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Fatigue due to anemia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3175 Questions
User :   hello
Doctor :   How can I help you ?
User :   hello doctor
User :   i needed sm assistance
Doctor :   Please proceed with your query.
User :   since last few days i have been noticing i get tired really fast
Doctor :   Ok.
User :   need to sleep more
User :   it might be iron deficiency
User :   how can i be sure
Doctor :   Ok.
User :   if blood test reqd, i'll need a prescription for that right?
Doctor :   I shall answer your queries one after the other.
User :   sure
Doctor :   1. For anemia you should get a blood test called A. CBC ; B. Hb% .
Doctor :   2. For blood test you dont require a prescription .
User :   i thought i'll need a prescription for blood test
User :   but even then, how do i know if should get the blodd test done or not
User :   as in i am asking the common symptoms, based on which blood test is suggested
Doctor :   May I answer you a few questions to help you better for your genralised weakness
User :   ya
Doctor :   1.The most common symptom of all types of anemia is fatigue (tiredness). Not having enough hemoglobin in the blood causes fatigue. Hemoglobin is an iron-rich protein in red blood cells that carries oxygen to the body.Do you have this ?
User :   yes
Doctor :   2.Anemia also can cause shortness of breath; dizziness, especially when standing up; headache; coldness in your hands or feet; pale skin, gums, and nail beds; and chest pain.How about these symptoms ?
User :   i get tired easiy
Doctor :   Ok.
User :   short breadth yes
Doctor :   Ok.
User :   dizziness when getting up yes
User :   a little headache, but that can be because of eye starin also
Doctor :   3. If you don't have enough hemoglobin-carrying red blood cells, your heart has to work harder to circulate the reduced amount of oxygen in your blood. This can lead to arrhythmia, heart murmur, an enlarged heart. Do you feel any palpitations ?
User :   whats palpitation?
Doctor :   Feeling one's own hear beat at rest .
User :   you mean even when i am sitting i can sometimes hear my heart beat?
Doctor :   4. Signs and symptoms of iron-deficiency anemia may include brittle nails, swelling or soreness of the tongue, cracks in the sides of the mouth. Do you see any of these signs ?
Doctor :   Yes.
User :   i do hv palitation then
Doctor :   Ok.
User :   none of the point 4 symptoms
Doctor :   May I know your age please ?
User :   24
Doctor :   5. Do you have any swelling or edema in legs on standing or sitting for long time
User :   no
Doctor :   6. Very heavy menstrual bleeding, long periods, or other vaginal bleeding may suggest that a woman is at risk for iron-deficiency anemia.Do you feel you might be having this problem ?
User :   its actually the other way round
User :   i have low bleeding and only for 2-3 days
User :   i thot that was also cos of lack of iron
User :   i just wanted to confirm because i have some symptoms of iron deficiency
User :   but i have been regularly eating apples and cornflakes for past 2-3 months
Doctor :   That is also true , when you have very gross anemia, then for sure your blood loss is also less, you are right. both are possible.
User :   so ideally it shouldnt have happened
Doctor :   Let me give you some recommendations , please follow them : User :   please
Doctor :   for one fortnight and please follow up : Doctor :   1. the first test used to diagnose anemia is a complete blood count (CBC). The CBC measures many different parts of your blood.
Doctor :   2 .Hemoglobin is the iron-rich protein in red blood cells that carries oxygen to the body. Hematocrit is a measure of how much space red blood cells take up in your blood. A low level of hemoglobin or hematocrit is a sign of anemia.
User :   ok
Doctor :   These are the two tests that we recommend .
Doctor :   And after you get these tests done , lets evaluate.
User :   oh
Doctor :   I would also give you some more tests if you would like to do 2 more tests to know the reason for anemia : User :   ok
Doctor :   1.Serum iron. This test measures the amount of iron in your blood. The level of iron in your blood may be normal even if the total amount of iron in your body is low. For this reason, other iron tests also are done.
Serum ferritin. Ferritin is a protein that helps store iron in your body. A measure of this protein helps your doctor find out how much of your body's stored iron has been used up.
2. Transferrin level, or total iron-binding capacity. Transferrin is a protein that carries iron in your blood. Total iron-binding capacity measures how much of the transferrin in your blood isn't carrying iron. If you have iron-deficiency anemia, you'll have a high level of transferrin that has no iron.
User :   k
Doctor :   Please take the following foods : Doctor :   1. Legumes
Doctor :   2. Green leaves
Doctor :   3. Sprouts have very high iron content.
Doctor :   4. Beet root
Doctor :   5. Ground nuts & jaggery
Doctor :   6. Dry fruits like anjur & dates
Doctor :   7. Bone marrow of chicken and mutton and liver .
User :   OK.
User :   i will et back to you after the test results are with me
User :   thnks again
Doctor :   Thank you for consulting me
Doctor :   take care
Doctor :   bye for now
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