobin. In addition, hypothyroidism leads to a slowdown in metabolism and reduced absorption of folic acid.
: cirrhosis or liver tumor causes a decrease in hemoglobin values and a simultaneous increase in transaminase. A decrease in hemoglobin level may also be associated with rupture of the varicose veins of the esophagus, which is caused by portal hypertension, and determines the appearance of bleeding. With portal hypertension, splenomegaly also occurs, that is, an increase in the size of the spleen, as a result, the spleen retains more red blood cells and white blood cells, causing a decrease in the concentration of these cells in the blood.
: chronic renal failure leads to a decrease in hemoglobin due to insufficient production of red blood cells. It depends on the fact that the kidney produces erythropoietin, a hormone that stimulates the production of red blood cells, the load on the kidneys due to pathology reduces the production of hormones, and then red blood cells.
Diseases of the blood
: Leukemia or lymphoma is associated with low levels of red blood cells and platelets and high levels of white blood cells. A low number of red blood cells in the blood reduces the amount of hemoglobin and leads to the development of anemia, which, however, manifests itself in the late stages of the disease.
: some infections may lead to a decrease in hemoglobin. For example, infectious mononucleosis, a disease characterized by an increase in lymph nodes, fever and a large number of monocytes, may be accompanied by a low level of hemoglobin due to increased hemolysis and splenomegaly.
In order for the treatment to be of high quality, it is necessary to conduct a full examination, which includes a number of diagnostic measures:
- First, you need to conduct an examination with a therapist. He should ask the patient about complaints and past illnesses;
- Take a series of laboratory tests:
- Clinical blood test to determine the number of platelets, white blood cells, hemoglobin level;
- General urinalysis to detect hematuria (the presence of blood in the urine), an analysis according to Zimnitsky and Nechiporenko to identify inflammatory pathology of the kidneys;
- Fecal occult blood test.
- Ultrasound examination of the abdominal cavity and pelvic organs;
- It is necessary to consult a gynecologist to exclude pathology from the female genital area;
- Hematologist consultation.
Aggregation and Distribution Width
Platelet aggregation is an important process that allows you to determine how quickly the body is able to overcome bleeding. Aggregation is measured by venous blood. At the same time, in order for the aggregation to correspond to the true indicators, it is necessary in the laboratory to create conditions as close as possible to the human body.
It is worth noting that aggregation can change under the influence of external factors. In particular, a high concentration during work can, like hard physical labor, affect a number of parameters associated with platelets. Certain medications, especially those taken on the day they are tested, can also cause abnormalities.
Of course, aggregation can change under the influence of pathologies. In particular, increased aggregation is observed with hypertension, atherosclerosis, stroke and heart attack, and diabetes mellitus.
In addition, a deviation from normal values is very often observed during pregnancy. A lower level in this case may create an increased risk of bleeding. An increase is observed in the first trimester with toxicosis. This is due to dehydration, the danger of such a condition is in the likelihood of a miscarriage. An analysis of aggregation should preferably be taken at the stage of pregnancy planning.
The width of the distribution is also determined. The width of the distribution helps to determine the platelet volume. In particular, the width of the distribution is determined by the heterogeneity of the population. Using the width of the distribution, a change in the size of the cells is detected. In addition, the distribution width shows the percentage of micro- and macro-platelets in total.
Causes of Low Hemoglobin Values
Consider the reasons why platelets in the blood of a woman are elevated. Thrombocytosis is an increase in the number of platelets in the blood. There are 3 types of thrombocytosis, depending on the cause of the occurrence:
- Primary – there is an increase in platelet production in the presence of a pathological process in the red bone marrow; this pathology is characteristic of older people over the age of 60;
- Secondary – thrombocytosis develops with the development of any disease (more common among children);
- Relative – a decrease in platelet levels is associated with a decrease in blood plasma levels.
Causes of primary thrombocytosis:
- Leukemia is a malignant blood disease. Particular attention is paid to congenital forms of pathology;
- Tumor formation of bone marrow or metastasis of cancer of any organs in the bone marrow.
Causes of secondary thrombocytosis:
- Massive bleeding (uterine, traumatic);
- Cirrhosis (inflammation of the tissues) of the liver;
- Inflammatory diseases of various organs and systems;
- Acute or chronic course of infection;
- Malignant neoplasms of the respiratory and digestive systems;
- Iron deficiency anemia, especially in young girls;
- Autoimmune pathology;
- Removal of the spleen (splenectomy);
- Acceptance of oral contraceptives and other hormonal drugs;
- The presence of parasites in the body;
- Purulent diseases of the skin and internal organs (abscesses, boils, phlegmon), septic conditions.
Reasons for a relative increase in platelet count:
- Inadequate fluid intake in the body;
- Increased fluid excretion in kidney disease;
- Dehydration of the body, which develops due to dyspeptic disorders (repeated vomiting and diarrhea);
- Intoxication – poisoning of the body with various toxins (poisons).
