Hlw Ghosh ji,
Thank you for providing the details, Gautam. A sudden or recurring drop in hemoglobin to levels as low as 6 g/dL is concerning, especially in the absence of obvious blood loss. Given your history of hypothyroidism, mildly elevated creatinine, hypertension, and your age (70), here are possible causes that should be considered:
1. Chronic Kidney Disease (CKD)-Related Anemia
Elevated creatinine (1.5 mg/dL) may suggest reduced kidney function 0Kidneys produce erythropoietin, a hormone that stimulates red blood cell production. In CKD, erythropoietin production drops, causing normocytic, normochromic anemia.
2. Hypothyroidism
Even mild or well-treated hypothyroidism can contribute to anemia. Mechanism: reduces red cell production, may also cause iron-deficiency or macrocytic anemia.
3. Occult (Hidden) Blood Loss
Even without visible bleeding, slow, internal blood loss can occur: GI tract (most common): ulcers, gastritis, polyps, colon cancer. If not already done, consider: Fecal occult blood test (FOBT) Upper GI endoscopy and colonoscopy
4. Nutritional Deficiencies
Deficiencies in the following can cause significant anemia: Iron (even without overt bleeding) Vitamin B12 or Folate (often seen in older adults) These deficiencies can be subtle and progressive.
5. Bone Marrow Disorders
Less common, but especially relevant if anemia is recurrent or unexplained. Myelodysplastic syndromes or marrow suppression can occur with age. Bone marrow biopsy might be considered if other tests are inconclusive.
1. Treatment : ✅ Punarnava Mandur Classic formulation for anemia, kidney health, and detoxification. Improves hemoglobin, supports liver and kidney function. Dose: 1–2 tablets twice a day after meals with warm water. ⚠️ Monitor BP if on medication — it has mild diuretic effect.
✅ Lohasava Iron-rich fermented preparation that improves hemoglobin and digestion. Dose: 10–15 ml with equal water after meals twice daily. Gentle on digestion and improves appetite.
✅ Draksharishta Good for fatigue and low energy. Supports blood formation and is cooling (helps balance Pitta). Dose: 15–20 ml after meals with water.
✅ Amalaki Rasayana or Chyawanprash Rich in Vitamin C and antioxidants. Enhances iron absorption and immunity. Dose: 1 tsp in the morning on empty stomach or with warm milk.
2. Dietary Recommendations (Ahara)
Focus on iron-rich, easy-to-digest, warm foods:
✔️ Include
Cooked green leafy vegetables (like spinach, moringa, amaranth) Black sesame seeds (til) – 1 tsp roasted, daily Raisins and dates – soaked overnight, eaten in the morning Pomegranate, beetroot, apples Cow ghee – supports absorption and gut health Moong dal, red rice, jaggery (in moderation).
Thank you!
1.Punarnavadi mandoor 2 tab (crushed) twice daily with honey, after meal 2.Lohasava 20 ml with 20 ml water twice daily, after meal
Add chana and jaggary to your daily diet in rich amount. Add roasted chana as a snack option Drink sugarcane juice 2-3 glasses/day
Warm Regards Dr. Anjali Sehrawat
It’s due to raise serium critinine.bcz when creatine are raised iron in blood goes down…it’s totally cured through ayurveda…when critinine are recovered then automatically hb%are increased…DNT worry hb 6 called as severe anemia …
DIVYA RENOGHRIT TAB=2-2 TAB DIVYA HEMOGHRIT VITAL=2-2 TAB…BEFORE MEAL TWICE DAILY
DIVYA PUNARNAWADI MANDOOR DIVYA VRRIKDOSHHAR VATI…2-2 TAB AFTER MEAL TWICE DAILY
DIVYA LOHASAVA=3-3 TSP AFTER MEAL TWICE DAILY WITH WATER
AVOID HIGH PROTEIN/POTTASIUM RICH DIET SUCH AS…MILK PRODUCTS.PANEER/SWEETS/GHEE/BUTTER…
CHOLE /CHANE/RAJMA ETC…
DO REGULAR YOGA AND PRANAYAM=VAZRASANA/TITLIASNA=10 MIN EACH
TAKE 2 MONTHS AND THEN INVESTIGATE=KFT/IRON STUDIES/HB%
Namaste Gautam ji, I understand your concern it is worrisome when hemoglobin suddenly drops without obvious cause. But dont worry we are here to help you out😊
✅Possible Causes of Sudden Hemoglobin Drop (Even Without Visible Blood Loss)
1. Hidden Causes Occult bleeding in stool/urine (not always visible). Gastritis/ulcer due to long-term medications (esp. BP/thyroid medicines).
