Treatments
Blood transfusion
A blood transfusion gives you donated blood, most often red blood cells, through a small tube in a vein. It can quickly lift a low blood count and help you feel more like yourself again.
I plan and supervise every transfusion myself at The Blackheath Hospital, and I will always explain why I am recommending it, what the alternatives are and how we will keep you safe throughout.
When a transfusion may be needed
Your blood carries oxygen around the body and helps it heal and fight infection. When blood counts fall too low, you may feel exhausted, breathless or light-headed, and everyday life can become hard work.
A transfusion is one way to correct this, but it is not always the right first step. If your anaemia is caused by low iron, for example, iron replacement is often a better and longer-lasting answer, and I may suggest an intravenous iron infusion instead.
Whatever I recommend, I will talk it through with you and your family so you understand the reasons and feel comfortable with the plan.
Read more about anaemia and its causes-
Significant anaemia
When your haemoglobin is low enough to cause troublesome symptoms, or needs to be raised quickly.
-
Low counts from a blood condition
Some bone marrow and blood conditions mean the body cannot make enough healthy blood cells on its own.
-
During or after cancer treatment
Chemotherapy and other treatments can lower blood counts for a while. Find out more about blood cancer treatment.
-
Low platelets
Occasionally a platelet transfusion is needed to reduce the risk of bleeding, for example before a procedure.
What to expect
From the first conversation to your follow-up, you will know what is happening and why.
-
Assessment and blood tests
I review your symptoms, medical history and recent results, and explain the benefits, risks and any alternatives before you decide. A blood sample is taken beforehand so your blood group can be checked and the donated blood carefully matched to you.
-
The transfusion
A small cannula is placed in a vein in your hand or arm and the blood is given slowly through a drip. The nursing team checks your identity and the blood at every stage, and monitors your temperature, pulse and blood pressure throughout. You can rest, read or have someone with you.
-
Aftercare
Most people feel no different during the transfusion and notice more energy over the following days. You will be told which symptoms to look out for and who to contact. We then recheck your blood count and, most importantly, keep working on the cause of the low count.
Common questions
If your question is not answered here, please get in touch with the practice and we will be glad to help.
Is a blood transfusion safe?
Transfusions are a very common and well-established treatment. Blood donors in the UK are carefully selected and every donation is tested, and your blood is matched before it is given. Mild reactions such as a raised temperature or itchy rash can happen and are usually easily treated, which is why you are monitored closely throughout.
How long will the transfusion take?
It depends on how much blood you need and your general health. I will give you a realistic idea at your assessment so you can plan your day and any help you may need getting home.
Will I need more than one transfusion?
For many people one transfusion is enough while the underlying cause is treated. Some conditions need transfusions from time to time, and if that applies to you we will agree a plan together and review it regularly.
Can I say no, or ask about alternatives?
Yes. A transfusion is only given with your consent, and you are always welcome to ask questions or take time to decide. If you have personal or religious reasons for not wanting blood products, please tell me and we will discuss the options open to you.
Arrange your appointment with Dr Erblich
Book online through Circle Health Group, or email the practice first if you have a question or are not sure which appointment you need.