blood disorders Archives - HHO Hunterdon Hematology Oncology

Multiple myeloma is a form of cancer that affects your blood. This disease presents itself in various ways, from bone pain to mental fog. Knowing the symptoms is one of the best ways to catch the disease early on, making it easier to diagnose and treat.

At Hunterdon Oncology and Hematology, LLC, our team of renowned experts helps you when you’re suffering from a blood disorder or cancer. Leading our team are five hematology and oncology specialists. Our team offers cutting-edge treatments when you find yourself with multiple myeloma.

What is multiple myeloma?

Multiple myeloma is a type of cancer that affects the plasma cells in your blood. These cells are a type of white blood cell, and they’re an important part of your immune system.

Your plasma cells help your body fight off foreign invaders, such as bacteria or viruses that could harm you. They do this by producing antibodies, which are able to detect and eliminate most pathogens that get into your body.

Multiple myeloma happens when your plasma cells mutate into cancerous cells. These cells then migrate into your bone marrow, where they clump together and push out your healthy plasma cells.

These cancerous plasma cells then make abnormal proteins instead of antibodies, which leads to complications and uncomfortable symptoms. Multiple myeloma is a rare form of cancer, but it’s just as dangerous as any other form of the disease.

8 common symptoms of multiple myeloma

In the early stages of multiple myeloma, you may not have any symptoms at all. However, as the diseased plasma cells begin to accumulate in your bone marrow, you may suffer from numerous symptoms.

The symptoms you experience depend on how advanced the disease is. Eight of the most common symptoms of multiple myeloma include:

Bone pain
Weight loss
Excessive thirst
Extreme fatigue
Brain fog
Nausea
Constipation
Frequent infections

You may also notice that you’re bleeding more easily than normal, or bruising frequently. The decrease in healthy plasma cells prevents production of adequate platelets in your blood. Platelets are a vital component of blood clotting, which is why their absence makes you bleed more easily.

You may experience all of these symptoms or only a few. It depends on how much bone marrow is affected by the cancerous plasma cells and in which parts of your body.

When to seek treatment

It’s hard to believe, but you may not actually need treatment right away with multiple myeloma. For instance, if the disease is moving slowly and you don’t have many symptoms, our team simply recommends monitoring you to evaluate your condition.

If you’re exhibiting signs and symptoms of multiple myeloma, you should seek treatment from our team as soon as possible. At our facility, our team of oncology specialists evaluates your symptoms and uses diagnostic tools like lab testing or a bone marrow biopsy.

The team offers several treatments based on the severity of your disease. They may include chemotherapy, radiation, or immunotherapy. They also provide corticosteroids and stem cell therapy or bone marrow transplants to ease your symptoms and control multiple myeloma.

If you’re exhibiting signs of multiple myeloma, don’t hesitate to call our office in Flemington, New Jersey at 908-788-6461, or schedule an appointment online with one of our expert doctors today.

Bruising is common when you’ve suffered an injury. It’s essentially broken blood vessels beneath your skin, which leads to bleeding within the tissues. This leaves a blue or purple mark, which is the bruise. However, if you’re noticing bruises and aren’t sure where they came from, it could be a sign of a blood disorder.

At Hunterdon Oncology and Hematology, our team determines if your bruises are cause for concern. Our expert team is made up of five board-certified and experienced oncologists and hematologists. Together, they provide treatment for cancer and blood disorders.

What are blood disorders?

A blood disorder occurs when something prevents your blood cells from doing their assigned jobs. These disorders vary; some cause more bleeding than normal and others cause issues with blood clotting.

Blood disorders are often genetic, meaning you inherit them from a close relative. However, they also occur due to certain medications, nutritional deficiencies, or other diseases. In most instances, people with blood disorders live normal lives while managing the condition.

There are several different types of blood disorders, which are categorized by which part of your blood is affected. Three of the main categories of blood disorders include:

1. White blood cell disorders

If you’re healthy, your body produces billions of white blood cells every day. They’re mainly produced in your bone marrow, and they help fight off infection and disease.

Leukopenia is a blood disorder characterized by extremely low levels of white blood cells. This puts you at a high risk for infection. Leukocytosis involves having too many white blood cells.

