Anemia or no Anemia?

Patient : Very low iron stores but normal hemoglobin? I'm tired more like exhausted all the time, shortness of breath, heart problems, weak, hungry all the time, no energy, lots of gas, bloating
Symptoms:  'm tired more like exhausted all the time, shortness of breath, heart problems, weak, hungry all the time, no energy, lots of gas, bloating just feel awful all the time. Also sometimes stomach cramps... should I go to the emergency room
Doctor :   Hello, Thanks for the query to ATD for an opinion, The presence of weakness and lethargy with continued exhaustion in light of decreased iron stores indicate an iron deficiency anaemia if the haemoglobin levels are less than 11gm%. Moreover shortness of breath, palpitations and chest discomfort can be secondary to anaemia or cardiac cause per e, as there is hyper dynamic circulation in anaemia and bounding pulse, similar symptoms are common in anaemic patients. Dyspepsia , bloating , gas, abdominal cramps and increased hunger can be seen in case of accompanied dehydration or electrolyte loss, or even in cases of diabetes mellitus, this would need to be investigated in detail. I suggest you get a blood sugar profile and a repeat CBC done with iron studies. If the Serum ferritin is low and TIBC levels are high , it indicates iron deficiency. I hope i have answered your query, Wishing you good health, Regards

Related Q&A

Q: Anemia from mercaptopurine and mesalamine interaction. Iron saturation normal. Other iron level drop. Condition not i...

Q: Hello, I recently noticed that my nails have no moon and that they have a somewhat of a paleness white area to them f...

Q: I have blood clots in my leg at the top of the thigh in the femoral artery. I also have the factor 5 .I was put on X...

Q: 4.5 years ago, after my 3rd child was born, I had massive blood loss and needed an iron infusion. I had a slight alle...

Q: So I recently found out my ferritin was low only because my hair started to fall out. Every year I go for a blood te...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews