OpenHealth Q&A

Get answered by medical professionals

Understanding Life Expectancy with a Low RBC Count

2/5/2026, 3:50:22 PMMale25-34

What is the potential lifespan for an individual with this low red blood cell count? To provide some background, my father-in-law, who is 55 years old, has been diagnosed with myelodysplastic syndrome (MDS), though the specific subtype remains unidentified. His diagnosis occurred in August, and since then, he has undergone several chemotherapy treatments. Recently, he was placed on hospice care due to declining function in both his lungs and kidneys. Additionally, due to his beliefs as a Jehovah's Witness, he cannot receive blood transfusions. Currently, I am unaware of any other blood test results beyond the RBC count, but I am aware that his levels have been steadily decreasing over time. He remains verbally communicative and mentally present as of today. The RBC count mentioned was obtained earlier this week, and I apologize for the limited information available. Given these circumstances, how long might a person survive with such a low red blood cell count? I am trying to grasp the situation better. Thank you in advance for any insights you can provide.

Multiple SclerosisCrohn's DiseaseRheumatology

Answers (1)

Cony

2/5/2026, 3:50:39 PM

OpenHealth AI

I'm sorry to hear about your father-in-law's situation; it's understandably a difficult time for your family. Your concerns about life expectancy in the context of a low red blood cell (RBC) count, especially with a diagnosis of myelodysplastic syndrome (MDS) and the challenges presented by his treatment and beliefs, are valid and important to address.

Key Points:

  1. Myelodysplastic syndrome can lead to low RBC counts, and life expectancy varies significantly based on individual factors.
  2. Other health conditions, like lung and kidney function, play a critical role in overall prognosis.
  3. Elevated support and palliative care are essential in this situation.

Explanation:

MDS is a condition where the bone marrow does not produce enough healthy blood cells, leading to a range of complications, including anemia from low RBC counts. Life expectancy in patients with MDS varies greatly depending on factors like age, overall health, response to treatments (like chemotherapy), and the presence of comorbidities (other health conditions).

Unfortunately, predicting an exact lifespan is challenging without more comprehensive clinical details. The declining function of his lungs and kidneys, in combination with the low RBC count, indicates a complex situation that may affect his overall outlook. Hospice care usually focuses on comfort and quality of life rather than curative treatment, suggesting that maximizing his comfort is the priority at this stage.

Actionable Next Steps:

  1. Focus on Comfort: Engage with the hospice team to ensure that his comfort needs are met, including pain management and emotional support.
  2. Monitor Symptoms: Keep a close eye on any changes in his condition and communicate these to the hospice staff. They can adjust care plans to alleviate discomfort as needed.
  3. Educate Yourself: Learn more about MDS and hospice care to better understand what to expect. Resources from organizations like the Leukemia & Lymphoma Society can provide valuable information.
  4. Emotional Support for Family: Ensure that family members, including yourself, have access to emotional and psychological support during this stressful time. This can include counseling or support groups.

Please remember to celebrate small moments and provide support to your father-in-law where possible, addressing his comfort and dignity. If you have more questions or need further clarification, feel free to ask.

Related Questions

Concerns Over Supraclavicular Lymph Node: A 24-Year-Old's Inquiry

Supraclavicular lymph node issues: should I be alarmed? I am a 25-year-old male, weighing 150 pounds and standing 6 feet tall. Hello everyone! I’m reaching out to get some insights about a lymph node that’s been concerning me. About seven weeks ago, I discovered a small, rubbery lymph node, which is somewhat oval and elongated, situated above my left collarbone. Interestingly, while reviewing an MRI from 2021, I noticed that this lymph node is in the same exact position as the one I can feel near my jugular vein. It has a texture similar to a tiny pebble, and it moves around a bit when I lift my arm. The MRI was conducted primarily due to neck pain, and it didn’t highlight any issues with lymph nodes, confirming that everything appeared normal back then. Given this context, should I be worried about the lymph node? If it were a cause for concern, wouldn't there have been significant growth in the last seven weeks? Considering it likely existed since 2021, it seems to be almost certainly non-cancerous. I appreciate any input you can provide. Thank you!

AsthmaInternal MedicineRheumatology
Male25-34
3 minutes ago

Am I Experiencing a Pinched Nerve or Heart Problems?

I’m seeking to visit a primary care physician, as it’s been roughly three years since my last appointment. Anxieties are gnawing at me; I genuinely fear there’s something amiss with my heart. However, my family leans towards the idea that I may simply be dealing with a pinched nerve due to stress. At 19 years old, I stand at 5’4” and weigh about 165 pounds. For a significant portion of the past years, I engaged in self-destructive behaviors – spending countless days in bed, consuming tobacco, and overeating. From October until early January of 2025, my mindset was so bleak that I wished for death, pushing myself to the brink of illness. Fortunately, I began to alleviate my depression just under a month ago, resuming physical exercise. Since around the summer of 2025, I’ve experienced strange pulsing sensations in my legs while walking, regardless of my pace. Dizziness and visual distortions also occur after prolonged walking. Recently, I’ve committed to walking 10,000 steps each day and have adopted a healthier diet that has notably improved my well-being. After just a few days of this walking regime, I developed pain in my upper left inner thigh, which felt like a persistent pulling sensation. I mentioned this to my parents, and we believed it was simply from overexerting myself after a long period of inactivity. At times, my heart races unexpectedly, especially when I ascend stairs; I can distinctly hear it pounding. Other moments, it remains relatively calm regardless of my activity level. A visit to urgent care yesterday was prompted by blurry vision in my left eye, which appeared different from my right. I had been particularly concerned about witnessing "stars" in my vision over the last week, and on two occasions just prior, I experienced flashes of light upon bending down at night. Additionally, the pressure I felt around my eye extended to the left side of my head and lingered on my neck. Fortunately, the eye examination yielded no alarming results. Last night, about two and a half hours after falling asleep, I woke up feeling intense pain in my left leg. This discomfort seemed to originate from the same area that had been strained throughout the month. The pain radiated down to my feet at times but was mostly concentrated around my knee and thigh. For approximately an hour, my leg twitched painfully, and the discomfort lingered for about two hours before subsiding. After the pain eventually eased, I managed to sleep for an additional three hours. This morning, my leg feels unusually heavy and awkward to walk on. The connection between the sensations in my left eye and leg troubles me, especially given that the strained feeling has persisted for nearly a month. I find myself apprehensive about both eating and walking. Could this be indicative of a pinched nerve issue?

Multiple SclerosisInternal MedicineEndocrinology
Male25-34
23 minutes ago

Is Bleeding with Paronychia Near an Abscess Common?

Hello everyone, I'm a 23-year-old female and I've been dealing with paronychia on my left ring finger for nearly a week. For the last five days, I've been on antibiotics. Since I started the treatment, I noticed an abscess developing that has started to leak pus. Additionally, there seems to be a tear in the skin located between the abscess and my nail, which is now bleeding. Is this something that happens often? I'm a bit confused about the situation...

Multiple SclerosisInternal Medicine
Male25-34
43 minutes ago

Navigating Health Concerns: Consult Hematology, Dermatology, or Stay with PCP?

I’m a 28-year-old female, weighing 125 lbs and actively working as a nurse. My health issues began two years ago, when I developed a persistent rash on my thigh that lasted several months. Around the fall of 2024, I also started experiencing significant fatigue. I reached out to my primary care physician (PCP), who ordered an ultrasound of my neck due to swollen lymph nodes, but the results were unremarkable. Blood tests revealed elevated iron levels, high iron saturation, increased insulin (with normal glucose levels), and low vitamin D. These irregularities have remained constant. Notably, my high-sensitivity C-reactive protein (HsCRP) was measured at 6.3, with low CD8 counts, and tests for conditions such as hemochromatosis, autoimmune disorders, Epstein-Barr virus, and others returned negative results. Recently, I’ve noticed a worsening of my skin condition. The initial red blotchy rashes evolved into scaly, plaque-like formations. I’ve also experienced rashes under my armpits in the past, which required treatment with a psoriasis cream and took some time to resolve. Now, new rashes have appeared along my arm and collarbone, for which I was prescribed a fungal cream. Currently, I am dealing with these persistent rashes, ongoing fatigue, and swollen lymph nodes, alongside unchanged abnormal lab results. I’m seeking guidance on whether I should consult a hematologist or dermatologist, or continue working with my primary care physician for these health issues.

ArthritisMultiple SclerosisLupus
Male25-34
1 hour ago

Seeking Guidance on My Husband's Neck Lumps

To provide some context: My husband is a healthy 22-year-old male, standing at about 5 feet 6 inches tall and weighing approximately 140 pounds. He does not smoke and drinks alcohol infrequently, roughly once every three months. Approximately four weeks ago, he discovered a lump in his neck. A week later, its size had increased, and two additional lumps emerged—one on his face near the ear and another behind the ear. Since then, these lumps have continued to enlarge, appearing to be swollen lymph nodes. Two weeks ago, he began experiencing significant pain and swelling, which seemed to affect his ability to breathe comfortably. During a visit to our family doctor, he received a steroid injection along with a prescription for antibiotics to help reduce inflammation. While this treatment provided some relief and decreased swelling initially, the discomfort returned as he neared the end of his medication. The doctor advised us to visit the emergency room for a scan, but since we lack insurance, my husband is hesitant to pursue that option due to the potential costs involved. Additionally, we have not successfully connected with any imaging facilities to discuss affordable alternatives. I am reaching out to see if anyone has insights or suggestions regarding our situation. We are in the dark about the possible causes of these symptoms, as there haven't been any other signs apart from the pain and swelling. Any guidance would be greatly appreciated.

Multiple SclerosisLupusInternal Medicine
Male25-34
1 hour ago