Hi doctor, Recently, I had RARP surgery for prostate cancer. My Hb level post surgery fell to 10.8 and I was advised to stay on iron supplement Dexorange Syrup one teaspoon thrice daily after meals. In view of ongoing treatment for erosive gastritis, which is now under control, the Iron supplement was started three months ago. Then, my Hb level has improved to 12.5. I had a CBC, folic acid and iron study and I have enclosed the reports for your reference. I am a vegetarian. Please advise further course of action as I have been advised to stop the Dexorange syrup after three weeks and continue with iron-rich diet. My gastroenterologist is not in favor of long-term usage of Iron supplements. The stomach ulcers due to H.pylori have been treated and stomach lining restored. Currently, I am taking Nexpro 40 mg in the empty stomach and Librax once at night. My CBC report issued an alert for anisocytosis. My amylase level is around 174 U/L, but pancreatitis and bile duct obstruction have been ruled out. I am taking Unienzyme tablet in the morning and night along with one probiotic capsule Vizylac. Please advise if any attention or investigation or treatment required further. Thank you.
Hi. Based on your query and reports (attachment removed to protect patient identity), my opinion is as follows: Repeat hemoglobin after three months. Add more iron, vitamin B12 and folic acid in your diet. Revert back after three months to a hematologist online.--->