What causes cold hands and feet along with fatigue?

Question

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.

Answer 1

Hi,

Welcome to icliniq.com.

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

There is a mild reduction in leukocyte count and hemoglobin. Also, red cell distribution width (RDW) is increased.
The cause for reduced hemoglobin appears to be nutritional. Improvement in nutrition is necessary, particularly vitamin B12, iron, and folic acid supplements are essential.
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.
Also, do get a thyroid hormone profile once to rule out hypothyroidism.
Your complete blood count (CBC) is altered due to nutritional causes and correction of nutrition could improve the values within two months.