2. Bone Marrow Inefficiency – at older age, bone marrow sometimes slows down RBC production.
3. Kidney Function – since creatinine is a bit high (1.5), it means kidneys may not produce enough Erythropoietin hormone, which stimulates RBC production leading to anemia.
4. Hypothyroidism – itself reduces metabolism and can cause anemia of chronic disease.
5. Nutritional Deficiency – even if eating well, sometimes iron, B12, folate absorption is poor due to age-related digestion weakness (Agnimandya in Ayurveda).
✅AYURVEDIC PLAN OF TREATMENT
✅INTERNAL MEDICATION
1 punarnava Mandoor 1-0-1 after food (for anemia with mild kidney issue)
2 Ayaskriti 30 ml-0-30ml after food ( to improve hb )
✅DIET MODIFICATION
✅INCLUDE= 👉Have black raisins, dates, figs soaked overnight. 👉Add pomegranate, beetroot, carrot, spinach, drumstick leaves regularly. 👉Take cow’s ghee in small quantity for strength. 👉Drink jeera–dhaniya–ajwain warm water for digestion & absorption.
❌AVOID- fried, Reheated food items Junk foods Avoid excess tea/coffee (block iron absorption).
👉 At the age of 70, the focus should be on balancing energy, protecting kidney health, and improving Rakta dhatu naturally rather than only chasing hemoglobin numbers.
👉Even if it fluctuates, with regular check-ups + Ayurvedic support, stability can be maintained.
Wish you a good health😊
Warm. Regards Dr Snehal Vidhate
DON’T WORRY GAUTAM GHOSHJI,
start taking these medications,
1.lohasava 20ml with equal amount of Lukewarm water just after having meal twice in a day. 2.punarnavadi mandoor 1-1-1 3.Tab.liv 52 1-0-1
Follow up after 45 days.
Take care😊
If you have any doubt, feel free to ask.
Kind Regards, DR.ISHA ASHOK BHARDWAJ
HELLO GAUTAM,
You are 70 years old, have hypothyroidism, take medicines for high blood pressure, your creatinine is slightly high (1.5), and your haemoglobin sometimes drops to 6 g/dL without obvious bleeding.