Traditional medicine offers various recipes for infusions, decoctions and teas to reduce blood coagulation. However, it should be remembered that such treatment methods should be carried out only after consultation with the treating doctor. Otherwise, you can harm the body, exacerbating the course of the disease.
The most popular and simple recipes for traditional medicine:
- Cocoa Drink Cocoa powder should be made from natural cocoa beans, a product for instant cooking is not suitable in this case. The drink is boiled in water. It must be unsweetened, so you can not add sugar and other sweeteners. Drink a drink on an empty stomach in the morning;
- Tea from ginger root. The root must be grated, take 1 tablespoon and pour 200 ml of boiling water. Boil tea for 5 minutes. You can add a little honey to the finished drink. This volume must be drunk in parts during the day;
- Tincture with garlic. Peel and crush 2 medium heads of garlic. In the resulting garlic gruel, add 200 ml of vodka. The mixture is infused for 30 days, after which the medicine is taken twice a day for 0,5 teaspoon.
Diet therapy is widely used to treat thrombocytosis. It aims to thin the blood. For this purpose, it is recommended to increase the amount of fluid consumed: pure water, fruit drinks, fruit drinks, freshly squeezed juices, herbal teas.
The diet must include foods rich in B vitamins and magnesium, as they prevent the formation of blood clots:
- Onion and garlic;
- Fruits and berries: citrus fruits (orange, lemon, pomelo and others), currants, sea buckthorn;
- Vegetables: tomatoes, celery, cabbage;
- Nuts and dried fruits: figs, almonds, cashews, hazelnuts;
- Vegetable oils: olive and linseed;
- Cereals: oat, barley;
- Fish and seafood, seaweed.
You must also consider the list of products that you need to refuse:
- Fried, greasy, salty and smoked foods;
- Alcoholic and sweet carbonated drinks;
- Buckwheat and lentils
- Fruits: pomegranate, mango, banana;
- Berries: dogrose, chokeberry.
In this article, you learned about the symptoms and causes of increased platelet counts and how to lower their blood levels in women.
If platelets are still elevated: how to bring them back to normal? Before proceeding to measures that lower platelet levels in the blood, we need to establish the reason why we have a deviation from the norm. And only when it is known, you can prescribe treatment – for example, diet or drug therapy.
Primary thrombocytosis is often resolved by adjusting the diet and fluid intake. Also, choosing a treatment regimen, a doctor may include blood-thinning drugs. Thrombocytopheresis is sometimes resorted to – a procedure in which blood is diluted with a special device.
If the level of platelets in the blood is increased due to infection in the body, then a therapy is carried out aimed specifically at stopping this infection – antiviral, antibacterial, antihelminthic, etc. Blood is restored on its own in the process of successfully combating infectious processes.
The consequence of this condition is more dense in comparison with normal blood. Often, it stagnates in organs, which impedes their normal functioning. In such a situation, the risk of blood clots also increases significantly, which in recent years has steadily lost its place among the leading causes of death.
Low hemoglobin in the blood is a condition in which the pigment content in the red blood cells that transport oxygen drops to a level at which the onset of the disease is already determined.
Diseases that are usually associated with low hemoglobin levels are anemia, which can be caused by genetic defects, food shortages, or other causes. We may also experience low hemoglobin
in case of leukemia, infections, thyroid diseases, and in conditions of non-pathological conditions, for example, a vegetarian diet, pregnancy and surgery. Therapy varies depending on the reasons that led to a decrease in hemoglobin, but in more severe cases, resort to blood transfusion.
When you have low blood hemoglobin
, it may happen that organs will experience oxygen deficiency. Hemoglobin is a protein that contains iron, which is present in the red blood cells of the blood, it binds oxygen in the lungs and transports through the whole body. Therefore, low hemoglobin levels mean reduced oxygen delivery to tissues and organs.
Normal hemoglobin in the blood
depend on age, they are very high for newborns and decrease with age.
Note that the values may vary slightly depending on the laboratory in which the analysis was performed. To make an accurate diagnosis, a complete blood count should be done, which, in addition to hemoglobin, includes an estimate of the number of red blood cells, white blood cells, platelets, hematocrit and other parameters that indicate the amount of iron, as well as parameters regarding infections, and finally parameters of liver function (transaminase) and kidney (creatinine).
Blood smear for anemia .
All the symptoms that appear with a decrease in hemoglobin are associated with less oxygen entering the tissues and organs.
- Fatigue and weakness
, since the muscles, due to oxygen deficiency, are not able to tolerate even minimal loads, so that fatigue can manifest itself even at rest.
, because the heart, in an attempt to compensate for the lack of oxygen, increases the heart rate.
- Headache and dizziness
caused by low oxygenation of the brain.
