HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Does High Iron Level Indicate?

default
Posted on Wed, 17 Sep 2014
Question: Hi there,

I recently learned that I have slightly high iron in my blood, but not high ferritin, and am wondering what this means.

Normal range for Iron according to the test is 45-170 MCG/DL, and mine came out 176. However, Ferritin came out to be 78 NG/ML (with a normal range listed as 20-345). [There are several other bloodtest numbers in the full report - if anything else is related to iron, please ask and I can see if I have that data.]

I'm wondering how concerned should I be? Is this a possible indicator of hemochromatosis or iron overload? Could it be causing organ damage at this level?

Additionally, I occasionally have a metallic taste in my mouth accompanied by slight mouth tenderness/tooth pain (I'd call it extremely sensitive teeth more than anything). These always seem to come together, and I was told it's possibly due to dry mouth, but I was wondering if iron could have anything to do what that. Could this be related?

I'm having a followup blood test within the next month to see if my levels are still high. My doctor didn't seem to make a big deal about this, but reading about hemochromatosis alarmed me, so I want to make sure I'm in no immediate danger.

Thanks!
doctor
Answered by Dr. Hardik Sanghvi (20 minutes later)
Brief Answer:
mostly not due to hemochromatosis

Detailed Answer:
Hi dear,
I have gone through your question. I can understand your concern regarding your high iron level. However, your iron level is only slightly high. Moreover, your ferritin level is also normal. Many normal people have this iron level without any disease. So just be relaxed. No need to worry. In addition, yes, your metallic taste is not related to your iron level. It’s due to dry mouth or some other cause. Therefore, your iron level is not worrisome. You are not at all in immediate danger.
Just what you need to do is repeat your serum iron level after a month.
Hope I have answered your question.
If you still have any doubts then you can ask me. I will be happy to answer your questions.
Thanks for using health care magic.
Wish you a very good health.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Hardik Sanghvi (1 hour later)
Thank you - this has eased my mind considerably re the hi iron, and I understand it's not a concern!

One last question if you don't mind based on my labs (though unrelated to iron specifically)!

I notice tonight on the sheet that lists my lab orders, it also lists "Active Medical Conditions." Among them are some that I don't have, such as arthritis and shortness of breath, so I believe this to be (for some reason I don't understand and need to ask my doctor about) inaccurate. However, my concern is it also lists arrhythmia, which I don't believe I have (the doctor never mentioned it) and I'm hoping it too is an inaccuracy.

My pulse feels normal (below 100, usually 60's, 70's, and 80's at rest, and quite steady). I also had an echocardiogram last year, and all doppler results came back normal with no mention of any irregularities. In addition, my blood pressure machine is supposed to detect abnormal heartbeat, and it never does (I've only gotten it if, say, I were to suddenly move or on very, very, very rare occasions).

Is it safe to assume I likely do not have an arrhythmia? Would this be detected via feeling my own pulse, my BP machine, or show up on the echo in the lab results if I did have any kind of arrhythmia?

Thanks again!
doctor
Answered by Dr. Hardik Sanghvi (17 minutes later)
Brief Answer:
You should consult physician for arrhythmia

Detailed Answer:
Hi,
You may have arrhythmia. Just having heart rate below 100 does not rule out arrhythmia. Because you may have XXXXXXX arrhythmia. Moreover your blood pressure instrument may not be able to detect your arrhythmia. You can detect by palpating your own pulse, but I am not sure with your expertise you will be able to detect them. So you should consult your physician and go for examination. The doctor might order for rhythm monitoring perhaps holter or an event monitor to record arrhythmia's.

Hope I have answered your questions. If you have any further questions then feel free to ask me. I will be happy to answer.

Wish you a very good health.
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Hardik Sanghvi (44 minutes later)
Thank you!

I will be sure to discuss with my physician in a few weeks time when I have my appointment (and I actually called and left a message for clarification [as I'm hoping like the other things that I know i don't have it's just a strange anomaly on the sheet listing]).

I would think if this were important, the doctor would have discussed it with me, correct?

Also, would the echo have mentioned this if it were present?

Thanks again!
doctor
Answered by Dr. Hardik Sanghvi (20 minutes later)
Brief Answer:
Yes, you are right. Still it’s wise to consult once

Detailed Answer:
Hi,
Yes, you are right. As far as your echocardiogram is concerned, you mention that you did it last year. Therefore, there is a chance that you might have developed some abnormality after that. So it’s wise to discuss it once with your physician.

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Hardik Sanghvi

Hematologist

Practicing since :2008

Answered : 7043 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does High Iron Level Indicate?

Brief Answer: mostly not due to hemochromatosis Detailed Answer: Hi dear, I have gone through your question. I can understand your concern regarding your high iron level. However, your iron level is only slightly high. Moreover, your ferritin level is also normal. Many normal people have this iron level without any disease. So just be relaxed. No need to worry. In addition, yes, your metallic taste is not related to your iron level. It’s due to dry mouth or some other cause. Therefore, your iron level is not worrisome. You are not at all in immediate danger. Just what you need to do is repeat your serum iron level after a month. Hope I have answered your question. If you still have any doubts then you can ask me. I will be happy to answer your questions. Thanks for using health care magic. Wish you a very good health.