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Anemia menorrhagia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2250 Questions
Doctor :   Hi
User :   Hi
User :   are you a Urologist..?
Doctor :   I am a General Physician, I believe I canhelp you within my expertise and If requiredI shall recommend a specialist.
User :   I had under gone a Blood and urine examintion yesterday
User :   as I am not feling well for last 10 days or so..
Doctor :   Ok
User :   Epithelial cell count is 15-20 and pus cell is 1-2
Doctor :   ok
User :   is there any problem in this..?
Doctor :   no
Doctor :   keep ty[ping all results
User :   doctor I had consulted is saying not much of a problem..
Doctor :   What was the problem you had?
User :   every thing else is normal in Urine section
User :   now for blood..
Doctor :   ok
User :   hemoglobin- 10
User :   mean corpuscular- 100.6
Doctor :   it is low
User :   Mean corpuscular HGB.- 32.4
Doctor :   the hemoglobin is low
User :   Red Cell distribution width- 23.7
User :   ok
Doctor :   Can you type normal values adjacent to the values
User :   I am feeling verryyy low..
User :   lot of layziness
User :   alll the time
User :   some times feverish too
Doctor :   I am sorry to hear that.
Doctor :   It looks like you have low bllod hemoglobin
Doctor :   It is called Anemia
User :   Not feeling like to get up from the bed even
Doctor :   What is you age and geneder?
User :   I m 25 female
User :   over weight a bit
User :   72
User :   5.3 height
Doctor :   tell me about your cycles?
Doctor :   Are they heavy?
User :   this time my cycle got missed
User :   it is from 27-28 every month
User :   this got missed in last 5 years as I can remember
User :   it use to be normal other wise
User :   u thr.?
Doctor :   i am
Doctor :   his got missed in last 5 years as I can remember
Doctor :   : this got missed in last 5 years as I can remember
Doctor :   I did not get>
User :   me and my husband had a pragnency test done thrice but got negetive all the times
Doctor :   For the past 6 months are yougetting regular periods?
User :   I am gtting regular periods for last 4 years almost and this time I missed it
Doctor :   this time mean
Doctor :   just one cycle
User :   yes
User :   yes
Doctor :   but the blleding is not heavy?
Doctor :   heavy or normal
User :   yes it is heavy most of the times
Doctor :   how many days you blled?
User :   4
Doctor :   You have moderately-severe anemia due to heavy bleeeding
User :   ok
Doctor :   There are 3 problems you need fix
Doctor :   Ofcourse 2 medical problems needs urgent help
User :   so what shud I do to come out of this laziness as soon as possible
Doctor :   lazyness in medicines is called fatigue
Doctor :   1. Take iron tablets
User :   ok
Doctor :   Before that get the this blood test
Doctor :   Why u have heavy bleeding
User :   I did not get you doctor..
Doctor :   These tests will help
User :   ok
Doctor :   TSh, prolactin, Ultra sound of the Pelvis
User :   ok
Doctor :   Serum Iron and TIBC
User :   ok
Doctor :   These tests will you the reason heavy bleeding
User :   ok
Doctor :   Possible reason could be thyroid disease, abnormal prolactin, PCOD
Doctor :   Or from Over weight
User :   ok
Doctor :   So after the results consult Gynecology a and ask the reason for heavy bleeding
User :   Thyroid Stimulating Hormone is -3.99
User :   ok blood test
Doctor :   ?
User :   report
Doctor :   You already done these.
User :   yes
Doctor :   Go ahead..
Doctor :   Thyroid Stimulating Hormone is -3.99 >>>>>>>>>>>>normal
User :   ok
User :   others I will have to under go..
Doctor :   Ok
User :   does this leads to Low BP..?
User :   as I am feeling very low..
Doctor :   No
Doctor :   but usually anemia patientshave low BP
User :   ok
Doctor :   But that is not the reason why u have feeling tired?
Doctor :   Low is not the cause
User :   ok
Doctor :   Fill your body with Iron for 6 months
User :   is there any problem with the missed period..
User :   ?
Doctor :   Missed periods are not nornal
Doctor :   But they happen
Doctor :   They have reason
Doctor :   You have reason
User :   as...
Doctor :   u still needs to have additional tests
Doctor :   After the tests please chat with me
User :   ok
Doctor :   or you can be in touch with your local MD
Doctor :   Now You have thyroid problem
User :   fine..
Doctor :   But you have excess bleeding
Doctor :   Ia m worried why u have excess bleeding
User :   hmmm
Doctor :   This excess bleeding is causing you anemia and tired ness
User :   ok
Doctor :   So I want to know the reason for excess bledding
Doctor :   You need to work with Gynecology
Doctor :   It could bve PCOD or over weight or harmonal problem
User :   ok
Doctor :   Get the Ultrasound and LH harmones levels
Doctor :   Also get blood sugar levels
User :   I will get the examinations doneasconsult the gyna
Doctor :   Very good
Doctor :   x simultaneously correct the anemia
User :   ok doctor thaks a lot for guiding me
Doctor :   You welcome
Doctor :   Thank you for consulting me
Doctor :   Bye
Doctor :   Take care
User :   bbyee
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