2. Red blood cell disorders

Red blood cells are vital, because they transport oxygen throughout your body. With red blood cell disorders, some part of the cell isn’t functioning properly, which can lead to decreased oxygenation in your body. Examples of these blood disorders include sickle cell anemia and thalassemia.

3. Platelet disorders

Platelets are important because they play a huge role in the clotting cascade. This basically means they form clots when you’re injured to stop bleeding. These types of blood disorders aren’t common, but they cause problems with bleeding.

Is easy bruising a cause for concern?

Most bruising shouldn’t send up a red flag that there’s a problem, especially if you remember hitting the area on something. If your bruise seems to get better after a few days and is showing signs of healing, there also isn’t much need to worry.

If you’re noticing quite a few bruises that don’t seem to add up, you shouldn’t dismiss them right away. This is especially true if the bruises are on your face, abdomen, or back. These are unusual areas to get bruised without remembering the cause.

Bruising can happen for a number of reasons, including some blood disorders. The blood disorders that cause this problem include:

Von Willebrand disease

Von Willebrand is a specific protein in your blood that’s essential for clotting. The Von Willebrand protein attaches to platelets and helps them stick to each other to stop bleeding. Without the protein, or if it’s defective, you won’t clot as quickly, which can lead to easy bruising.

Hemophilia

Hemophilia is another blood disorder that’s caused by defective clotting in your blood. This disorder is inherited, and is caused by lower-than-normal levels of either factor VIII clotting factor or factor IX clotting factor.

Thrombocytopenia

This blood disorder happens when you don’t have enough platelets in your blood for clotting. If you have easy bruising that pops up more than usual, thrombocytopenia could be to blame.

When to seek treatment for bruising

Bruises that seem to pop up all over your body with no known cause should be a reason for concern. This is especially true if they don’t seem to be getting better on their own after more than a few days.

The team at Hunterdon Oncology and Hematology wants to see you if you have any of the following concerns:

Bruising continues to come back
No improvement in the bruising after a week
The bruise is extremely large
The bruises are unprovoked
Bruises are accompanied by unexplained nosebleeds

The good news is that blood disorders can be managed through a number of therapies and treatments. Our team bases your treatment on the specific type of blood disorder you have.

For clotting disorders, the best treatment is to replace the factors that are missing in your blood. You may need infusions of factor VIII or factor IX for hemophilia, or Desmopressin Acetate for Von Willebrand disease.

If you’re worried about bruising on your body, don’t hesitate to call our office in Flemington, New Jersey at 908-788-6461, or schedule an appointment online with one of our expert doctors today.

Iron is an essential nutrient your body needs to function properly. You may know it best for its role in producing hemoglobin, which helps transport oxygen throughout your body. It’s also needed for the overall health of your cells, including your hair and nails. So it’s no surprise that when your iron levels are low, you have a condition known as iron-deficiency anemia.

At Hunterdon Oncology and Hematology, our team specializes in many different conditions, including the various forms of anemia. Our practice is made up of five expert oncologists and hematologists. Our hematologists help you determine if anemia is what’s causing uncomfortable symptoms.

Causes of iron-deficiency anemia

Anemia is a medical condition that happens when you don’t have an adequate amount of healthy red blood cells in your system. While there are many different kinds of anemia, iron-deficiency anemia manifests when you’re lacking the iron to produce hemoglobin.

Hemoglobin is the substance that not only gives your blood its red hue, but also allows your red blood cells to carry and transport oxygen to the other areas in your body. When you’re iron-deficient, it leads to anemia over time.

There are several different reasons you may be deficient in iron. For instance, you might not be getting enough elemental iron in your diet, or you may be losing iron quicker than you can replace it. Other reasons for iron-deficiency anemia include:

Pregnancy
Loss of blood
Problems absorbing iron

Any of these problems can lead to a lack of iron, and, as a result, a lack of hemoglobin. When you don’t have enough oxygen being transported due to anemia, it can lead to a number of unpleasant symptoms.

