iCliniq logo

Ask a Doctor Online Now

HomeAnswersHematologyhemoglobinWhat causes cold hands and feet along with fatigue?

What causes cold hands and feet along with fatigue?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At April 21, 2016
Reviewed AtDecember 20, 2023

Patient's Query

Hi doctor,

I am having cold hands and feet. I also have a little bit of fatigue. Two years ago, I lost 90 pounds with diet and exercise. I had high blood pressure and anemia when I was pregnant with twins three years ago. Now, I have taken a complete blood count. I am attaching the reports for your reference. Please guide.

Answered by Dr. Prakash. H. M.


Welcome to icliniq.com.

Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows:

  1. There is a mild reduction in leukocyte count and hemoglobin. Also, red cell distribution width (RDW) is increased.
  2. The cause for reduced hemoglobin appears to be nutritional. Improvement in nutrition is necessary, particularly vitamin B12, iron, and folic acid supplements are essential.
  3. Low red blood cell (RBC) count and normal mean corpuscular value (MCV) with increased RDW could be due to dimorphic anemia, which is due to nutritional deficiencies.
  4. Also, do get a thyroid hormone profile once to rule out hypothyroidism.
  5. Your complete blood count (CBC) is altered due to nutritional causes and correction of nutrition could improve the values within two months.

The Probable causes


Investigations to be done

Thyroid hormone profile.

Regarding follow up

For further information consult a hematologist.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prakash. H. M.
Dr. Prakash. H. M.


Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online


*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy