Hemoglobin is very low during pregnancy

Hemoglobin is very low during pregnancy

the question
I am in the 32nd week of pregnancy and my hemoglobin is very low - 10.1, other tests I have made indicate a low value of vitamin B12 - the result is 163, while normal values ​​are 180-635. It should be noted that ferritin, iron and transferrin were within the normal range. Red (MCHC) normal values ​​33-37, what should I do? Should I take B12 supplements? If so which pills / injections are recommended and what is the dosage?
The answer
You suffer from macrocytosis, which is already caused by B12 deficiency. You should also check the level of folic acid, and receive treatment accordingly. See your doctor to prescribe B12 tablets.

Causes of low hemoglobin level

the question
I am 20 years old and I suffer from anemia. About a year ago I joined the army and collapsed during the exercise. I had several tests and found that hemoglobin I have 5.30. I entered the hospital and were given two units of blood. Hemoglobin rose to 9.30 and I was given iron treatment that did not help me and hemoglobin dropped to 7 and in the last period rose to 8.6. This time the treating physician sent me for a more comprehensive examination. Even though they were in the army, they did a lot of useless tests. She was discharged from the army because of anemia. The doctor who sent me for new tests also sent me to check for AIDS. I could not understand precisely why (perhaps because of the blood meal I received and if so explain to me the reason) Another general information question related to this topic: If I have unprotected sexual relations with people who are not AIDS patients and I do not take drugs and did not touch any blood Is it possible to Have you got HIV / AIDS?
The answer
You are offering two topics, I will try to touch both.

a. Anemia - Your condition indicates that you have suffered and are still suffering from severe anemia to the extent that blood units are needed. First, a comprehensive examination is needed to look for the cause of anemia. I think the family doctor is doing it. The most common cause of anemia in your age is iron deficiency anemia. The cause of iron deficiency can be due to lack of food, lack of absorption of iron in the digestive system or severe bleeding. A large and persistent bleeding and also a small iron diet can explain the cause of severe anemia. There are hereditary diseases with simple anemia, for example Thalassemia Minor. It is a genetic disease with a defect in the production of hemoglobin protein. This defect results in red blood cells that produce destruction and cause anemia. If there is a family history of the disease (and if not) it is preferable to examine this, the presence of the disease and also bleeding with a slight increase or a slight iron deficiency can explain the severe anemia you are experiencing. It should be noted that these are the most common causes of anemia in your age and there are many other reasons we can exclude. One of the reasons that it is relatively rare is AIDS (the disease and not the incubation of the virus), the mechanisms that lead to anemia in AIDS are anemia due to chronic disease (due to chronic disease there is an abnormal production of red blood cells), side effects of drugs, bleeding or contamination \ Spinal cord infection. For this reason, she was sent for an HIV test as one of the uncommon (rare) causes that could lead to anemia.

B. AIDS - HIV infection can result from transmission / contact with body fluids. In the past, blood transfusions were a common cause of HIV infection, but today every unit of blood is tested and the risk of HIV transmission from a blood unit is very rare. That is why not every person given a blood unit should undergo an HIV test. Having sexual relations without preventive means, with a person who does not know for certain that he does not carry the virus can lead to infection, for the simple reason that the person with whom you have sexual relations may be unaware of being the custodian of the virus. Only after an examination in which the incubation of the virus is excluded can be said that the probability of infection is very low. Although there is a window period (two weeks to three months) during which the person is the virus host and we can not detect this in laboratory tests. However, if you have had sexual relations without preventive methods, it is preferable to have an HIV test. Of course, it is very preferable to refrain from relationships without preventive means if not fully sure of their incubation status of the virus.