Symptoms you may experience

Symptoms of iron-deficiency anemia vary from person-to-person. They also depend on the severity of your condition. They include:

Pale skin
Weakness
Extreme fatigue
Brittle nails
Dizziness
Headache
Cold feet or hands

When you’re suffering from iron-deficiency anemia, you may also experience cardiac symptoms, such as pain in your chest or an abnormally fast heartbeat.

When you’re experiencing any of these signs, there’s a chance it could be iron-deficiency anemia. To prevent further complications and worsening symptoms, it’s vital you see our team as soon as possible so they can begin much-needed treatment.

How is iron-deficiency anemia treated?

Depending on the cause of your iron-deficiency anemia, you may be able to replenish your iron through changes in your diet, or you may need to take medicinal iron. Our team helps you figure out what’s causing your anemia, so you can get the treatment you need.

There are several ways to get more iron into your system to correct anemia, and they include:

Diet

One of the easiest ways you can restore iron in your body is by adding iron-rich foods into your meals. This includes beef and organ meats, along with broccoli, spinach, and legumes. Chicken and some types of fish are also rich in iron.

Oral iron

While over-the-counter supplementation may be your go-to, it’s usually not enough when it comes to iron-deficiency anemia. Our providers may have to prescribe you medicinal iron to get your levels back up to where they should be. The traditional dose for this type of iron is 150-200 milligrams of iron a day until your levels are back to normal.

IV iron

In the case that your iron-deficiency anemia is severe, or you’re unable to tolerate oral iron pills, our team recommends iron by way of IV infusion. There are several forms of IV iron therapy, and our providers help you figure out which is best for you. This is also the method of choice if you have trouble absorbing medications via your gastrointestinal tract.

Blood transfusions

Unfortunately, blood transfusions aren’t able to fully correct your iron deficiency. However, if your anemia is severe enough that you’re experiencing chest pain or you’re currently bleeding, it may be necessary to replace the deficient red blood cells. You’ll see a temporary improvement until our team can address the cause of your anemia.

If you’re concerned you have iron-deficiency anemia, don’t hesitate to call our office in Flemington, New Jersey at 908-788-6461, or schedule an appointment online with one of our amazing doctors today.

While many blood disorders are rare, there are some that are more common than you may think. When you hear blood disorder, you might immediately think of anemia or a clotting problem. Anemia, especially, is a common blood problem, but what about thalassemia?

Our team at Hunterdon Oncology and Hematology specializes in many different types of cancers and blood disorders, like thalassemia. Our team of doctors is made up of expert oncologists and hematologists, all who work to get you the treatment you need for your specific type of problem.

What exactly is thalassemia?

Thalassemia is a type of blood disorder that occurs when your body either doesn’t make enough hemoglobin or makes an inadequate form of hemoglobin. This blood disorder is inherited, meaning it’s passed down through families.

Hemoglobin is an essential protein in your red blood cells, because it has the ability to carry oxygen to all of the tissues and organs in your body. As you can imagine, if you don’t have enough of this protein, your tissues will become starved. There are two types of proteins in hemoglobin:

1. Alpha globin

Thalassemia related to alpha globin happens when there isn’t enough of the alpha globin protein, or the gene related to the alpha globin protein has mutated.

2. Beta globin

Thalassemia related to beta globin occurs when the beta protein has mutated or there isn’t enough of this specific protein.

If you’re born with either form of thalassemia, it could be further split into either thalassemia major or thalassemia minor. In order for you to inherit thalassemia major, both of your parents have the mutated gene, while with thalassemia minor, only one parent needs to carry the gene.

Thalassemia minor usually doesn’t exhibit symptoms, and you may only have smaller-than-normal red blood cells. Thalassemia major, on the other hand, can be more severe, including an enlarged heart.

Symptoms you could experience

The symptoms you experience with thalassemia greatly depend on the severity of your condition. Because thalassemia often leads to anemia, you may experience symptoms when you have moderate-to-severe anemia. If you have a less severe form of thalassemia, you may not have many symptoms at all.

