Why my haemoglobin at times goes down with any apparent reason? - #27967

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

It’s may be due to either your thyroid medication/ increase creatinine level, don’t worry with Some Ayurvedic medicines it’s manageable.

1.Drakshadi kwatham tab 2-0-2 before food 2.Ayaskrithi- 15ml twice daily after food 3.Annabedi sindhooram caps 2-0-2 after food

Include leafy vegetables, Pomogranites, dates , dry raisins(soaked ), berries ,etc in your diet Have 3-4litres of water daily Have more vegetables and fruits Include millets like raggi (Sprouted also you can have) Avoid tea/coffee/any Carbonated drinks

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!

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

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

How is your stools?? Is it black coloured?? Are you on any anti platelets like aspirin or clopidogrel??