- Feeling cold and cooling hands and feet
, since they have a narrowing of blood vessels, which reduces blood flow to the extremities in order to concentrate blood supply and provide vital organs with oxygen. Vasoconstriction also causes pallor.
Among the more serious risks of a heart attack, congestive heart failure and heart hypertrophy should be mentioned.
Hemoglobin is most often examined in capillary blood. The unit of measure is g / l (grams per liter). The norm of this substance depends on the age, sex of a person, as well as its own hemoglobin rate in women during pregnancy. The highest rates are recorded in newborns (130 – 225 g / l), which is due to the physiological characteristics of this period of life.
- In children older than a year – from 100 to 120;
- In women, from 120 to 140;
- In men, from 140 to 160.
It would seem that this is not bad when there is a lot of hemoglobin. But this condition is of great importance for the human body. When the concentration of hemoglobin is increased, blood thickens. This, in turn, provokes the occurrence of blood clots in blood vessels.
Any medications should be prescribed by your doctor. In this case, the appointment is made by a therapist or hematologist. If hemoglobin is elevated in the presence of diabetes mellitus, a dosage adjustment of Insulin is necessary. This issue is decided by the endocrinologist.
Drug treatment is aimed at preventing the bonding of red blood cells, which are high in hyperhemoglobinemia. For this purpose, drugs from the group of antiplatelet agents are prescribed, which include:
- “Trental” prevents the adhesion of red blood cells and their adhesion to the walls of blood vessels. The drug should not be taken during pregnancy;
- “Aspirin”. In this case, small doses of the drug are used. It can not be taken in the presence of peptic ulcer of the stomach and duodenum, a tendency to bleeding, in late pregnancy;
- “Clopidogrel.” This tool is used only in the treatment of adults (over 18 years old). Contraindication is peptic ulcer, severe liver disease;
- Curantil inhibits platelet adhesion. Contraindication is a tendency to bleeding and bleeding, renal and liver failure.
Treatment of high hemoglobin in men
Treatment of high hemoglobin passes in several stages, to help correct the situation:
- drug therapy;
- use of traditional medicine;
- taking medication.
In order to reduce hemoglobin in the blood, it is enough to take certain drugs. The doctor prescribes the medication, their admission is under the supervision of a physician, it is also worth controlling the level of the red blood cell protein by donating blood for analysis.
Drugs that reduce hemoglobin in the blood that a doctor can prescribe:
- Curantil – is used in the treatment of various diseases. Stimulates blood flow to tissues, is used to expand blood vessels and improve the flow of oxygen and nutrients to tissues.
- Acetylsalicylic acid – ordinary aspirin has a beneficial effect on the state of the blood, dilutes it with high hemoglobin. The drug is used as one of the components of complex therapy, since monotherapy does not differ due to its effectiveness.
- Cardiomagnyl – is used as a general strengthening drug that acts on the vascular wall, improves blood flow to tissues, reduces iron levels and blood density. Contains acetylsalicylic acid.
- Trental – reduces the deformation characteristics of red blood cells and platelets. Improves microcirculation and improves blood flow.
Taking medication can be one of the components of therapy. In some cases, to improve and stabilize indicators, it is enough to abandon some products, follow a diet.
To reduce the level of hemoglobin in the blood, you will have to abandon the following products:
- red meat (rich in protein);
- red vegetables (also entail an increase in the level of erythrocyte protein).
Meat is a product that is rich in proteins, it significantly increases the level of iron in the body. Excessive intake of protein foods can cause certain problems. For this reason, it is worth controlling the amount of meat consumed, but it is better to abandon it altogether.
And it is also desirable to exclude vegetables, berries and red fruits from the diet: apples, pomegranates and red currants. Nutrition with increased hemoglobin should be balanced, but with a reduced protein content.
There are several useful recipes that can help reduce performance, they are intended for regular use.
How to lower the level of iron-containing protein folk remedies:
- drink water with lemon juice for 3 months, 3 liters per day;
- drink the mummy dissolved in warm water (the tablet is dissolved in a small amount of warm water and drunk in the morning, on an empty stomach);
- prepare decoctions of the following herbs: wood lice, rot, fireweed.
It is also worth eating bananas, they have a beneficial effect on the stabilization of indicators.
Refusal of treatment with medicines, non-compliance with the diet is all – it is fraught with consequences. The most terrible of which are considered stroke and heart attack.
Consider the reasons why hemoglobin is increased in a blood test, depending on gender and age.
In newborns in the first 3 days of life, hemoglobin levels are kept at a high mark (about 220 g / l). These values are characteristic of the fetus, which needs a lot of red blood cells, since pulmonary respiration does not function. Starting from the fourth day, the concentration of hemoglobin begins to gradually decrease. The decrease in values lasts for 6 months. This is the physiological cause of increased hemoglobin in newborns.
If the hemoglobin level does not decrease by the age of one month, then this indicates the presence of such a pathology:
- CHD (congenital heart defects);
- Blood diseases and impaired blood formation;
- Pulmonary insufficiency;
- Bowel obstruction;
- Malignant neoplasms;
In adolescent children, the causes of increased hemoglobin in the blood can be:
- Increased blood pressure associated with puberty;
- Smoking that teenagers do not take seriously;
- Stress and psychological trauma. The psyche of adolescents is subjected to great tests (exams, problems with parents due to a lack of understanding, choice of life path, hormonal changes);
- The use of steroids (characteristic of young people).
Read more about high hemoglobin in a child here.
Causes of high hemoglobin in adults:
- Accommodation in highlands;
- Stay in a hot climate, which contributes to the physiological dehydration of the body;
- Intense physical activity;
- Pregnancy, as well as taking vitamins, which during this period contribute to greater absorption of iron;
- Intestinal infections, which are accompanied by frequent diarrhea and vomiting (pathological dehydration);
- Intestinal diseases, in which the ability of the mucous membrane to absorb vitamin B12 is impaired;
- Treatment with diuretics;
- Chronic heart failure
- Violation of hematopoietic function of bone marrow.
In men, it is much more often than in women that there is an increase in the level of hemoglobin in the blood, which is associated with lifestyle characteristics of the stronger sex.
The causes of increased hemoglobin in men can be classified as follows:
- The influence of the environment. First of all, high hemoglobin in men develops in high mountains, this is due to a lack of oxygen in the air, as a result of which the body tries to compensate for this by increasing the number of red blood cells in the blood, therefore, the level of hemoglobin can increase. With prolonged residence in an area with discharged air, such an organism reaction can turn into a chronic pathology. A hot climate, coupled with a lack of drinking, contributes to the increase in red blood cells, as evidenced by dehydration and thickening of the blood. Adverse environmental conditions, polluted air and work in hazardous industries can also provoke an increase in hemoglobin in the male body. Very often, such a violation occurs in people whose profession is associated with constant physical activity. At the same time, the need for oxygen of the internal organs increases, and the hematopoietic system begins to produce more red blood cells. High levels of hemoglobin in the blood are often found in smokers, which is also associated with oxygen starvation.
- The presence of chronic diseases. An overestimated hemoglobin level in a man’s blood can indicate the presence of serious diseases. So, with cancer of the liver, kidneys, adrenal glands, a hormone is produced that affects the stem cells of the bone marrow, resulting in an increase in the number of red blood cells.
Heart failure leads to low blood supply, so the body stimulates the growth of protein containing iron. Fibrosis and obstructive pulmonary disease lead to the same consequences. Glycosylated hemoglobin in the blood in large quantities is produced in diabetes mellitus, which is directly associated with an excess of glucose.
The causes of this pathology lie in diseases related to dehydration: infectious, causing diarrhea and vomiting, as well as associated with increased urination.
Causes of increased hemoglobin in men are often associated with stress. When a stressful situation occurs, adrenaline is released, as a result of this, the frequency of contractions of the heart muscle increases, blood pressure rises, the body begins to feel the need for more oxygen, which is why the process of increasing the level of protein containing iron is started.
The cause of an excessively high level of hemoglobin – an iron-containing protein – can be both general circumstances and factors that cause an increase only in the stronger sex and are associated with the characteristics of the profession and lifestyle of men.
Being at a high altitude or at a depth is associated with a lack of oxygen and leads to an increase in red blood cells in the blood.
High hemoglobin in men can be a normal compensatory reaction – the body thus increases the oxygen capacity of the blood.
Red blood cells – red blood cells, blood cells that carry oxygen with the help of the iron-containing hemoglobin protein enclosed in them.
The reason for the increase in hemoglobin can be both an increase in the number of red blood cells (erythrocytosis) and an increase in the concentration of protein in red blood cells.
In men, red blood cells have a smaller volume than in women. If red blood cells in men increase in volume, then the blood acquires an unnaturally bright red color.
Increased hemoglobin in red blood cells indicates a malfunction in the synthesis. An increase in the level of red blood cells may be a sign of the body’s adaptation to oxygen starvation or another chronic stressful state.
The most dangerous causes of erythrocytosis are oncological. The number of red blood cells increases during hypertensive crises, in the last stages of obesity, with a lack of fluid in the body, due to genetic factors. Hemoglobin-increasing factor is a strong lack of fluid in the body.
Diseases leading to an increase in the number of red blood cells:
- malignant tumors in the liver, pituitary gland and cerebellum;
- some blood diseases;
With the above pathologies, an excessive amount of erythropoietin, an activator of the synthesis of red blood cells, is produced. As a result, Hb rises.
The number of red blood cells may increase due to smoking, taking hormonal drugs, drinking alcohol.
