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Tiredness, appears pale, cold hands and irritable. Has ear infection with low BP. Suggestions ?

Hi, my 11 year-old daughter is constantly complaining she s tired. She has always been pale, but appears paler than normal. The past couple of days she says she s cold - her hands are cold. She is quite irritable, but has a normal appetite and is still quite active and able to do her homework. She did faint while on holiday in August when it was exceptionally hot. When she was medically checked she had an ear infection and low blood pressure . I m looking for reassurrance!
Asked On : Fri, 2 Nov 2012
Answers:  1 Views:  27
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General & Family Physician 's  Response
Hello. It's sometimes difficult to decipher the needs of our children. On the one hand, we hesitate to race to the doctor with every new complaint; on the other, we're fearful of ignoring anything that might signify a serious medical problem.
In your daughter's case, her fatigue, pallor and complaints of being cold could be signs and symptoms of anemia, which isn't unusual in young people. Young women who are menstruating are particularly susceptible to anemia, because their diets often don't furnish enough iron to replace that lost during their periods. (Even if your daughter isn't menstruating yet, she could still be at risk for anemia by virtue of rapid growth and low iron stores.)
This is one of those issues that warrants further investigation. It's an easy matter to rule out anemia (a simple blood test is all it takes). If your daughter isn't anemic, her doctor can decide if a more thorough workup is needed.
I hope things go well!
Answered: Fri, 2 Nov 2012
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