WHY HEMOGLOBIN CAN DROP (without visible blood loss)
1) Chronic kidney problem- kidneys produce a hormone called erythropoietin , which helps make red blood cells. if kidneys are weak, less hormone is produced-> less hemoglobin
2) HYPOTHYROIDISM- can slow down bone marrow function and cause mild anemia
3) NUTRITIONAL DEFICIENCIES= low iron, vitamin b12, folic acid can reduce blood levels
4) CHRONIC DISEASES= long standing conditions bp, thyroid, kidney even mild infections cause “anemia of chronic disease”
5) HIDDEN BLEEDING= sometimes blood loss from stomach / intestine (ulcer, piles, polyps, colon problem) happens without you noticing
So even though you don’t see bleeding, the cause must be properly evaluated with tests
INVESTIGATIONS NEEDED To properly find the root cause, -CBC= to see type of anemia -Iron studies= serum iron, ferritin, TIBC -Vitamin b12 and folate levels -Renal function tests= creatinine, urea, eGFR -Thyroid profile -stool occult blood test- to rule out hidden bleeding -If needed= ultrasound abdomen, endoscopy/colonoscopy
TREATMENT GOALS -correct the root cause -build healthy blood naturally and sustainable -improve strength and immunity -prevent recurrence of hemoglobin drops -support kidney and heart health at your age
INTERNAL MEDICATIONS
1) PUNARNAVA MANDUR= 2 tabs twice daily after meals with warm water =improves anemia, supports kidney function, reduces swelling, and helps clear toxins
2) NAVAYASA LAUHA= 1 tab twice daily after meals =classical iron formulations for pandu roga (anemia), improves digestion and blood formation
3) DRAKSHARISHA= 15 ml with equal water after meals twice daily =improves appetite, digestion, and gradually improves blood levels
4) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime =strengthen, stamina, energy booster, supports thyroid balance
5) TRIPHALA CHURNA= 1 tsp with warm water at night if constipation =improves digestion, clears toxins, enhances absorption of nutrients
FOODS TO INCLUDE -pomegranate juice= 1/2 glass daily -black raisins= soak 7-10 overnight, eat in morning -dates= 2-3 per day if sugar is normal -beetroot, carrot, spinach cooked - for iron -moringa = excellent for anemia -cow’s ghee= small quantity daily for digestion and strength -whole grains= wheat, red rice, millets -mung dal= light and nourishing
FOODS TO AVOID -excess tea/coffee blocks iron absorption -cold, heavy ,fried, oily food -fermented foods- pickles, vinegar, stale food -excess salt important for bp and kidney
SIMPLE HOME REMEDIES -mix 1 tsp amla powder + 1 tsp honey, take daily -drink warm water boiled with a few pieces of dry ginger- helps digestion -jaggery with ghee small piece after meals - improves blood
YOGA ASANA -bhujangasana- stimulates digestion -pawanmuktasana= improves absorption -Tadasana= improves circulation -shavasana= for bp and stress
PRANAYAM -anulom vilom = 10 min daily -bhramari= calming for bp and sleep -deep belly breathing= enhances oxygen supply, good for blood
LIFESTYLE -Avoid excessive exertion -walk daily 20-30 minutes , gentle pace -sleep early, wake early -avoid daytime sleeping causes kapha aggravation
-A haemoglobin of 6 g/dL is very low and sometimes requires urgent hospital care (blood transfusion, injection Erythropoietin if kidney related). please don’t ignore this -Ayurveda can support and strengthen your system, improves digestion, nutrition absorption, and gradually improves blood levels
DO FOLLOW CONSISTENTLY
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Hello Gautam ji, Hemoglobin dropping to 6 is concerning. The reason behind it could be increased creatinine level, thyroid medicines. I recommend the following treatment - Treatment - 1. Lohasava and Punarnvaristha - 2 tsp each with 4 tsp water twice a day after meals. 2. Arogyavardhni vati-1-1-1 after meals. 3. Punarnvadi Mandoor 2-0-2 after meals. Diet- Dark green leafy vegetables (spinach,beans, kale). Legumes (lentils, beans, chickpeas). Fortified cereals, breads, and pastas. Dried fruits (apricots, raisins). Nuts and seeds (almonds, cashews, sunflower seeds). Tofu . Avoid foods that inhibit iron absorption like- tea, coffee, alcohol.
Yoga- Sarvangasana (Shoulder Stand), Viparita Karani (Legs-Up-the-Wall Pose), and Trikonasana (Triangle Pose).
Follow this plan and reach out for any further query. Take care Regards, Dr. Anupriya
Start with Punarnava mandur 1-0-1 after food with water Tablet Liv-52 1-0-1 after food with water Gokshuradi guggul 2-0-0 after food with water Include juice daily 300ml of either pomegranate/ apples/ doodhi/ amla/ beetroot. Include ragi/ nachani flour in your diet daily Follow up after 1 month
Hello Gautam,
Thank you for explaining your condition.
