I am severely anemic. Kindly help.

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. An enlarged spleen could be due to increased destruction in the spleen or the 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 with?
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 evaluations?
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?

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 to 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 five to six times per day. Take at least 25 to 33 cups of water per day. Mild exercises are necessary and maintain a standard sleep schedule.

I 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.