Low hemoglobin but high iron sounds like a contradiction. However, it can be explained, and the same as high creatinine. I will list the possible causes. You’d better send your urine test report to email@example.com so that our doctors can give you more detailed suggestions.
► Tests that you have done may include:
- CBC (Complete Blood Count)
- Urine analysis
- Liver functions
- Bleeding tendency
► Possible causes of low hemogloblin but high iron
Hemoglobin is an iron-rich protein that gives blood its red color and lets red blood cells transport oxygen from the lungs to the body’s tissues. Therefore, low numbers of red blood cells or low levels of hemoglobin also cause low blood iron levels.
However, in some cases, patients can experience low hemoglobin but high iron.
Ferritin is iron binding protein and represents iron stored in the body. Any inflammatory disorder may result in high ferritin level.
- Hemolytic anemia
- Hodgkin’s lymphoma
- Megaloblastic anemia
Having low HB (hemoglobin) level is expected after the hematuria. This can be related to high creatinine level.
► How does high creatinine level cause low HB level?
Creatinine is the by-product of muscle metabolism. It forms in the liver and is discharged by the kidneys as a waste. When creatinine level is higher than normal range, it always indicate your kidneys are damaged.
Healthy kidneys cannot secrete enough EPO (erythropoietin) for the generation of red blood cells, thus leading to low HB level.
In addition, low HB level may be associated with iron or folic deficiency caused by malnutrition.
Anemia worsens as kidney disease advances. Therefore, most people with Kidney Failure have anemia. Kidney Failure is described as End Stage Kidney Disease, sometimes called ESRD (End Stage Renal Disease), when treated with a kidney transplant or blood-filtering treatments called dialysis.
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