Moderate-to-severe forms of thalassemia can lead to anemia. Because of the lack of hemoglobin and a decreased red blood cell count from anemia, thalassemia can cause several different symptoms in adults and children. Some of the most common signs and symptoms of thalassemia include:

Swelling in your abdomen
Pale skin
Yellow-tinted skin
Darker-than-normal urine
Extreme fatigue
Increased weakness

In children with thalassemia, you may notice they aren’t growing as quickly as they should be. This could lead to bone deformities, especially in facial bones. This happens because the body doesn’t grow as it should.

Serious problems related to untreated thalassemia include an enlarged heart or liver. This could lead to heart failure in some circumstances, if your condition isn’t treated properly. Thalassemia major also increases your risk of infections.

Treatment for thalassemia depends on the type of the disorder you have, and if you have symptoms or not. Mild forms of thalassemia may just require our team to monitor you and your blood over time. If you never get any symptoms, no other treatment may be necessary.

However, if you have a more severe form of the disease, you’ll likely need regular blood transfusions to make sure your body receives enough oxygenated blood. Our team may also recommend you take folate supplements regularly.

If you’re receiving regular blood transfusions, your iron levels may rise higher than they should. In this case, our team implements a therapy known as chelation therapy to get rid of the excess iron.

A bone marrow transplant is another way to treat thalassemia, especially in children. With treatments available, it’s important that you seek medical care from our doctors if you’ve been diagnosed with thalassemia.

If you think you may have a blood disorder, don’t hesitate to call our office in Flemington, New Jersey at 908-788-6461, or schedule an appointment online with one of our amazing doctors today.

There are a lot of things that cause you to feel tired and weak; some are medical conditions, while others are lifestyle habits. One of the more common causes of fatigue is a blood disorder known as anemia. This disorder causes the tissues in your body to be deprived of oxygen, leading to multiple symptoms.

At Hunterdon Oncology and Hematology, our team specializes in many different types of blood disorders, including anemia. Our team is led by both board-certified oncologists and hematologists, who help you identify anemia and get you the treatment you need to feel yourself again.

What is anemia?

Anemia is a blood disorder caused by a low number of red blood cells, cells that carry oxygen to the tissues throughout your body. There are many different types of anemia, each with a different cause. However, a low red blood cell count is the main cause of this disorder.

When our doctors test you for anemia, they’re looking at a certain blood test called a hemoglobin and hematocrit test. Hemoglobin is a protein within your red blood cells that carries oxygen to all of the tissues in your body. If your hemoglobin is low, it means your tissues aren’t getting a good supply of oxygen. Hematocrit measures cells in a volume of blood.

It’s hard to determine if anemia is the reason you’re feeling lousy; however, there are symptoms that usually come with this disorder, including:

Dizziness
Headache
Rapid heartbeat
Cold hands or feet
Tiredness
Weakness

The symptoms you experience depend on several factors, including the severity of your anemia, and how long you’ve had it. Sometimes with mild cases, you won’t experience any symptoms at all.

Types of anemia

Although the symptoms of this condition are usually very similar, there are more than 400 different types of anemia. The type you hear about the most is due to a deficiency in iron. This type is detrimental to hemoglobin production.

The different types are split up into three categories, which include anemia due to blood loss, anemia from the destruction of red blood cells, and anemia due to decreased red blood cell production. Some of the common types of anemia include:

Aplastic
Sickle cell
Vitamin-deficient
Hemolytic

Each different type of this disorder has a different cause, but the end result is oxygen deprivation to your tissues from decreased red blood cells.

Risk factors to be aware of

There are many different risk factors for anemia, and understanding them can help you avoid this problem in some cases. Women have a higher instance of anemia due to heavy menstrual cycles or during pregnancy. Certain diets and medical conditions also come with a higher risk of developing anemia. Some of these medical conditions include:

Kidney disease
Cancer
Autoimmune disease
Liver disease
Thyroid disorder

Anemia may also be a problem if you suffer from any type of inflammatory bowel disease, such as ulcerative colitis. Stomach ulcers also may lead to anemia, as well as prolonged use of medications like aspirin.

