60 yr Male, immobile mostly, complaints of constipation,Hb 7.8 kco T2DM. Wat form of iron to give?

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Anaemia needs to be investigated 1.CBC 2 S.Iron studies including s Ferritin , Iron , TINC 3.S.B12 levels 4.Blood for HbA1C , Osmotic fragility test , reticulocyte count , G6PD deficiency 5.Ultrasonography abdomen considering constipation Under these circumstances Iron Sucrose 200 mg in 200 ml of n.saline in 2 hours time alternate days -3 - 5 injections . Alternatively Single inj.Ferric carboxy Maltose single inj in 100 ml n.saline in 30 minutes will suffice

Laxative..plenty of fruits..high fiber diet.. Any good brand iron capsule..along with prunes, peaches figs..dates..pears etc.any why immobile...60year not an age...first hammer this in pt's mind..we Indian poor people become mentally old after 50 even..my elder uncle goes for trekking even at 74 age..we Indian consume poot , unhealthy diet..smoking and alcohol -all cause premature ageing themselves

Thank you
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Intravenous Iron sucrose solution 200 mg in 200 ml normal saline Given over 2 hours Same dose to be repeated the times on alternate day - depending on total iron required to be replenished Sepsis is contraindication for administration of intravenous Iron

+Vit B12 & Folic Acid orally
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First confirm ur diagnosis. If It's confirmed iron deficiency anaemia Then If the patient is having > 60 kg weight u can give IV ferinject ( carboxymaltose) 1000 mg in 250 ml NS over half - 1 hour.

FIRST OF ALL.. IT IS NECESSARY TO R/O CAUSE OF ANEMIA.. WITH.. ANEMIA PROFILE.. ACCORDINGLY.. IRON .. FOLIC ACID..B12. IV.. IRON SUCROSE.. IN ..IV..NS..

Tnx Dr Vipin Bihari Jain
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Iv iron injection B complex folic acid High protein and fibre diet

Please give reference mam..at 7.8 Hb he needs iv iron and he not having any sx intervention .even in surg text book sabiston says ..at 7 ,Hb..we can do elective operation (less than 1hr duration operation)..sabiston..20th edition ..as I read that edition
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Firstly evaluate the type of anemia, is it IDA or pernicious anemia etc. Get PBF, iron profile (TIBC, S. Ferritin, Iron), Vit B12, S. Folic acid done. If there is Microcytic Hypochromic anemia on PBF and TIBC increased, iron low then start iron sucrose 200mg in 200ml NS over 2 hrs after AST and calculate total dose of required elemental iron. If there is Microcytic anemia and Vit B12 is low, then start Methylcobalamine 1000mcg iv in 100ml NS once a day for atleast 7 days and then PO.

R/O The cause for Anemia Gastrointestinal conditions such as ulcers, hemorrhoids, gastritis,and cancer Non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen, which can cause ulcers and gastritis Post-trauma or post-surgery as well. Based on which u can treat the Cause and There wil not b Reoccurrence As of Now u can start with Syp.Dexorange 10ml BD as a Symptomatic Rx

Evaluate cause for anemia .constipation may be due to gastro paresis, electrolyte should be done

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