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    <title>NetWellness Bleeding and Clotting Disorders</title>
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	<title>Heavy Periods -- Iron/Hemoglobin Levels</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I have been having very heavy periods after stopping the pill a few years ago. I am now 44. My hair is beginning to get thinner. I am taking iron supplements, but my iron/ferritin levels are a little low. However, my hemoglobin level is borderline high. 
&lt;p&gt;1. Is endometrial ablation contraindicate . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: &lt;strong&gt;Answered by Dr. Jonathan Schaffir:&lt;br /&gt;&lt;br /&gt;&lt;/strong&gt;1. Endometrial ablation is a procedure through which the lining of the uterus (endometrium) is destroyed by a variety of techniques. Ablation can be performed with heat, freezing, electrical current, or microwave energy. Various tools ar . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Spero Cataland MD, Bleeding and Clotting Disorders</description>
<link>http://www.netwellness.org/question.cfm/83550.htm</link>
    	<author>Spero Cataland MD</author>
        <pubDate>Mon, 24 Oct 2011 17:10:00 EST</pubDate>
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	<title>Spontaneous Bleeding and ITP</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: One month ago, my platelets was at 87,000. Not too long after that test, I found a few red spots under my arm. I imagined it to be a one-off incident (I only experience bruising in the past), but then a week later I found a quite a big patch of red spots on my thigh. I was stunned, and after a few d . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: Steroids are a commonly used medication to treat ITP. The side effects though can be quite problematic. It is not possible to comment specifically on your case without being able to talk to you and examine you, but in general the goal of treating ITP is to maintain a safe platelet count on as little . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Spero Cataland MD, Bleeding and Clotting Disorders</description>
<link>http://www.netwellness.org/question.cfm/83510.htm</link>
    	<author>Spero Cataland MD</author>
        <pubDate>Sat, 22 Oct 2011 11:10:00 EST</pubDate>
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	<title>People with Rhesus Negative Blood Group</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: Does the rhesus factor make a difference. Are people with Rhesus Negative blood affected in the same way? &lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: Outside of issues related to pregnancy and the need for blood transfusions, there is really no other significance of the Rhesus (+ or -) blood type. &lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Spero Cataland MD, Bleeding and Clotting Disorders</description>
<link>http://www.netwellness.org/question.cfm/83473.htm</link>
    	<author>Spero Cataland MD</author>
        <pubDate>Thu, 06 Oct 2011 17:10:00 EST</pubDate>
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	<title>ITP and Cold Sores</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I read somewhere that says there might be a relationship between ITP and cold sores? My platelet counts range between 50k and 120k, not on any treatment. I get cold sores once every few months. I`m not sexually active. Is there a relationship between the two? &lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: There is no known direct relationship. Cold sore can arise due to viral infections, physical stress, etc, and in theory those things can be indirectly related to the platelet count, but there is no clear or direct relationship that is known. &lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Spero Cataland MD, Bleeding and Clotting Disorders</description>
<link>http://www.netwellness.org/question.cfm/83429.htm</link>
    	<author>Spero Cataland MD</author>
        <pubDate>Mon, 03 Oct 2011 08:10:00 EST</pubDate>
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	<title>Is this Cause for Concern?</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: Had a recent CBC and hemoglobin was 129 g/L with hematocrit at .40.I am a 62 year old male and wonder if I should be concerned with these readings? If so are they very high or very low? Doctor who reviewed report seemed unconcerned. Doctor said the red count and white count was normal. I see many di . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: It is difficult to say very much without knowing the normal values for the lab in which your blood was drawn in. The normal values will also vary with age and sex, so what you show in your message could be normal or abnormal.&lt;br /&gt;&amp;nbsp;&lt;br /&gt;I would encourage you to talk to your doctor about the re . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Spero Cataland MD, Bleeding and Clotting Disorders</description>
<link>http://www.netwellness.org/question.cfm/83346.htm</link>
    	<author>Spero Cataland MD</author>
        <pubDate>Fri, 16 Sep 2011 02:09:00 EST</pubDate>
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	<title>Platelet Count</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: In July 2011, my platelet count was 655. The range is 140-400. My platelet count got higher since the last blood tests. My liver tests are also elevated. Is the platelet count high enough to worry about? What other tests would I need? Do I need to see a hematologist? 