Although just about anyone can develop anemia, there are certain groups of people who are at higher risk. As stated before, women are more likely to suffer from anemia due to bleeding during menstruation and childbirth. Others who are also at an increased risk include:

Those over 65
Infants
Children up to 2 years
People on blood thinners

Of course, just because you fit into these categories doesn’t mean you’ll end up with anemia. However, if your risk is greater, it’s best to be followed regularly by one of our doctors to ensure early treatment, if necessary.

Treating your anemia

Treatment for anemia focuses on treating any underlying conditions that are causing your anemia. For example, if you have iron deficiency anemia, our team orders testing to see if you’re losing blood from somewhere.

On the other hand, if your anemia is caused by a nutritional deficit, our doctors recommend changing your diet. If that doesn’t work, our team prescribes dietary supplements to give your body the nutrients it needs.

We offer many other treatments, including blood transfusions and a hormone called erythropoietin that helps your body produce more blood cells. Bone marrow transplants are another possibility if other options don’t work.

If you’re experiencing symptoms and are worried they’re due to anemia, call our office in Flemington, New Jersey at 908-788-6461 to make an appointment.

There are many blood disorders out there, all of which affect your body very differently. Hemophilia is just one of these blood disorders, and it’s a very scary diagnosis if you don’t know much about it or what to expect. You may have heard things about it through the grapevine, but how do you know what’s true and what’s not?

At Hunterdon Oncology Hematology, our skilled team of doctors are experts in the care of blood disorders, and they can help you figure out a treatment plan after you’ve been diagnosed.

What is hemophilia?

Hemophilia is a disorder of the blood that results in impaired clotting. It’s usually an inherited problem, meaning someone else in your family had the same disorder. Hemophilia is under the broad umbrella of blood disorders, but its symptoms and treatment are unique to this specific problem.

Hemophilia is caused by a mutation in your genes that affects the production of clotting factors. This either means that your clotting proteins are completely missing, or they’re not working the way they should. This leads to bleeding that’s usually spontaneous, along with prolonged bleeding after an injury.

Your blood has proteins called clotting factors that allow your blood to coagulate, so you don’t bleed significantly with a minor injury. However, if you have hemophilia, your blood is deficient in either factor 8 or factor 9. These factors are vital to the ability of your blood to clot, so it leads to increased bleeding. Severity of your disorder depends on the level of these factors in your blood.

Weeding out the myths

Much like any other disorder or disease, hemophilia comes with its own misconceptions, most of which are completely false. However, if you don’t know how to pick out the myths, this disorder can seem very scary. Here are a few of the common myths associated with hemophilia, and the facts that disprove them:

Myth: Hemophilia only affects males

FACT: Although this disorder is traditionally a disease that affects boys more than girls, it doesn’t mean girls can’t have it. In fact, there are many women and girls who suffer from hemophilia, or who carry the gene for the disorder.

Myth: Hemophilia disorders are all the same

FACT: Hemophilia has two main types — either a deficiency in factor 8 or factor 9. The severity of your disorder greatly depends on which type you have. For example, if you have severe hemophilia, your clotting factors could be nearly non-existent, meaning you’re bleeding even where you can’t see it. However, in less severe cases, you might not have any symptoms until you suffer an injury.

Myth: You’ll bleed to death from a cut

FACT: This is simply not true. Hemophilia doesn’t make you bleed any quicker than someone who doesn’t have it, though you’ll definitely bleed longer than someone without the disorder. Routine care for cuts such as pressure and bandages is usually all you’ll need for a minor cut or injury.

Myth: You can’t have a normal life

FACT: You might think you can’t do the same things as everyone else if you’re dealing with hemophilia; however, this isn’t true at all. You’ll still be able to enjoy most activities such as playing sports or traveling. By working with our team of doctors, you’ll understand how to do your favorite things while still keeping yourself safe.

The truth is, although hemophilia is a scary diagnosis, you’re still able to live a normal life. Our doctors offer not only a plethora of knowledge about this disorder, but also treatment options to cut down on bleeding episodes. Treatment usually involves replacing the missing clotting factor in your blood, either prophylactically or when you end up with a cut or injury that causes bleeding.

If you’ve been diagnosed with hemophilia and would like to learn more about it, call our office in Flemington, New Jersey at 908-788-6461 to make an appointment.