To reduce hemoglobin in men, they use a diet and special drugs that thin the blood. With a slight increase, it will be enough to adjust the power.
Foods rich in animal proteins and iron are excluded from the diet. Red meat is replaced by fish and seafood.
Buckwheat can only be eaten with milk – without milk, it increases the level of hemoglobin.
Buckwheat contains a lot of iron, and milk prevents its absorption in the intestines, so men with increased hemoglobin should consume more dairy products.
It happens that adult men do not tolerate milk. This happens due to insufficient production of the lactase enzyme by the male body.
In this case, milk is replaced with cheese, cottage cheese, dairy products. In addition to lowering iron levels, dairy products enrich bones and teeth with beneficial calcium.
Red plant products, especially pomegranates, can increase the iron content “in the depot”.
If the increase in hemoglobin in the blood is caused by erythrocytosis, then the blood becomes thicker and more viscous, prone to blood clots.
Therefore, fatty foods rich in cholesterol, which can provoke vasoconstriction and slow down blood circulation, are excluded from the diet.
It is very important to drink enough water – the liquid helps to thin the blood. An adult man needs to drink every 2 liters of water. This volume does not include tea, coffee and other drinks, liquid dishes (soups).
The main task in reducing hemoglobin in men is to slow down the production of excessive red blood cells and lower blood viscosity. To do this, use a complex of drugs.
If the cause of increased hemoglobin is a disease of the respiratory and cardiovascular systems, then it is necessary to treat not the hemoglobin, but the underlying disease. Smoking patients should give up addiction, obese men should reduce body weight.
A common treatment for erythrocytosis is bloodletting. 200 ml of blood is released weekly with leeches. With hematocrit above 60%, bloodletting is a mandatory procedure.
Drug treatment consists in taking drugs that reduce blood coagulation. Medicines are prescribed by the attending physician.
The causes of high hemoglobin in men can be different. At risk are:
- mountain climbers;
- people living in highlands;
- as well as those people whose work is associated with heavy physical exertion (this category also includes athletes).
High hemoglobin can be in men and for other reasons, the indicator is affected by:
- the presence of diseases of the heart and blood vessels (heart failure);
- frequent smoking (love of nicotine increases blood viscosity and leads to an increase in iron levels in the body);
- malnutrition (excessive intake of protein foods);
- non-compliance with the drinking regime (insufficient water consumption, typical for people living in hot areas).
The plasma content of iron-containing protein also depends on the age of the man. The allowable indicator undergoes certain changes, but they are kept within the established limit. Age does not play a decisive role, but it is advisable for patients older than 40 to regularly monitor the level of red blood cells in the body.
It was previously believed that a woman could not face the problem of high levels of iron-containing protein. Medicine believed that this problem is familiar only to men. But recent studies have disproved such assumptions of doctors.
A person may experience an increase in the level of iron-containing protein in plasma at any age, in order to clarify the indicator, you will have to retake the analysis. This will help to get the right result.
Causes of increased hemoglobin in the blood
As a rule, the appearance of pathological symptoms is characteristic of the primary form of the disease. Secondary thrombocytosis is not manifested by specific symptoms. Most often, signs of a primary pathology are revealed, which led to an increase in the amount of these blood cells.
The increased platelet count in the blood of women may be accompanied by the following symptoms:
- Constant weakness, fatigue;
- Frequent causeless bleeding. They can be of various localization: uterine, intestinal, nasal, renal, gingival. Blood can be detected in feces after defecation, urine turns pink or red. A woman develops intermenstrual bleeding;
- Subcutaneous hematomas are detected, although there are no apparent reasons for their appearance. This symptom is especially important for children;
- Numbness of the extremities, pain in the fingers;
- Headaches that bother regularly;
- Vision problems;
- Itchy skin, it is easy to confuse it with an allergic reaction or other skin pathologies. In this case, a comprehensive diagnosis is required;
- The skin becomes bluish, small swelling can be detected.
It should be noted that this condition does not have a specific clinical picture. Quite often, a person does not even notice that there is an excess of hemoglobin in the body. However, if this condition lasts quite a while, then general symptoms may appear. But they do not indicate an increase in hemoglobin.
- Problems with sleep (insomnia, shallow sleep, heavy and prolonged falling asleep);
- Decreased or lack of appetite;
- Beat in the head;
- Pain in the abdomen;
- Hypertension (increased blood pressure);
- Itchy skin;
- Joint pain;
- Blood clots;
- Diarrhea, followed by constipation;
- Weight loss;
- The occurrence of areas of hyperemia and pallor on the skin.
In infants, this condition manifests itself:
- Lethargy and drowsiness (the baby is constantly sleeping, crying listless);
- Refuses breast, sluggishly sucks;
- Yellowness of the skin may occur;
- Cyanosis of lips, nasolabial triangle and fingertips;
- Loss of consciousness;
- Heart rhythm disturbance (tachycardia or arrhythmia).