As you are 70 years old with a history of hypothyroidism, high blood pressure, and mildly raised creatinine, and you’re experiencing recurrent low hemoglobin (as low as 6 g/dl) without obvious blood loss, this suggests chronic anemia. The causes can include nutritional deficiency, kidney-related erythropoietin deficiency, bone marrow suppression, or chronic disease-related anemia. Management must focus on finding the root cause (Nidāna parīkṣa), improving Rakta-dhātu formation, supporting kidney function, and ensuring safe blood pressure control.
🔍 Recommended Investigations
1. CBC with peripheral smear – to check anemia type (microcytic, macrocytic, normocytic). 2. Serum Iron, Ferritin, TIBC, Vitamin B12, Folate – to check nutritional deficiencies. 3. Thyroid profile (T3, T4, TSH) – to see if hypothyroidism is adequately controlled. 4. Kidney function tests (Urea, Creatinine, eGFR, Electrolytes) – to monitor kidney health. 5. Reticulocyte count & LDH – to rule out bone marrow suppression/hemolysis. 6. Stool occult blood test – to exclude hidden internal bleeding.
💊 Internal Medicine (Āyurveda Support)
Phase 1 – Rakta vardhaka & Āma-pācana (8 weeks) (To build blood, kindle agni, support kidneys)
1. Punarnavadi kwatha – 15 ml + 30 ml warm water, twice daily before meals (for kidney support & swelling). 2. Navayasa lauha – 250 mg with honey, once daily after food (classical iron preparation, mild on gut). 3. Drakshavaleha – 1 tsp twice daily after meals (nourishing & rakta vardhaka).
Phase 2 – Rasāyana (after Hb improves >9 g/dl)
1. Chyavanaprasha Avaleha – 1 tsp in the morning with warm water/milk. 2. Gudūci Satva – 500 mg with lukewarm water, twice daily (immune & rakta support).
🥗 Diet & Lifestyle Tips
Include (Pathya):
1. Cooked green leafy vegetables (drumstick leaves, spinach, curry leaves). 2. Black sesame, dates, raisins, pomegranate, beetroot. 3. Moong dal khichdi with ghee (easy to digest, rakta vardhaka). 4. Warm jeera–dhaniya–ajwain water for digestion. 5. Protein sources like mung dal, sprouted moong, paneer (if digestion allows).
Avoid (Apathyā):
1. Excess tea/coffee (inhibits iron absorption). 2. Sour curd, heavy oily food, fermented food. 3. Cold drinks, processed food. 4. Excess salt (important for BP & kidney).
🧘♀️ Yoga & Lifestyle
1. Vajrasana after meals (5 min) – aids digestion. 2. Anuloma–Viloma pranayama – 10 min twice daily (balances vāta–pitta, improves oxygenation). 3. Gentle walks (20–30 min daily) – enhances circulation & stamina. 4. Adequate night sleep; avoid day sleep (prevents āma accumulation).
🌸 With Kind Regards May your blood regain strength, your kidneys remain supported, and your energy stay steady for your active lifestyle. Please review your reports with a physician to rule out hidden causes, and consider timely blood transfusion if Hb falls <7 g/dl for safety.
– Dr. Sumi
Gautam, a hemoglobin level of 6 g/dL is very low and requires immediate medical attention. While you state there’s no apparent reason, a hemoglobin drop this significant is almost always a symptom of an underlying condition. Given your age and existing health issues, several factors could be contributing to this.
Potential Reasons for Low Hemoglobin
Chronic Kidney Disease (CKD) Your elevated creatinine level of 1.5 mg/dL is a strong indicator of kidney dysfunction, a condition often associated with a drop in hemoglobin. Healthy kidneys produce a hormone called erythropoietin (EPO), which signals the bone marrow to produce red blood cells. In people with CKD, the kidneys may not produce enough EPO, leading to anemia of chronic disease. This is a very common cause of anemia in individuals with impaired kidney function and may be the most likely reason for your low hemoglobin.
