What should I do if my hemoglobin is getting lower and lower on blood supplements?

Taking blood tonic drugs hemoglobin is getting lower and lower indicates that the treatment is ineffective, the body may have persistent blood loss, bone marrow hematopoietic dysfunction disease, red blood cell lysis destruction and other problems, the need for blood transfusion, the cause of the drug or even hematopoietic stem cell transplantation, and so on.
1. persistent blood loss: taking blood tonic drugs hemoglobin is getting lower and lower may be the body is in the state of persistent blood loss, such as female menstrual bleeding, ectopic pregnancy bleeding, chronic ulcer bleeding, etc., will cause hemoglobin concentration decrease. It is necessary to stop bleeding (ampicillin) in time, and supportive therapy such as blood transfusion.
2. Bone marrow hematopoietic dysfunction: taking blood supplements hemoglobin is getting lower and lower may be suffering from bone marrow hematopoietic dysfunction, such as acute leukemia, aplastic anemia and so on. There is no much improvement effect of taking blood tonic drugs, and it is necessary to use immunosuppressive treatment such as anti-lymphocyte/thymocyte globulin or chemotherapy such as cytarabine, and hematopoietic stem cell transplantation is feasible under certain conditions.
3. hemolytic anemia: taking blood supplements hemoglobin is getting lower and lower may be the anemia of red blood cell rupture effects, such as autoimmune hemolytic anemia, hereditary hemolytic anemia. Red blood cell destruction increased, can not be generated normally, eat blood supplement can not improve this phenomenon. Need to use drugs for the cause, such as autoimmune hemolytic anemia can take dexamethasone and other glucocorticoid treatment.
The hemoglobin is getting lower and lower when you take blood supplement, you should go to the regular hospital in time, and follow the doctor’s instructions for medication.