If necessary, the patient after the tests will be sent for consultation to a hematologist, a specialist who is involved in the diagnosis of the treatment of blood diseases.
Elevated levels of protein containing iron in men and its symptoms are closely related to the diseases that cause it. If these changes are not caused by the disease, symptoms may be absent, and the person will not feel anything.
The main indicators of the presence of pathology are:
- a feeling of constant thirst may indicate dehydration and blood clotting;
- dizziness and headache can occur in situations where cerebral blood supply is impaired and the brain lacks oxygen and nutrients;
- weakness, fatigue, decreased performance appear with heart failure and nervous exhaustion, which is also associated with a lack of substances necessary for the body;
- insomnia is also an indicator of neurological disorders associated with a large number of red blood cells;
- pallor of the skin shows pulmonary insufficiency and a high content of carbon dioxide in the blood;
- redness of the skin is associated with a large number of red blood cells produced by the body;
- muscle and joint pain with increased hemoglobin can mean circulatory disorders;
- heart rhythm disturbance may indicate heart failure.
In addition, in men with elevated hemoglobin levels, there may be a decrease in hearing, vision, diarrhea, constipation, disorders of the urogenital system, and lack of appetite.
With an increased level of hemoglobin in the blood, a man can feel quite normal. In this case, we are talking about the fact that the disease is asymptomatic.
But in some cases, patients complain of:
- decrease in visual acuity and hearing;
- weakness and fatigue;
- the appearance of frequent headaches;
- the presence of problems with sleep;
- pallor of the skin.
Signs of high hemoglobin can be divided into: specific and non-specific. Decreased hearing and visual acuity is considered a nonspecific symptom. The reason is that this symptom develops slowly and minor changes do not cause much concern in humans. Moreover, they are often left without due attention.
It is difficult to say why high hemoglobin leads to the development of such symptoms. But in some cases, the patient may have other signs of a pathological condition:
- frequent digestive disorders (diarrhea, constipation);
- the appearance of problems with the skin (the skin may peel off, redden);
- the appearance of pain in the muscles and joints.
Symptoms of increased hemoglobin in the blood in men can be mild, often the first signs of thrombosis are perceived as the reasons for the increase. But this is not entirely true. The erythrocyte protein level rises before the onset of thrombosis and leads to the formation of blood clots.
Known factors contributing to the reduction of hemoglobin:
- The accumulation of toxic substances in the body.
- Digestive system diseases.
- With dehydration. In this case, the bone marrow cannot produce the necessary volume of red blood cells, since it does not have enough water to create them.
- With significant blood loss, including internal.
- With blood diseases.
- increase blood pressure.
- general weakness, fatigue and drowsiness.
- heaviness in the legs, cold fingers and toes.
- distraction, headaches and depression.
- dry mouth.
- nodular formations in the veins.
This is not a complete list of possible symptoms, in addition, the disease can pass in a hidden form and shoot unexpectedly, so to be sure you need to regularly check blood for clotting – a coagulogram that gives an answer to the quality of hemostasis and the state of the vessels.
If unfavorable results are obtained as a result of a blood test, an additional one is necessary. It was carried out at rest, best in the morning, as active games provoke an increase in hemoglobin in children and reduce the reliability of the results. After making the correct diagnosis, adequate treatment is selected.
To begin with, the doctor must collect an anamnesis, that is, find out possible symptoms and causes. It is mandatory to examine the skin and mucous membranes, and also determine the level of blood pressure.
Patients are assigned a clinical or general blood test, which helps to determine the level of hemoglobin. Blood is taken from the finger. Special preparation is not required, but there are general recommendations:
- The analysis is given on an empty stomach;
- On the eve to stop drinking alcohol;
- The day before the blood sampling, adjust the menu, that is, avoid eating foods high in iron in large quantities. This can lead to a false positive result;
- Do not smoke before examination for 30 to 60 minutes;
- Observe drinking regimen.
The analysis result is ready the next day.
- Drug therapy;
- Diet therapy;
- Treatment with folk remedies only after consulting a specialist.
Drug treatment is aimed at reducing platelet count and eliminating the complications of thrombocytosis. Drugs contribute to blood thinning and resorption of blood clots.
With a reduced platelet count, the emphasis is on the treatment of the underlying disease, which led to a change in the level of these blood cells.
Drugs used to reduce platelet count:
- NSAIDs (non-steroidal anti-inflammatory drugs). Aspirin is a drug used to be often used to thin the blood, but recently more modern drugs with a smaller list of side effects have been used;
- Warfarin – a modern drug that has a positive therapeutic effect in the elimination of blood clots;
- Anticoagulants – for example, Fragmin, they help reduce blood coagulation;
- Antiplatelet agents – Trental, Curantyl, they thin the blood.
