NJH Logo National Journal of Homeopathy
 
Seminars & CME's
Sure Shot Cases
Archives
Matrimonials
Journal Subscription
News
Editorial Board
 
 

Buy NJH Online

 

Join NJH Discussion Forums


Subscribe
 
Cover Image
One of NJH Covers
 

 
CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Anaemia
NATIONAL JOURNAL OF HOMOEOPATHY 1996 Sep / Oct Vol V No 5.
Asrani C H.

Reduction of Haemoglobin below its normal value is termed Anaemia. Since Haemoglobin is responsible for Oxygen carrying function of the Blood, its lowering has significant symptoms. Anaemia may be caused by several clinical conditions, most of which are easily diagnosed.

  1. Loss of Blood - Acute blood loss due to injury, rupture of a viscus, gross haemolysis due to infections, septicemia, or drug reactions as well as chronic blood loss due to worms, heavy menstrual flow, (destruction of RBCs due to Malaria),malignancies or injudicious use of pain killers causes Anaemia due to actual reduction in circulating RBCs.
  2. Improper intake of Iron in the diet - Since Iron constitutes an important part of Hb, deficiency of Iron is an important cause of Anemia, especially in India, where a balanced diet is a dream for most households.
  3. Thalassaemia Minor - is a hereditary condition wherein fetal haemoglobin (Hb F) is more than normal. These patients will have lower values of Hb, but without symptoms. Their Hb will not rise, irrespective of Iron consumed.

Diagnosis : Hb estimation, PCV (packed cell volume), a peripheral smear and blood indices are all one needs to diagnose almost 95 percent cases of anemia. Other 5 percent as such need care of a Haematologist.

  1. In Normal circumstances PCV is roughly 3 times that of Hb. ie. for Hb of 13.3 Gm percent a PCV of 41-43 is taken as right thing.
    Why do a PCV ?.

    In case of acute blood loss,it takes time for Hb to drop. A PVC reading much less than 3 times of Hb is indicative of acute blood loss. In cases of perforation of viscus or traumatic haemorrhage in the body,PCV is 49 (more than 3 times the Hb) it confirms the diagnosis of Macrocytic anemia (large RBCs so larger Packed cell volume).

  2. Peripheral smear tells us about size, shape & maturity of RBCs as well as presence of any parasites.
    Microcytosis (small sized RBCs) - Fe deficiency anemia or Thalassaemia Minor.
    Macrocytosis (large size RBCs ) - B 12 or Folic acid deficiency.
    Poikilocytosis -- cells of different sizes.
    Reticulocytes -- presence of Reticulocytes indicated that bone marrow is working overtime to supply RBCs. .
    Presence of Malarial parasites is an indication of cause of anemia.

  3. Blood Indices : Whereas smear gives an indication of the likely pathology and its causation, Blood indices give a very specific information on the same and confirms the diagnosis. Important ones are -.
    1. MCH (Mean Corpuscular Haemoglobin) Normal values --.
      A reading lower than 27-32 pg indicates anemia, lower the 27-32 pg reading, worse is the anemia.
    2. MCV (Mean Corpuscular Volume ) Normal values Reading lower than 75 fl Microcytosis ( Fe deficiency or Thal minor).

Reading higher than 95 Fl Macrocytosis (Megaloblastic or B12 deficiency anemia).

Back

 

SEARCH

About Us
Feedback
Advertise
Contact Us
Home
 
Print this page
Send this page