How to increase hemoglobin levels?
Patient: Dear Dr. Robert My mother is  65 yrs with diabetes and hypertension  for more than 20 yrs. SHe has had a history of Gastric bleeding n ulcers wherein she had to undergo bloo wd transfusion and only then she recovered. She had taken a 3 day course of piroxicam 0.d along with rabeprazole 20 mg. Her hemoglobinas 12 last month and yesterday she had a vomitted once. we immediately checked her Hemo and found it o be at 6.9. Our family physician prescribed Rabeprazole 20 twice and SUCRAFIL-O gel: sucralfate 500 mg, oxetacaine 10 mg/5 mL t.i.d  What should we do to get her hemo dropping further and what should she take to increase the back to normalcy. please suggest. Doctor: Thanks for contacting HCM. Your mother's bleeding ulcers have to be treated because if not treated properly the bleeding will continue and her hemoglobin will continue to fall. So first priority is to treat her ulcers as most of medications for ulcer interfere with iron supplements. But if the haemoglobin continues to fall she can be given intramuscular iron injections or iron through i.v. drip. Regards