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Blood in urine
My father has loss of blood in urine and his haemoglobin level drops to 3 gm and simultaneously there is drop in WBC count as well as palatinates what problem it can be and to whom further diagnose should be done
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I’m sorry your family is dealing with this. A hemoglobin of 3 g/dL plus blood in urine is very serious and needs urgent medical attention.
First: a quick note—your message says “female 68 years” and then “my father.” I’ll answer for a 68-year-old man based on the rest of your message.
From a doctor’s perspective:
The concerning findings:
* Blood in urine (hematuria)
* Hemoglobin 3 g/dL → this is profound/severe anemia
* WBC count also low
* Platelets also low (I think “palatinates” = platelets)
When all three blood cell lines are low (red cells + white cells + platelets), we call that pancytopenia.
And with visible blood in urine, we have to urgently find:
1. Where is the bleeding coming from?
2. Why is the bone marrow / blood count so low?
3. Is there kidney or bladder disease?
The main possibilities doctors would urgently evaluate include:
1) Urinary tract cause of bleeding
Examples:
* Bladder cancer
* Kidney cancer
* Kidney stones
* severe urinary infection
* enlarged prostate / prostate bleeding
These can explain blood in urine, but do not fully explain WBC + platelet drop, so we usually think there may be another process too—or a related underlying disease.
2) Bone marrow / blood disorder (very important)
Because hemoglobin + WBC + platelets are all down:
* Acute myeloid leukemia
* Aplastic anemia
* Myelodysplastic syndrome
* marrow infiltration from cancer
* severe vitamin B12/folate deficiency (can cause pancytopenia)
* medication-related marrow suppression
* certain viral illnesses
3) Kidney-related disease
* kidney inflammation
* kidney failure
* bleeding tendency due to kidney disease
Which doctor should see him?
Because this is urgent, ideally hospital admission / emergency department today, especially with Hb 3.
Then the two most important specialists:
* Hematology / physician experienced in blood disorders
* Urology
Often an Internal medicine doctor coordinates both.
Tests doctors commonly do urgently:
* Repeat CBC with peripheral smear
* Reticulocyte count
* Kidney function / liver function
* Coagulation profile
* Urine routine + urine microscopy
* Ultrasound KUB / CT scan
* Blood transfusion assessment (Hb 3 often needs urgent transfusion depending on symptoms)
* Bone marrow test if hematologist advises
* Cystoscopy / urinary tract evaluation if urologist suspects bladder source
Please seek emergency care immediately if he has:
* weakness or unable to walk
* chest pain
* breathlessness
* confusion
* dizziness/fainting
* active bleeding/clots in urine
* fever (especially with low WBC)
If you can upload the CBC report + urine report + kidney function tests, I can go through them one by one and explain what they suggest like a treating physician would.
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loss of blood in urine is due to multiple causes mostly renal cause but may be due to other causes . His Hb is very low 3 gm% and needs urgent admission and further treatment . consult a Nephrologist for renal disorder or a physician he will guide you .
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Free online consultations for age 50 years and older.
Best wishes
www.jgsr-health-education.in
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Consult a neohrilogist who is kidney suoer specialist in a good hospital.Regular follow up considering his age .
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This is a serious situation that needs urgent attention. A haemoglobin of 3 gm/dl is critically low, and the combination of blood in urine, low haemoglobin, low WBC, and low platelets together suggests a condition called pancytopenia â where all three blood cell lines are affected. This can have several causes including severe infection, bone marrow issues, or kidney-related blood loss, and needs urgent investigation in a hospital setting.
Next Steps
Please take your father to a hospital emergency immediately â do not delay. He needs admission, blood transfusion, and urgent evaluation by a haematologist and urologist. Feel free to consult me directly on Practo for a detailed evaluation.
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EMERGENCY
HOSPITALIZATION UNDER UROLOGIST/ HAEMATOLOGY.
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Hb 3 g / dl is a serious issue ..
Also ur blood picture looks like Pancytopenia
Dont delay
Next Steps
Immediately consult physician
If symptoms worsen ,then Rush to causualty immediately .
DONT DELAY
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Consult a urologist urgently to exclude cancer of the bladder.
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Kindly do connect and consult with me for better treatment plan and advice on your case
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Hi, blood in urine with Hb dropping to 3 g/dL is serious but treatable with timely care. 😊
Please consult a urologist urgently for proper evaluation and management.
Feel free to consult for further guidance. 👍
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Consult physician in person immediately
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Urologist
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Dr. Nischal Cyril Kumar
General Physician
2 yrs exp
Hyderabad
Blood in urine along with a hemoglobin of 3 g/dL and low WBC/platelet count is a serious condition and needs urgent evaluation. Causes can range from urinary tract disease to blood-related disorders.
Next Steps
• Please seek hospital admission urgently if not already admitted.
• Consult both a Urologist and a Hematologist.
• Further tests may be required to find the exact cause.
• Do not delay medical attention, especially with Hb as low as 3 g/dL.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
Consult to nearby Physician beacuse HB is low he may needs blood transfusion
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.