How long will it take for my hemoglobin/hematocrit to increase?

Question

I was due for a breast reduction/lift on December 19th, but the day before I was able to go in for surgery, the surgeon called saying that my hematocrit/hemoglobin was too low (35% and 8.0 or so, respectively). I am now scheduled for February 14th and have been taking two iron pills a day and 5 other multivitamins (Vitamin C, B-12, biotin, etc.) How long will it take for my hematocrit/hemoglobin to go to acceptable levels by my surgery date?

Kenneth Hughes, MD · Answer

If the hemoglobin is less than 8 and you are symptomatic, it is reasonable to consider a blood transfusion.  However, your PS, PCP, and hematologist are in a better position to evaluate this for you.Best to be seen by a hematologist who can recommend an appropriate regimen based upon the cause for the anemia.  In general, 11-12 is adequate for surgery if attention to hemostasis is meticulous.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Gary L. Ross, MBChB, FRCS · Answer

You need to be investigated for the low Hb. Presuming this has been done and you are under treatment then usually you would have a check Hb prior to surgery. That will dictate whether proceeding on Feb 14th is a good idea or not.

Douglas Taranow, DO, FACOS · Answer

Pamela,Without a known history of significant anemia (Hemoglobin of 8), you should have a hematological consultation first.  If strictly iron deficiency or related to heavy flows, your hemoglobin should be safely at 9.0-9.5 by mid February.Best of luck with your workup.Dr T

Robert L. Kraft, MD, FACS · Answer

A hemoglobin of 8 should be investigated by a hematologist. I do not believe that your regimen of self treatment will be sufficient to boost it quickly.  First, it's important to know the basis for the anemia. Second, I believe that medical clearance is essential.  You may need iron infusion treatment.  Best wishes.

How long will it take for my hemoglobin/hematocrit to increase?

Answers (4)