A low hemoglobin level is considered to be lower than 13.5 g / dl in men and 12 g / dl in women. Low hemoglobin is very common. In many cases, the hemoglobin level is only slightly lower than normal, is not considered a sign of serious violations, and does not cause any symptoms. However, low hemoglobin can be caused by certain diseases. In such situations, the reduced hemoglobin level is called anemia.

Causes

For some people, a low hemoglobin level may be the norm. For example, in young women during menstruation, as well as in pregnant women is often reduced hemoglobin.

Low hemoglobin may be associated with many irregularities because of which the number of red blood cells in the body is decreased. This can happen if the body produces fewer red blood cells than is necessary, if the red blood cells are destroyed faster than recovering, and as a result of massive blood loss.

Violations and the factors due to which the body can produce too few red blood cells:

• Aplastic anemia;
• Various cancers;
• Some drugs, including anti-retroviral drugs used in HIV therapy, chemotherapy drugs and some other drugs;
• Cirrhosis of the liver;
• Hodgkin's disease;
• Hypothyroidism (decreased activity of the thyroid gland);
• Iron-deficiency anemia;
• Kidney disease;
• Poisoning;
• Leukemia;
• Multiple myeloma;
• Myelodysplastic syndromes;
• Non-Hodgkin's lymphoma;
• Vitaminodefitsitnaya anemia.

Disorders in which the destruction of red blood cells faster than the development of new zhritrotsitov:

• Enlargement of the spleen (splenomegaly);
• Porphyria;
• Sickle-cell anemia;
• Thalassemia;
• Vasculitis.

In addition, hemoglobin levels may be reduced as a result of blood loss, for example, due to injuries, bleeding in the gastrointestinal tract or urinary tract, severe menstrual or nasal bleeding, as well as due to frequent blood donation (subject to any rules of such problems in donors should not occur).

When to see a doctor

Normally, the low level of hemoglobin is detected during a routine medical examination, in which the CBC do Complete blood count how to understand why taking blood from a finger .

It is recommended to consult a doctor if you see the following signs and symptoms:

• Unusually rapid pulse during exercise or any physical activity;
• Fatigue;
• Shortness of breath, even with little physical exertion;
• Lack of energy during normal activities for you;
• Pale skin and gums.

These symptoms may indicate a low hemoglobin. If a reduced level of hemoglobin is maintained for some time, the doctor may prescribe medical examination to identify or eliminate the damage that could cause this.

One of the most common causes of low hemoglobin level is anemia. Most often it is caused by iron deficiency - a violation of the most typical of vegetarians and those who are not available for socioeconomic reasons, proper nutrition Proper nutrition - the basic precepts of healthy food .

Deficiency of vitamin B12 or folic acid (vitamin B9) can also lead to the development of anemia. Deficiency of both of these substances can cause macrocytic anemia Macrocytic anemia: what are the reasons?   - In this case a violation of red blood cells less than normal, but they more than usual. Since folic acid Folic acid - the value is hard to overestimate   stored in the liver for months, and vitamin B12 - years, signs of deficiency of these substances will become evident immediately after changing the diet. However, over time, if the person did not skorrekttruet your diet, it will lead to a decrease in production of red blood cells and hemoglobin reduction.

Ascorutinum - a drug that is well tolerated by patients, however, and it may have side effects. The possibility of side effects during the application of a drug (including vitamins), the physician should consider.

Side effects Ascorutinum the central nervous system

Ascorutinum side effects on the central nervous system (CNS) caused by the presence in the preparation of ascorbic acid (vitamin C). With prolonged use Ascorutinum Ascorutin - strengthen capillary walls and warn toxic effects svob   may cause headache, fatigue, fatigue and sleepiness during the day and a violation of the process of falling asleep and sleeping Dreams: how to understand our dreams   a whole night. When you remove the drug all these phenomena are rapidly.

Ascorbic acid penetrates through the placenta to the fetus. This fruit is gradually getting used to high doses of vitamin C, which receives the pregnant woman after the birth he can develop the syndrome in its absence. Therefore, pregnant women should not own, without a doctor's prescription to take ascorbic acid in large quantities and for a long time.

Is it dangerous to use Ascorutinum women who breastfeed is not precisely determined, but Ascorutinum excreted in human milk and therefore the use of nursing mothers should not exceed the recommended standards.

Side effects Ascorutinum the gastro-intestinal tract

Side effects from the gastrointestinal tract can cause both components - and ascorbic acid and rutin. Ascorbic acid can irritate the stomach lining and cause spasms of its smooth muscles, which give rise to nausea, vomiting and abdominal pain.

Rutin may also cause nausea and vomiting, so some patients can not tolerate the drug.

Side effects Ascorutinum by the endocrine system and metabolism

Ascorbic acid has a mild diabetogenic effect, so the use of high doses Ascorutinum go for a long time is not desirable. If Ascorutinum application is necessary, it should be controlled blood sugar Blood sugar - one of the main indicators of human health   patients.

Ascorutin can also have an active impact on the salt exchange, contributing to the formation of calcium oxalate stones in the kidneys and urinary tract. The negative effects on metabolism Improves metabolism and losing weight without dieting   Ascorbic acid can also have gout.

Active influence of ascorbic acid on the metabolism of the cells growing and metastatic malignant tumors can further stimulate their growth.

Side effects askorunina from the cardiovascular system

Ascorutin long-term use at high doses can cause high blood pressure, so patients with hypertension it should be used with caution. Sometimes Ascorutinum a feeling of heat and a rush of blood to the face - a consequence of the improvement of blood in the capillaries.

Furthermore, despite the fact that Ascorutinum usually do not contribute to thrombosis in patients with thrombophlebitis, it can cause such phenomena. When physiotherapists and patients with increased blood clotting Ascorutinum better not to use, as it can contribute to the formation of thromboses and thromboembolisms - separation of a blood clot and blockage of their vital blood vessels.

Side effects Ascorutinum in the form of allergic reactions

Allergic reactions while taking Ascorutinum often develop on ascorbic acid, but may also be a matter of routine.

Manifest allergic reactions such as itchy skin rash, hives (large, prone to mergers papules) and angioedema (swelling of subcutaneous tissue with the transition to the larynx, causing respiratory failure). It is very rare when taking Ascorutinum develop severe allergic reactions such as anaphylactic shock - a sharp drop in blood pressure, loss of consciousness combined with bronchospasm and other manifestations of allergic reactions.

This can not be used Ascorutinum

Ascorutin can not be used in case of hypersensitivity to the components of the preparation of the patient, in the first trimester of pregnancy (can not exclude adverse effects on the fetus during the Bookmarks its tissues), aged up to three years (effectiveness and safety Ascorutinum at this age is not proven), elevated blood clotting and a tendency to thrombosis.

Ascorutinum wary appoint diabetes, gout and kidney stones and urinary tract.

Ascorutinum gives severe side effects, however, take into consideration the possibility of side effects of the drug is needed.

Galina Romanenko