Hematology

4 questions answered by doctors & treatment decisions assisted by team clinicspots.

My daughter suffering with this disease Sickle cell anemia. Please suggest where I need to consult for free treatment?

Asked anonymously on 3rd August, 2019 at 6:24 pm
1 Answer
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Dr. Babita Goel

22 years of experience

General Physician

Answered on 9th Dec at 6:03 am
Bone marrow transplant also called stem cell transplant, is potential cure for sickle cell anemia. Treatment options are medications to reduce pain and prevent complications Vaccinations to prevent infections, and blood transfusions.Life style changes are also ofhelp like Take folic acid supplements daily, and choose a healthy diet. Drink plenty of water Avoid temperature extremes. Basically, there are some hospitals where concession on medical treatments are available though cards like Ayushman bharat, CHGS, etc. Some government hospitals are : 1. Tata Memorial Hospital, Mumbai 2. All India Institute of Medical Sciences, New Delhi 3. Christian Medical College (CMC) and Hospital, Vellore Consult a hematologist. Hope our answer helps you.

My son was diagnosed for Wiskott Aldric Syndrome and Doctors have advised born marrow transplant. Which can be done at special hospitals in India, please we need you to avail us the cost of bone marrow transplant in hospital. Also provide inform on if I can take any benefits of government cards like Ayushman card, Bal Sandarbh card or etc. Also provide me any other information which I should know.

Asked anonymously on 2nd July, 2019 at 9:01 am
1 Answer
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Dr. Babita Goel

22 years of experience

General Physician

Answered on 9th Dec at 5:56 am
Wiskott–Aldrich syndrome (WAS) is a very rare X-linked recessive disease characterized by eczema, thrombocytopenia (low platelet count), immune deficiency, and bloody diarrhea (due to thrombocytopenia). It needs a multidciplanary approach. Treatment too has to cover different aspects of the syndrome. Transplantation is the current accepted treatment HLA typing of all potential donors should be done. If a family donor is not identified, an unrelated donor should be searched so that potential donor is available.But over all benefits of the therapy has to be taken into consideration. Usually, the bone marrow transplant cost in ranges from Rs. 15,00,000 ($20,929) to Rs. 40,00,000 ($55,816). The cost may vary depending on the experience of the doctor and also from one hospital to another. Consult a hematologist. Hope our answer helps you.

How long does a person who had Bone marrow transplant can get back to their normal routine after the procedure?

Asked by Kailash on 27th January, 2020 at 5:10 am
1 Answer
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Dr. Babita Goel

22 years of experience

General Physician

Answered on 28th Jan at 11:00 am
Generally the recovery time for a bone marrow transplant recipient is about three months to one year. But it may vary from patient to patient depending upon many factors like age of patient complications occurred during the treatment and others. Consult an oncologist, who will guide you through the treatment. Hope our answer helps you.

Can an HIV patient go through a Bone Marrow transplant?

Asked anonymously on 29th May, 2019 at 5:26 am
1 Answer

P

Member of team ClinicSpots.

Answered on 8th Jun at 8:02 am
Hello, Assuming you’re a HIV positive with cancer in need of Bone Marrow Transplant, we will first have to check your reports. We will have to see the diagnosis, medical reports, medical history, etc, to see whether a Bone Marrow Transplant would be necessary or not. There are ways to control HIV like increasing the CD34 count. Apart from this there are also other ways but only after that can you be considered a transplant. Now, Considering you are seeking cure for HIV through Bone marrow transplant (BMT) . There have only been two successful cases where HIV was cured with Bone marrow transplant and in both cases the patients had cancer with BMT as a last resort treatment. In case of both cases the patients were suffering from life-threatening advanced stage cancer. The first such case occurred in Berlin, where an American Patient named Timothy Brown had myeloid leukaemia and was also HIV positive. He was in the advanced stage of this blood cancer and the doctors had decided to do a Bone marrow transplant and also attempt to clear the HIV simultaneously. Since HIV patients can only get an allogeneic transplant, they had searched for a donor with a rare genetic mutation of the CCR5 gene for both the Berlin patient to make them HIV-resistant. After that the Berlin patient took regular bantiretroviral drugs that suppress HIV and has been virus-free ever since The second successful case was in London, where the patient with Hodgkin’s lymphoma and HIV virus was also in the advanced stage of cancer as the doctors decided attempted a stem cell transplant for their cancer and simultaneously attempt to clear HIV. And similarly they searched a stem cell donor with a rare genetic mutation of the CCR5 gene for the patient to make them HIV-resistant. The London patient stopped taking the medication 18 months ago and there is no sign of a return of HIV. They are not likely to do BMT just to cure HIV. But if you are a cancer patient you should consult a hemato-oncologist for added information. I hope our answer helps
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