HomeAnswersHematologythalassemiaCan my fatigues and weakness be due to anemia?

Why do I feel weak and anemic even though my RBC count is high?

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Published At September 27, 2017
Reviewed AtJanuary 21, 2024

Patient's Query

Hello doctor,

Please find the attachment of my blood report. I am concerned that I may be suffering from anemia. I have had fatigue and weakness for many months. I also have a tingling feeling in my legs and hands.

Hello,

Welcome to icliniq.com.

You are not having anemia as per the reports (attachment removed to protect patient identity). Your Hb level is within the limit. So, you do not require treatment for anemia.

You can have thalassemia minor or a similar condition in which the RBC (red blood cell) count is high. So, to rule out thalassemia minor, investigate with Hb electrophoresis by HPLC (high-performance liquid chromatography) method.

For fatigue and tingling, a neurological examination is advisable. If the cause is not evident then investigations like NCV (nerve conduction velocity) and EMG (electromyography) can be planned for further work up.

For examination, you can consult a nearby neurologist and if he feels it is necessary, a spinal MRI (magnetic resonance imaging) or EMG can be planned.

Sometimes excess work, less sleep, and chronic anxiety can also lead to such a presentation.

Hope this will help you.

Thank you.

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

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

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