What causes drop in blood count after dialysis?
Patient: My brother, LKK, 75 yr old, a Chinese ethnic, been hospitalized in Mount Elizabeth Hospital, Singapore after 1 week stay in ICU.His  Dr has yet to find out why each time after a dialysis his blood count drops.Although a recent bone marrow test  has shown a negative.He is a diabetic patient for over 10 ?year and recently has to be dialysis in SG and in home country-Jakarta and Semarang.He was transported to SG in SOS after found effected with Amoeba in Semarang.And it has been cured in MtE.Why his blood count is not stable after dialysis, how to prevent it, what kind of test and medicine he needs to have? Doctor: HiThanks for askingBased on your query my opinion is as follows1. Blood loss results in decrease in counts following dialysis.2. Other common reason being chronic renal failure which causes anemia due to decreased erythropoietin levels which is needed for erythropoiesis and RBC production.3. Moreover nutritional deficiency due to old age and disease causes deficiency of iron, vitamin B 12 and folic acid required for RBC production.4. Amebiasis is intestinal parasite causes bloody stools, blood loss and anemia. Since he had been infected, this attributes to already existing anemia due to renal failure and exacerbate it.5. Since his bone marrow is normal, not to worry.6. He needs to be given supplements for iron, vitamins, erythropoietin along with adequate nutrition for his age.Hope this helpsRegards