Brief Answer:
Requires Investigation
Detailed Answer:
Dear Friend,
Thanks for writing to us.
Hemoglobin of 8.5 gm/dl is low and requires investigations, causes should always be ruled out.
You should get your blood sugar tested for Diabetes, as it can cause both anemia and UTI.
Also get your kidney function tests.
Since you were a heavy drinker, you might be having a gastric ulcer or
duodenal ulcer. Get an Endoscopy and
Ultrasound of liver and Liver function tests to see for liver status.
Get your X-ray Chest since you were a smoker.
See, at this age, anemia should also be considered to rule out any malignancy.
To conclude, you may discuss with your physician for workup for anemia:
1. Blood Picture
2. Kidney Function test.
3. Iron Studies (Serum Ferritin, TIBC,
Serum Iron)
4. Stool for occult blood.
5. Gynecologist consultation if you have heavy bleeding during Menses (if you still have not achieved menopause)
6. Liver Function Test
7. Complete hemogram
8. Ultrasound abdomen and Upper and lower GI endoscopy / colonoscopy
9.
Erythropoietin (EPO) levels
Results would clear if you have any particular cause of anemia or it's just nutritional. Anemia can also be due to recurrent UTI itself.
I hope I am able to solve your query.
If still you have any query , please ask me