Suggest treatment for very low HB with osteoarthritis
Patient: I am 63 years old, 5'4 & 160. I have osteoarthritis and HTN. My family dr. told me to take 2000 mg of D a day/ then after taking my blood again tells me I need to go to a hematologist--RBC's 3.4Why did he tell me to take D (for 2 months) what does this have to do with Vitamin B-12 or Iron???--He did not tell me to increase these vitamins??? Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Increased osteoporosis and bone fracture risk is present. Vit D helps in improving calcium and hence bone strengthening.2. Improvement in hemoglobin can be through intake of Vit B12, folic acid and iron supplements.3. For osteoarthritis, NSAIDS painkillers, glucoran and chondroitin sulphate tablets are useful. Along with physiotherapy and resistance exercises, you can use medication alsoHope it helps.Any further queries, happy to help again.