Hypothyroidism Severe, long-standing hypothyroidism can also cause a form of anemia. This is due to a direct effect of thyroid hormones on red blood cell production. Thyroid hormones are essential for bone marrow function, and a deficiency can slow down the production of red blood cells, leading to a mild to moderate anemia. While this is a possibility, it is less likely to be the sole cause of a hemoglobin level as low as 6 g/dL.
Nutritional Deficiencies Even without apparent blood loss, deficiencies in key nutrients can lead to a drop in hemoglobin. Given your age, the absorption of certain nutrients may be less efficient. This includes:
Iron: A lack of iron is the most common cause of anemia.
Vitamin B12: A deficiency can cause macrocytic anemia, where red blood cells are larger than normal but fewer in number.
Folic Acid: A lack of folate can also cause macrocytic anemia.
Ayurveda Opinion In Ayurveda, anemia (known as pandu roga) is considered a disorder of the Pitta and Rakta Dhatu. The primary cause is believed to be a weakness in the digestive fire (Agni), which leads to poor absorption of nutrients (Ahara Rasa) and improper formation of blood. Treatment focuses on strengthening Agni, detoxifying the body, and providing herbs that are rich in iron and other nutrients.
Herbal Remedies: Herbs like Amalaki (Indian gooseberry), Punarnava, and Shatavari are commonly used to improve blood quality and red blood cell production. Dietary Changes: a diet rich in iron-rich foods like pomegranates, dates, and beetroot, while avoiding foods that are difficult to digest. treatment 1) Tab Navajeevana rasa - 2 tab before food with dadima ghrita 10 ml - 3 times a day 2) tab tapyadi loha - 1 tab before food with water 3 times a day 3) draksharishta- 20 ml after food with water 3 times a day
Yoga Therapy
Pranayama
Ujjayi (energy-renewing Pranayama), Nadi-Sodhana (altenate breathing).
Asanas
Paschimottanasans (stretching the back and legs), Ardhamatsyendrasana (Simplified version of the Yogi Matsyendra Posture), Sarvangasana (Shoulder-stand), Sirshasana (Head-stand), Shavasana.
Pathyapathya
Pathya: Spinach, beetroot, carrot, dates, cherry, cranberry, grapes, mango, apple.
Apathya: Salty, sour, spicy, hot diet, exposure to sunlight, excess of exercise, alcohol and smoking.
It’s due to your kidney problem just continue the treatment you are taking and consult the same doctor for this.
You can take syp mulberine 10ml subha sham khane ke baad for hemoglobin.
A drop in haemoglobin levels without an evident cause can be concerning, especially at your age and with existing medical conditions like hypothyroidism and high creatinine. Ayurveda often sees such issues through the lens of dosha imbalances and weakened agni or digestive fire. Your prakriti (constitution) and current lifestyle could be contributing to these fluctuations in haemoglobin.
Firstly, hypothyroidism can influence metabolism and blood formation. The imbalance might lead to poor digestion and absorption of nutrients; this affects rasa dhatu (plasma) formation, which is fundamental to healthy blood. Even without noticable blood loss, inadequate nutritional intake or assimilation can lead to low haemoglobin.
In Ayurveda, enhancing agni is crucial for better digestion and nutrient uptake. Try incorporating warming spices like ginger, cumin, and black pepper into your meals. These can aid digestion and help nutrient absorption. Use these spices sparing and ensure you’re taking them in a way that’s suitable for your body, considering your hypertention.
Creatinine levels at 1.5 suggest some strain on the kidneys, which requires attention. Stay hydrated but avoid excess fluid intake, especially with low sodium. Consuming Punarnava (Boerhavia diffusa) may support kidney function, however, please check with your healthcare provider before adding new herbs, especially since you’re on medication.
To support your blood health, include iron-rich plant sources such as spinach, legumes, and jaggery, though cooked and seasoned appropriately to mitigate any digestive upsets. Regular moderate physical activity, like walking, might help in keeping the circulatory system active.