&lt;p&gt;Thank you. &lt;/p&gt;&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: It is really not possible to give specific medical advice over a forum such as this, but there are several possible causes for a high platelet count. &lt;br /&gt;&lt;br /&gt;Acute stress or illness, iron deficiency, and even more rare, essential thrombocytosis (a disorder than can lead to a high platelet count) . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Spero Cataland MD, Bleeding and Clotting Disorders</description>
<link>http://www.netwellness.org/question.cfm/83342.htm</link>
    	<author>Spero Cataland MD</author>
        <pubDate>Thu, 15 Sep 2011 18:09:00 EST</pubDate>
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	<title>Microcytossis and Hypochromia</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I am 26 year old man.I complain of dizziness,lack of concentration.poor short memory,easy fatiguability,dyspnea.on exercise&amp;gt;&amp;gt;&amp;gt;I made cbc and the result was hypochromia and microcytosis for age.my haemoglobin is 15g.I do not understand how normal HB associated with hypochromia and microcytos . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: Thank you for visiting NetWellness! While it is difficult to specifically address a clinical question in this forum, this could very well be iron deficiency (no iron stores) without anemia, since you have enough iron to have a normal hemoglobin. However, with a normal hemoglobin, I don't think this  . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Spero Cataland MD, Bleeding and Clotting Disorders</description>
<link>http://www.netwellness.org/question.cfm/83155.htm</link>
    	<author>Spero Cataland MD</author>
        <pubDate>Sun, 07 Aug 2011 18:08:00 EST</pubDate>
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	<title>Hemochromatosis and Low Iron</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: Dear Sir or Madam: I am a hemochromatosis patient. My iron and saturation levels have recently fallen, and I have no idea why. Is it normal for iron levels in HH patients to be low and stay at a low rate? In addition, is it normal for HH patients to have low iodine levels? 
&lt;p&gt;Thank you. &lt;/p&gt;&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: While it is not possible to comment on the specifics of your case in this forum, if you are on a phlebotomy program, that could affect these measurements. &lt;br /&gt;&lt;br /&gt;In general what should be followed is the ferritin, with a goal for the ferritin to be approximately 100. The iron and iron saturatio . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Spero Cataland MD, Bleeding and Clotting Disorders</description>
<link>http://www.netwellness.org/question.cfm/82932.htm</link>
    	<author>Spero Cataland MD</author>
        <pubDate>Fri, 24 Jun 2011 01:06:00 EST</pubDate>
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	<title>Clot in Hand after IV</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I had surgery 2 1/2 months ago &amp;amp; had an IV in my hand. About 1 week after removal, I had swelling on the back of my hand. I was told to use warm compresses &amp;amp; it would resolve itself. It didn`t. I returned to the surgeon &amp;amp; he made a small incision &amp;amp; pushed out the clot. Within 3-4 day . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: Just having the IV in your hand, but also the surgery, can cause injury to the vessel and an additional clot in the vein to form. I would continue to use warm compresses, but if any worsening swelling or pain occurs, you need to go back and be evaluated by your physician. &lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Spero Cataland MD, Bleeding and Clotting Disorders</description>
<link>http://www.netwellness.org/question.cfm/82813.htm</link>
    	<author>Spero Cataland MD</author>
        <pubDate>Wed, 08 Jun 2011 19:06:00 EST</pubDate>
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	<title>Polycythemia Vera in 18 Year Old</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: My 18 year old son is being seen by a family physician for an elevated red blood cell count. It is only slightly elevated, so he may just lean toward a higher average than most. However, he has had a number of other symptoms for years: abdominal pain, sensitivity to changes in temperature (with the  . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: This disorder is somewhat rare in younger adults such as your son. There are a lot of additional factors that need to be considered in evaluating someone with an elevated hemoglobin or RBC count. I would encourage you to talk to your son's physician and consider a referral to a &lt;a href=&quot;http://store . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Spero Cataland MD, Bleeding and Clotting Disorders</description>
<link>http://www.netwellness.org/question.cfm/82720.htm</link>
    	<author>Spero Cataland MD</author>
        <pubDate>Wed, 25 May 2011 15:05:00 EST</pubDate>
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