If drug therapy is not effective, then resort to thrombocytophoresis. This procedure removes part of the platelet mass from the total blood volume.
Low or high hemoglobin in men, the level of which deviates from acceptable norm indicators is considered a pathology. Hemoglobin is an iron-containing protein that is part of the blood and helps carry oxygen to tissues and organs. The level of protein is unstable, it varies in a certain range and can vary depending on several factors.
- Increased consumption of foods containing high amounts of iron (meat, liver, legumes, seaweed, dried apples, and others).
- Restoring normal water balance in the body.
- Increased physical activity (moderate sports, walks in the fresh air).
- Adequate sleep and rest.
In the case of low hemoglobin due to lack of iron intake or increased demand, you can:
To resort to iron, vitamin B12 and folic ac >Blood platelets (platelets)
are flat cells of a round shape. They do not have nuclei, that is, they are fragments of cells.
For one day, their blood levels range from 10 percent.
If there are many of them, this is bad, and if there are few of them, it is also bad.
The norm should be somewhere from 150 to 450 thousand.
A decrease in platelet count in the blood is called thrombocytopenia.
Platelet counts should not be allowed to decrease significantly, as this entails many problems.
And this is the most common reason why a family doctor sends a patient to a hematologist for a consultation.
People come very scared when they are told that something is wrong with their blood test. However,
platelets, slightly reduced, are not a disaster and not a big problem.
It should be followed, it should be shown to the hematologist, but this should not be scared.
a significant decrease in platelets, bleeding is observed.
Such people may have less than ten thousand platelets. This is a really serious problem.
Blood with a slight decrease or increase in the number of platelets becomes not thick, not liquid.
When the platelet count drops significantly less than 50 thousand, this is a significant drop in which blood coagulation becomes slower with injuries.
And at a very low level (less than 10 thousand),
a person has a tendency to spontaneous bleeding for no reason, i.e. Without trauma, bleeding of the gastrointestinal tract or brain may occur. Therefore, such
a serious problem like a very low platelet count,
must be treated in a hospital as an acute condition.
People who come to the doctor and get a standard blood test, they suddenly say: “you have sharply decreased platelets.” For example, up to 120 thousand.
Why could this happen?
We all know that blood cells are all as factory produced in the bone marrow. Sometimes, for some reason,
Adequate production by their bone marrow is disrupted.
This is usually associated with a decrease in hemoglobin and white blood cells.
more platelets are produced than necessary, but when they enter the peripheral blood, something destroys them dramatically.
This is usually a large stratum of patients and we are talking
about the violation of the immune system.
Our immune system produces antibodies specifically to these platelets, they sit on them when they pass through the sinusoids of the spleen, which is considered to be a cemetery for platelets, and there they are destroyed.
And the last big group is
A group of people who suffer from liver disease or primary hematologic diseases.
In such patients
a very large spleen,
and there platelets, as if falling into a large warehouse. They get there and do not go out there.
In all these cases, patients need treatment if the platelet count drops below 30 thousand.
And today there is a wide range of drugs, including new drugs, and low platelet count is treatable.
The reason for the decrease in platelet count depends on the person’s disease, therefore, for each case
must be approached individually.
But you can increase the platelet content in the blood without resorting to medications.
What you should do:
- Eliminate time factors.
At times, platelet count may not decrease due to illness. For example, this could lead to
taking certain medications (Aspirin, Ibuprofen),
so before you panic, carefully read the side effects of all the medicines you take.
Also, in women, the platelet level decreases during menstruation, so to make sure that this is a temporary phenomenon, do a second blood test after it is over.
- See a hematologist.
It will help to identify the reason why platelets are reduced, and if necessary, prescribe a timely course of treatment.
- Be thoroughly examined by a doctor.
Indeed, many dangerous diseases entail a decrease in platelets. It can be anemia, leukemia, or cancer. Naturally, the platelet count may decrease for other reasons, because everyone knows that any disease affects the composition of the blood.
- Go on a diet.
It should be saturated with foods containing a large amount of iron (liver, buckwheat, walnuts, red meat, beets, pomegranates, persimmons and green apples).
- Review your daily routine.
With a low platelet count, you need enough time to rest. Make sure not to overwork from physical exertion and go to bed on time.
- Lead a healthy lifestyle.
Bad habits like alcohol abuse and smoking will only aggravate the situation, so you need to get rid of them. Include physical exercises in your daily routine that will strengthen the body’s defenses and not tire them.
- Do not self-medicate.
Decreased platelets can be a sign of many diseases: from thyroid and liver dysfunctions to infectious and autoimmune diseases, as well as anemia. Therefore, in order not to aggravate the situation, you need to consult a doctor.
