Nephrologist (Kidney Specialist) Questions Low hemoglobin

What is the connection between low hemoglobin and CKD?

My father has very low hemoglobin levels which has now gone down to 7. He also is a CKD patient. Is there a connection between CKD and low hemoglobin?

4 Answers

The normal kidney makes a hormone called erythropoietin, which "talks" to the bone marrow to make more red blood cells, what we measure with a hemoglobin level. As the kidneys worsen, less erythropoietin is produced, so anemia ) a low hemoglobin) occurs
Hemoglobin is down, which shows kidney function is not good and worse.
One of the many functions of the kidneys is to produce a hormone called erythropoietin that stimulates the bone marrow to make hemoglobin & red blood cells. When kidney function is decreased, the production of erythropoietin is also decreased. As a result, anemia is a common concomitant of chronic kidney disease (CKD). It is important that any nutritional deficiencies (iron, B Vitamins) be detected & if present, corrected. Once that is done, the anemia of CKD can be treated with injection of Erythropoiesis Stimulating Agents (ESAs) - erythropoietin & others.

Steven A. Burka, MD, FACP, FASN
Low EPO