Besides bleeding, what could lower my red blood count?

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dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 8/12/2008 2:26 PM (GMT -6)   
My blood work in May was all normal - with the exception of a slightly high WBC.
 
My blood work from last week was all normal - with the exception of a slightly low RBC, hematocrit, and hemoglobin.
 
The doc said it all looks good and I shouldn't be concerned
 
I'm not seeing blood.  I know there could be some "mixed in".  What else could cause my RBC, etc to drop?  Also, is a slight drop in RBC enough to make me super tired?
Pan-colitis and GERD diagnosed May 2003
Osteopenia (hip and spine) diagnosed Feb 2006
Status:  Remission?!?!?
Asacol 12 per day,  Azathioprine 100mg, Aciphex, Forvia, and Pro-Bio
Remicade: 1st infusion 06/17/08:  Next (3rd) infusion 08/12/08
Last Prednisone dose:  7/15/08
 
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quincy
Elite Member


Date Joined May 2003
Total Posts : 30373
   Posted 8/12/2008 3:32 PM (GMT -6)   
Hi....you'll have to do the homework.  I would think that the meds you're on might have some input on the decrease...but I haven't looked that up.
 
Here's a link on RBC...decrease causes, etc.   Read through all the pages.
 
 
q
 
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


sushik
Regular Member


Date Joined Aug 2008
Total Posts : 35
   Posted 8/12/2008 3:43 PM (GMT -6)   
I think you gotta trust your doc on this one and since he says not to be concerned, don't worry. Other causes of low RBC are pretty lousy and you might end up psyching yourself out by researching and speculating too much. I know I end up doing that alot =)
Maybe talk to your doctor again soon and voice your concerns.
31 yr old male
Diagnosed: 7/07 - UC - Pancolitis
Current Meds: 2 Rowasa enemas/day ; 6 Asacol / day


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2204
   Posted 8/12/2008 4:21 PM (GMT -6)   
Menstruation can be a factor.
Diagnosed with ulcerative colitis spring 1999.
 
Maintenance dose sulfasalazine.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice. Oregano oil antibiotic, antiviral, antifungal. Long-term remission with only minor blips.
 
 


jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10407
   Posted 8/12/2008 5:11 PM (GMT -6)   
Your blood count will vary slightly over time. Your body is constantly making new cells to replace those that are left or worn out. One of the primary responsibilities of your spleen is to filter old, damaged or defective red blood cells out of your system and break them down. If you happen to have blood drawn at just the right point in this cycle, your manufacturing plant may not have caught up with the recycling facility yet. And yes, your monthly period can temporarily lower your count.

Usually you have to be significantly anemic for it to make you feel tired. In that case, your red count would be significantly below the normal range. "Slightly" low or high counts really don't have a lot of clinical significance.
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from Entocort.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
 
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 8/12/2008 7:55 PM (GMT -6)   
Thanks for all of the info :)

My last period was about six weeks ago. When I developed UC and was very anemic, I started the three month cycle. So, I didn't think it was that.

I wasn't super concerned, just curious.
Pan-colitis and GERD diagnosed May 2003
Osteopenia (hip and spine) diagnosed Feb 2006
Status:  Remission?!?!?
Asacol 12 per day,  Azathioprine 100mg, Aciphex, Forvia, and Pro-Bio
Remicade: 1st infusion 06/17/08:  Next (3rd) infusion 08/12/08
Last Prednisone dose:  7/15/08
 
Co-Moderator UC forum:  Keep HealingWell running smoothly:  www.healingwell.com/donate


Mitzo
Veteran Member


Date Joined Dec 2007
Total Posts : 536
   Posted 8/12/2008 8:17 PM (GMT -6)   
I thought mesalamine as Asacol or Pentasa could cause low iron - I have had that problem myself.
21 years of UC which started after quitting smoking. In and out of flares which are usually triggered by antibiotics. Latest issue is endless diarrhea without blood or mucous.

 

  • 3 500mg Pentasa a day
  • Psyllium powder.

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