Dr Rahul Bhargava Haematologist

MBBS, MD, DM (Clinical Haematology)

Principal Director & Chief Hematology at Fortis Hospital

MBBS, MD, DM (Clinical Haematology)

Principal Director & Chief Hematology at Fortis Hospital

Sickle Cell Anemia

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Frequently Asked Questions (FAQ) :

A: Currently, the only potential cure for Sickle Cell Anemia is a bone marrow transplant. However, this treatment is not suitable for everyone, and ongoing research in gene therapy offers hope for future cures.

A: Sickle Cell Anemia is inherited when a child receives two sickle cell genes, one from each parent. If only one sickle cell gene is inherited, the child will have the sickle cell trait but not the disease.

A: With modern treatments, many people with Sickle Cell Anemia can live into their 50s or longer. Early diagnosis and treatment are crucial in managing the disease and improving quality of life.

A: Yes, staying hydrated, avoiding extreme temperatures, and getting regular medical care can help manage symptoms and reduce the risk of complications.

What is Sickle Cell Anemia?

Sickle Cell Anemia is a hereditary blood disorder characterized by abnormally shaped red blood cells. These cells take on a crescent or “sickle” shape, which can cause blockages in blood flow and lead to various complications. The disease is chronic and can cause severe pain, organ damage, and other health issues.

Causes of Sickle Cell Anemia

Sickle Cell Anemia is caused by a mutation in the HBB gene, responsible for producing hemoglobin—a protein in red blood cells that carries oxygen throughout the body. This genetic mutation results in the production of abnormal hemoglobin, known as hemoglobin S. When oxygen levels are low, this abnormal hemoglobin causes red blood cells to distort into a sickle shape, leading to blockages in blood vessels.

Types of Sickle Cell Disease

There are several types of Sickle Cell Disease, with the most common being:

  • HbSS: The most severe form, also known as Sickle Cell Anemia, where a person inherits two sickle cell genes, one from each parent.
  • HbSC: A milder form, where one sickle cell gene is inherited from one parent and a gene for abnormal hemoglobin C from the other.
  • HbS beta-thalassemia: A condition that occurs when a person inherits one sickle cell gene and one gene for beta-thalassemia.

Symptoms of Sickle Cell Anemia

Symptoms can vary from person to person but generally include:

  • Severe Pain: Often referred to as sickle cell crises, these painful episodes can last hours to days and may require hospitalization.
  • Anemia: Due to the destruction of sickle cells, the body lacks enough healthy red blood cells, causing fatigue and weakness.
  • Swelling: Hands and feet may swell due to blocked blood flow.
  • Infections: People with sickle cell anemia are more susceptible to infections.
  • Vision Problems: Blocked blood vessels in the eyes can lead to vision loss.
  • Delayed Growth: Children with Sickle Cell Anemia may experience delayed growth and puberty.

Diagnosis of Sickle Cell Anemia

Diagnosing Sickle Cell Anemia typically involves:

  • Blood Tests: A simple blood test can determine if you have sickle cell disease or carry the sickle cell trait.
  • Newborn Screening: Many countries, including India, now screen newborns for Sickle Cell Disease to ensure early intervention.

Treatments for Sickle Cell Anemia

While there is no universal cure for Sickle Cell Anemia, several treatments can manage symptoms and reduce complications:

  • Medications: Hydroxyurea can reduce the frequency of painful crises. Pain management drugs are also commonly used.
  • Blood Transfusions: Regular blood transfusions can help prevent complications.
  • Bone Marrow Transplant: The only potential cure for Sickle Cell Anemia, although it is not suitable for everyone.
  • Gene Therapy: Emerging treatments, like gene therapy, show promise for the future.

Cost of Treatment and Stay in India

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