You can increase platelets in the blood by many folk remedies.
so that he is better absorbed. The required course is 21 days for 100 grams of honey daily.
- Make decoctions of herbs.
The amount of platelets in the blood is increased by a decoction of yarrow, field horsetail, hemophilia, galangal roots, plantain and mint.
- Eat plenty of hazelnuts.
It is advisable that you yourself go to the forest and collect them, because they will retain their healing qualities only if you eat them immediately after you have broken the shell.
- Eat more fiber.
These are vegetables and fruits. Especially useful is the beet pulp. To do this, take a small beetroot, rub it on a grater, add some honey and eat. This dish tastes normal, so you can eat it almost every day.
- Drink birch sap.
It contributes to the rapid production of platelets.
- In the summer, dry the highlander.
If this is not possible, buy grass at the pharmacy. Pour a tablespoon of dry grass with hot water. Leave in the refrigerator for 3 days. After that, take the infusion of a tablespoon 1 time per day before meals.
In the previous article, we tried to find out and learned to read it. Today we’ll talk about thick blood: what is the risk, the reason for the thickening, symptoms and how to fight. Blood is the main source of life and functioning of the body, the health and work of all organs, all the life support of the body depend on its quality. Violations of the quality and consistency of blood, such as high cholesterol, oxidation and thickening, complicate blood circulation and lead to oxygen starvation of organs, redox functions of all tissues, brain, liver, kidneys, heart, and so on.
Usually marks the growth of hemoglobin. This happens when an infection, pathogenic microorganisms enter the child’s body and negative processes begin. Developing tumors, including malignant ones, influence the growth of a pair of these indicators. However, some medications, such as hormones for treating autoimmune diseases, may affect platelet growth.
Nutrition and diet with increased hemoglobin
Of no small importance in the treatment is diet. It is used as an independent home therapy (with a slight increase in indicators) and as an auxiliary treatment (in conjunction with medications).
The basics of nutrition with increased hemoglobin:
- Give preference to vegetable rather than meat food. All products have iron. But there is iron that is easily absorbed (heme), and there is slowly absorbed (non-heme). Animal food is rich in heme iron, but vegetable non-heme.
- Refuse fruits with a high iron content: pomegranate, apple, red berries;
- At the time of treatment, abandon alcohol;
- Dramatically limit buckwheat dishes, as well as pastries and pastries;
- Exclude offal (liver, kidney and heart). They also provoke an increase in hemoglobin in the blood;
- Introduce dairy products into the diet, as they do not allow iron to be absorbed in the body;
- Eat cereal dishes (except buckwheat). You can eat milk porridge, cereals in the form of a side dish, in appetizers and salads. Do not combine them with meat;
- Seafood and fish are allowed in limited quantities.
To prevent a person from having a protein deficiency, legumes, white meat of chicken and turkey, nuts and soy are introduced in the menu. Preference is given to vegetable protein, rather than animal.
If the cause was dehydration, then it is necessary to adjust the drinking regimen. On average, an adult should drink from 1,5 to 2 liters.
The danger of elevated hemoglobin
Why and why is increased hemoglobin dangerous to health? A high level of hemoglobin can cause quite serious pathological conditions:
- Blood thickening. An increase in the number of red blood cells leads to an increase in the viscosity of this biological fluid. Which in turn contributes to the formation of a large number of blood clots (blood clots);
- Violation of the patient’s well-being (decreased performance, frequent headaches, weakness, fainting);
- Pulmonary thromboembolism – blockage of a pulmonary thrombus. This condition is quite dangerous and can be fatal;
- ONMK (stroke or acute cerebrovascular accident). There is a blockage of blood vessels of the brain by blood clots, due to which acute oxygen starvation of cells and brain tissues develops;
- Acute myocardial infarction – embolism of the coronary arteries, which leads to necrosis (death) of the myocardial site;
- Children may experience mental retardation.
Now you have learned why the level of hemoglobin in a blood test in an adult or a child can be increased and what it means.
How to reduce
However, the general recommendations for reducing hemoglobin in the blood will be to minimize the intake of abundance of meat protein – chicken, liver and offal, abundant consumption of clean drinking water for, a decrease in the diet of foods fortified with iron – pomegranates, buckwheat and others, the addition of fish and vegetable products that reduce hemoglobin – dairy and sour-milk products, pasta, milk chocolate.
It is necessary to eat less fatty foods, as it provokes the formation of blood clots in the vessels. Seafood is very useful in such conditions, as it strengthens the walls of blood vessels and helps to dilute blood. However, for the normal functioning of the body, get protein from legumes and dietary white chicken.
No matter what age the child is, it is important to visit the attending pediatrician systematically and sometimes take blood tests to detect hemoglobin levels, including platelets and red blood cells.
If you identify problematic indicators in time, you can avoid dangerous consequences in the near future. Parents should remember that they are responsible for the health of their children.
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