Do I have iron deficiency anemia or a different one?

Patient

Q: 39 y/o female. Have had the following issues since 2007 at least: super-tired, dry skin, dry thin nails, dry hair and hair loss, blah mood, heart fluttering fast when I am sitting down sometimes, melasma on my cheeks that has now migrated down below my chin, and tiny little red blood color dots from my scalp down to my feet and everywhere in between(not groups or patches, just tiny random dots and I keep getting more and more). I am tired no matter how many hours I sleep. I am able to do less and less..ie: walking to the bathroom leaves me breathless. My memory is getting worse. I've tried taking vitamins, eating more vegetables, exercising - nothing helps. I don't have health insurance, I have no way to obtain it so I am limited to clinics that accept small cash payments. I found that I could order tests online and I just rec'd the results back today. It looks all blood-related, which I did not expect. Do my results appear to show iron deficiency anemia? Could my results be something else? Possibly Myelodysplastic syndrome, thalessemia, or Aplastic anemia? I was told by my DR in 1998 (or so) during a visit that I was severely anemic, something about iron, and that I should go to the hospital right away (for something - I don't remember). She didn't explain anything so I went home. I tried every iron supplement I could find and they all made me throw up. I forgot about it until 2007 when I started getting symptoms. I thought I had a hormone problem because I got melasma really bad, out of no where. I went to an Endo and she said I was fine. So, I once again forgot about it until now. I have less hair, more tiny red dots, I'm super cold, and super tired.
Glucose, Serum 84
Uric Acid, Serum 2.5
BUN 8
Creatinine, Serum 0.81
eGFR If NonAfricn Am 92
eGFR If Africn Am 106
BUN/Creatinine Ratio 10
Sodium, Serum 139
Potassium, Serum 4.8
Chloride, Serum 99
Carbon Dioxide, Total 22
Calcium, Serum 9.9
Phosphorus, Serum 3.1
Protein, Total, Serum 7.7
Albumin, Serum 4.4
Globulin, Total 3.3
A/G Ratio 1.3
Bilirubin, Total 0.2
Alkaline Phosphatase, S 66
LDH 149
AST (SGOT) 30
ALT (SGPT) 29
GGT 12
Iron, Serum 17
Cholesterol, Total 178
TSH 3.050
Thyroxine (T4) 7.6
T3 Uptake 23
Free Thyroxine Index 1.7
WBC 5.9
RBC 4.22
Hemoglobin 9.1
Hematocrit 30.9
MCV 73
MCH 21.6
MCHC 29.4
RDW 18.0
Platelets 331
Neutrophils 56
Lymphs 27
Monocytes 12
Eos 4
Basos 1
Neutrophils (Absolute) 3.3
Lymphs (Absolute) 1.6
Monocytes(Absolute) 0.7
Eos (Absolute) 0.3
Baso (Absolute) 0.0
Immature Granulocytes 0 %
Immature Grans (Abs) 0.0

Symptoms:  Tiny red dots, dry skin hair and nails, heart fluttering, SUPER tired, blah mood
Doctor

A:   Hello. Welcome to Ask The Doctor.
These problems are because of Iron Deficiency anaemia only.
But my concern is that what is the reason behind it.
I would you to get work up done for Malabsorption Syndrome like Celiac disease.
Get Anti TTG Antibody test done.
Also get Iron studies, Vitamin B12 and Foliate assays and Thyroid Profile done.
I hope it helps.
Stay Healthy.

Comments / Follow Ups

Patient: Thank you so much for your reply! I appreciate it greatly!

I had an Antinuclear Antibodies Direct test done at the same time and it was Negative. I don't know if that's the same one you mentioned or not.

I tried taking B12 for my hair and nails for some time, but saw no results.

What additional tests do I need for a thyroid profile? The one I rec'd included my TSH,
Thyroxine (T4), T3 Uptake, & Free Thyroxine.

I found tests for Celiac, but they are too expensive and it says you have to eat at least 4 pieces of bread a day for weeks/months. I have learned to avoid bread products because they seem to stay in my stomach area for days and shortly after I eat it, I get these insanely itchy little blisters on my hands. It would be a nightmare for me.

Since around 2009, when I eat a sandwich or some pizza I get the little itchy blisters on my fingers, shortly after. It happened on the sides of my face and my ankles too. I thought it was poison ivy, but it keeps happening and mostly in the same areas. Nothing helps or makes it go away - I have to let it runs it's course. Also, I stopped drinking milk many years ago because it caused me so many problems. I recently tried rice milk and it gave me horrible stomach pain and gas. It said it was GMO free and lactose free so I thought it would be okay.

Related Q&A

Q: Hi Just had a blood test and have been given result which I don't understand Can you help me please? I have a mean c...

Q: I'm just looking for info on some lab results. Below low ferratin levels. Low mcv,mch,mchc and high rdw levels mean.

Q: Hello Dr actually I did marriage tests so I got a high level of hba2 : 7.5  so the hematologist told me that I ...

Q: Hello Doctor I did a marriage test so it shows in the results that i have thalassemia minor as a carrier. But my fia...

Q: Hi, I have a history of low iron and borderline anemia, but it has been progressively worsening over the last year...

 
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