### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 37 yrs female unmarried and diagnose Echo as Mild ms 1.8 cm in august 2013 and advised inj.Penidura 3 wks,and tab. embeta TR 50 x od, tab.Lasilactone x od kindly let me know the side effects of injection and necessity of the same I have problem of low hemoglobin is that due to the same inj and what step more is required

### output:

Hello, I have gone through your query and understand your concern. From your query I understood that You are suffering from Mild Mitral Stenosis and on injection Benzedrine Penicillin G and Tablets Metoprolol and Furosemide with Spironolactone. You are given Injection Benzedrine Penicillin G prophylactically to prevent infection in heart called Bacterial Endocarditis. And also you also prescribed Tablets Metoprolol and Furosemide with Spironolactone to control blood pressure. Any of the above Chat Doctor. So the cause could be something else, and it needs further work up. Some common causes are Poor Nutritious diet, Blood loss, Malabsorption and Chronic diseases. To identify the exact cause, You need to give detailed history as well as thorough physical examination and further investigations like Stool test for occult blood, Complete blood count and other blood parameters, X-ray chest to rule out any Tuberculosis, Vitamin B12 and folate level, etc. If the hemoglobin deficient is mild to moderate, then dietary changes are sufficient. You should take iron rich foods like dark-green leafy vegetables, such as watercress and curly kale, iron-fortified cereals, whole grains, such as brown rice, beans, nuts, meat, apricots etc. Take vitamin C rich foods. Vitamin C helps the body absorb iron. Good sources of vitamin C are vegetables and fruits, especially citrus fruits. Citrus fruits include oranges, grapefruits, tangerines etc. Avoid Coffee, tea, milk (Contains Calcium) as these may reduce the absorption of iron. If hemoglobin level is very low, then you need Injectable either Intramuscular or Intravenous form of Iron to correct the hemoglobin level as soon as possible.