If your haemoglobin level reamins persistently low or further declines, a medical consultation is essential. Sudden drops might indicate more serious underlying issues that need immediate investigation and potentially conventional treatments. Stay attuned to your body signals and take proactive steps in balancing your lifestyle with your health needs.
HELLO GAUTAM,
I understand your concern. A hemoglobin drop to 6 is quite serious and should always be evaluated by a physician, since hidden causes like chronic kidney disease, nutritional deficiencies, bone marrow suppression ,thyroid imbalance, or chronic inflammation can contribute even if there is no obvious blood loss. with your age hypothyroidism, blood pressure medication and creatinine 1.5 this needs careful supervision
In Ayurveda, such conditions often relate to pandu roga (anomia-like disorders) and dhatukshaya (tissue depletion). kidney weakness and hypothyroidism are linked to low metabolism and rasa-rakta dhatu imbalance
DIET -warm, easily digestible foods= rice, moong dal, khichdi , vegetables soups -include iron rich items= black raisins soaked overnight, dates, jaggery in moderation, sesame seeds, pomegranate, beetroot, spinach -use cow’s ghee in moderation for strength -avoid heavy, stale, refrigerated, or overly oily/spicy foods
LIFESTYLE -regular gentle exercise like walking, yoga, pranayam especially anulom-vilom, bhramari -adequate sleep and stress management -avoid excessive exertion, late nights, and irregular meals
INTERNAL MEDICATIONS
-LAUH BHASMA= 45 mg once daily with ghee =very potent in raising hemoglobin
-ABHRAK BHASMA= 45 mg with honey twice daily after meals
-AROGYAVARDHINI VATI= 1 tab twice daily with lukewarm water
-DHATRI LAUHA= 2 tabs twice daily after meals
Since your Hb is dropping to 6, this can be life threatening risk of heart strain, fatigue, breathlessness, please -get evaluated by a hematologist to rule out hidden cause -continue modern treatment blood transfusion, iron/b12 injections if needed
THANK YOU
DR. HEMANSHU MEHTA
Fluctuating hemoglobin levels, particularly dipping as low as 6, is something that definitely warrants attention. Given your age and existing hypothyroidism, blood pressure issues, and slightly elevated creatinine levels, it’s crucial to explore a holistic yet cautious approach while investigating underlying causes. From a Siddha-Ayurvedic perspective, an imbalance in the doshas could affect the functioning of the bone marrow, which produces blood cells, and could also influence the assimilation of nutrients vital for blood production.
In Ayurveda, ensuring that agni, or digestive fire, is strong is crucial as it affects all bodily functions, including the production and quality of blood. In your case, Ayurveda might point to vitiation of Vata dosha, which can impair circulation and nutrient absorption, potentially explaining why hemoglobin levels fluctuate without clear causes. You might want to evaluate your diet, making sure it supports healthy agni. Consider consuming warm, cooked meals with spices like ginger, cumin, and cinnamon to aid digestion and nutrient assimilation.
Also, addressing any subtle imbalances in the rasa and rakta dhatus (primary and blood tissues) is critical. Iron-rich foods should be emphasized—leafy greens, sesame seeds, and molasses can be quite beneficial. However, ensure these are cooked well to make them easier on the digestion. Triphala might help supporting gut health, approximately 1 teaspoon in warm water at night can gently promote digestive wellness and nutrient absorption.
Given your creatinine level is slightly high, it’s vital to hydrate adequately, but not excessively, and regularly engage in mild activities like walking, which can improve circulation and overall body functioning without straining your kidneys. If you experience symptoms like fatigue, tingling, or shortness of breath, it’s essential to promptly consult a healthcare provider to rule out any urgent issues. Declining hemoglobin without visible blood loss might still indicate subtle internal bleeding or nutrient deficiencies that require immediate investigation. Regular check-ups with your primary care doctor, alongside integrating these Ayurvedic practices, can keep a check on your condition swifty.
