Hi, I have a history of low iron and borderline anemia,
I have a history of low iron and borderline anemia, but it has been progressively worsening over the last year. 8 months ago i started taking folate per my dr, my folate levels rose off the charts but my other levels continued to fall. A little over 3 months ago my physician put me or ferrous sulphate 325mg x2 daily and I also changed my diet to contain an abundance of iron rich foods, including meat which I had not been eating previously (this was a major lifestyle change). My red blood cell count & hemoglobin came back into normal range, but everything else declined. I also have had an elevated white cell count for this entire time. 1 week ago I was also put on Levaquin.
I am suffering from fatigue, my body aches as if I have a very bad flu even after the most moderate physical activity. I feel like I am getting worse by the day this week. I have an appt with a hematologist but it is another 3 weeks away and I am concerned.
These are my most recent test values:
White Count - high 14.2k
Red Count is in range 4.91 mil
Hemoglobin in range
Hemocrit in range
MCV- Low 78.4
MCH - Low 24.8
MCHC - Low 31.6
RDW - High 17.3%
Creatinine - Low 0.43
AST - Low 8
Ferritin- normal 62
Iron total- Low 33
Iron binding capacity- normal 356
Iron % Saturation - Low 9%
Absolute Neutrophils - High 9372 cells
Absolute Lymphocytes - High 4260 cells
I was tested for fecal occult blood and it came back negative. My blood pressure is fine, but my pulse is often high, moreso at night, and at night occasionally my oxygen levels fall. I've measured them @ 92, but I spot check with a home oximeter, so at times it may fall lower. Any insight you can provide will be helpful.
Symptoms: Long term: fatigue, overall feeling of malaise, body aches and pains, feeling feverish, dizziness, occasional sweating, tingling lips, feeling low on oxygen,
Thank you for your query at AskTheDoctor.com
I understand your concern.
I have gone through your charts too, and they are not pointing towards anything in particular.
But I would advise you the following and ask you to follow up-
1) please get a peripheral smear done
2) Ultrasound abdomen to check for liver and spleen size.
Feel free to discuss further
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