Login      Sign Up
 

Q. I am severely anemic. Kindly help.


 

Hello doctor,

I am a severely anemic patient. I have been on iron and B12 shots for three decades, but still, there is no improvement. I have got enlarged spleen, IBS, and also no absorption from the gut. I had undergone so many tests but nobody seems to have answers. I stay exhausted, dizzy and pale. Can anything help my severe anemia?


Related Questions:
I have lumbar lordosis and disc dehydration. Which is the best the non-surgical treatment?
Can hypothyroidism cause intermittent palpitations?
My grandmother is 98 years old and has head reeling often.What may be the possible reason?
 

Dr. Prakash H Muddegowda
MBBS., PGDGM., MD PATHOLOGY
Geriatrics, Hematology, Pathology

Hi,

Welcome to icliniq.com.

As you are on iron and vitamin B12 shots, I would assume that it could be nutritional. It is obvious that no absorption from the gut and also IBS will complicate it. Enlarged spleen could be due to increased destruction in spleen or production of cells in the spleen to improve anemia (extramedullary hematopoiesis).

I would like to know the following details:

  1. What type of anemia have you been diagnosed?
  2. Do you have any family history related to this?
  3. Do you have any active bleeding?
  4. What is your age?
  5. What are the various treatments being taken or received in the past, including blood transfusion?
  6. Have you done any tests or evaluation?
  7. Do attach your present hemoglobin levels and complete blood report. Also, iron and vitamin B12 levels are necessary.
  8. Do you have any associated chronic diseases?
 

Thank you doctor, here are the answers to your questions.

I am a 54 year old person with no related family history. My hemoglobin level is 9.9g/dl. Blood tests and bone marrow biopsy results are normal with normal bleeding time. I had Chinese acupuncture done, which has relieved the chronic pain and bowel problems. I never underwent any transfusions. I am having pain on my left side, right under the ribs that caused shoulder pain. So, I have asked for an endoscopy and colonoscopy as well. I am so tired of being weak and dizzy and I do have inflammatory problems. I eat a diet high in green foods and whole food vitamins. But no matter what I eat, I still stay overweight.

 

Dr. Prakash H Muddegowda
MBBS., PGDGM., MD PATHOLOGY
Geriatrics, Hematology, Pathology

Hello,

Welcome back to icliniq.com.

The above results indicate that you probably never had severe anemia. Your hemoglobin level shows only mild anemia and it will not be the main cause of weakness or dizziness. Additional causes for weakness, normally are hypothyroidism and dehydration.

Blood is normocytic and normochromic. Your bone marrow is responding well, which can be confirmed by reticulocyte count test in blood. If done, reticulocyte count should be around 2-3%. Not sure about the blood loss in menstrual cycles, which may be contributory.

Due to IBS (Irritable Bowel Syndrome), nutritional absorption is impaired and essential supplements are necessary. Your diet is good, continue the same. Divide your meals into 5-6 times per day. Take at least 6-8 liters of water per day. Mild exercises are necessary and maintain a standard sleep schedule.

Hope you have been evaluated for hypothyroidism. If not, thyroid hormone studies will be necessary. Endoscopy and colonoscopy are necessary for evaluation of any disorders. If any abnormalities are found, it may help in the identification of the possible cause of weakness.

I hope it will be of great help to you.

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


Can hypothyroidism cause joint pain, shivering and fever?
Query: Hi doctor, I am 30 years old. My weight is 60 kg and height is 5'10". Three months before, I was diagnosed with hypothyroidism. Also, I am suffering from joint pain, shivering and fever. For this condition doctor advised me to take Thyrox 50 mcg, Thyrox 100 mcg for 10 days and Thyrox 125 mcg for ne...  Read Full »
Dr. Divakara P
Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. Well, your symptoms are not related to thyroid issue. You could be having a viral infection. So, I suggest you to take tablet Zerodol P (combination of Aceclofenac and Paracetamol) three times a day. Consult your specialist doctor, discuss with him or her and take the me...  Read Full »
 
Please advise non-surgical treatment for lumbar lordosis and disc dehydration.
Query: Hello doctor, I have a back pain which has made me stay in bed for two weeks. Now the pain has reduced but I have very limited movement, just to go to the bathroom but still, there is a pain when I want to stand up. I did the MRI test, the result was showing lumbar lordosis is decreased with scolio...  Read Full »
Dr. Chandan Mohanty
Neuro Surgeon

Answer: Hello, Welcome to icliniq.com. Your MRI report shows evidence of wear and tear of the lumbar disc with some pressure on the nerves (attachment removed to protect patient identity). It is difficult to suggest the treatment without examining you in person. However, generally speaking, it is possible...  Read Full »
 
I am having intermittent palpitations. Is it due to hypothyroidism?
Query: Hello doctor, I am 28 years old. Experiencing intermittent palpitations from last three months. ECG, echo, TMT is normal. The lipid profile shows increased triglycerides in serum 189 mg/dl. Recently, I was diagnosed with subclinical hypothyroidism for which I am taking Levothyroxine from last one m...  Read Full »
Dr. Salam Salloum
Cardiologist

Answer: Hi, Welcome to icliniq.com. Please be advised that a normal ECG while you do not have the palpitation feeling, is not diagnostic of the palpitation. You need to have a cardiac monitor. If the palpitation happens every day, then a 24 hours cardiac monitor should pick them up. If they happen every 2...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


Can mild back pain be due to cyst in kidney?
Hi doctor, Last year when I had tested for routine medical they found a small stone in kidney. I took Cystone for a mon ...Read more »
Why am I having low sex drive with erectile dysfunction?
Hi doctor, I am 37 years old male and for the last few months my sex drive is getting lower and currently, it is at its ...Read more »
What Are Varicose Veins?
Do you have large and ugly looking veins in your legs? These can be treated without surgery by using Laser, and you can ...Read more »