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    Old 07-25-2012, 09:59 AM   #1
    Skymama10
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    Question Help with Symptoms and CBC Results

    Hello-I'm a 33 y/o female w/ a fairly normal health history. I do have chronic gastritis for which I take protonix 40 mg daily. For about a year I have been feeling really awful. I have had every test know to man and the only thing that is finally showing up are that I have low iron and hgb. My TIBC is high at 600, my HGB is only slightly low at 11.1, My iron level is low at 10, my ferritin is low at 7 and my iron saturation is 3%. My HGB is not that low, therefor can this still be causing me to feel so yucky.

    My symptoms are as follows: severe fatigue to the point of exhaustion, cold hands and feet, very pale, terrible headaches, tingling on hands and legs, burning muscles with very little exertion and elevated heartrate with very little exertion, blurry vision on and off, my whole body is achy all the time.

    I have had an egd and colonoscopy which Showed no bleeding.

    Does this sound like what could be causing my symptoms?? Does it sound like anemia?,?

    I appreciate any suggestions/help!!

    Oh and one last thing, sometimes I get really shaky like in my hands and legs and I feel dizzy.

     
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    Old 07-25-2012, 01:13 PM   #2
    Heatherx5
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    Re: Help with Symptoms and CBC Results

    With iron deficiency anemia your iron, ferritin, and saturation will be low and your uibc will show high. Your hemoglobin can show normal and you can still be anemic and you can still have normal hemoglobin and get the symptoms. What was your hemocrit? To me your numbers are low, low enough to cause the symptoms you are having. I experienced every single one of the ones you listed, I could be freezing cold in the middle of summer. I would say you are most definitely anemic.

    I also wanted to add anemia is just a symptom of a larger issue going on, it could even be from having heavy periods over time your body just runs out because it can't keep up.

    My vision is sometimes blurry as well. Mostly in the mornings when I first wake up and my eyes feel dry a lot too, dizzy, dry mouth off and on, feeling lopsided, vertigo, tired, the list goes on and on and I think the blame should go to the low ferritin. Have you had your B12 and D levels checked as well? I know being low on B12 can cause some of the same symptoms which I was low on as well.

    Last edited by Heatherx5; 07-25-2012 at 05:01 PM.

     
    Old 07-26-2012, 11:45 AM   #3
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    Re: Help with Symptoms and CBC Results

    Skymama10, I'm sorry you've been dealing with this. What are the docs doing for you? Are you taking iron now? It does sound like potential anemia to me but I'm not a doctor. After your tests, the docs should've told you if you're anemic or not. Have you not had the chance to speak with your doc yet? You should asap so you can begin getting the help you need. Taking iron certainly won't hurt since you are low on it. I'd start taking it right away but ask your doc how much he/she thinks you should take and how many times a day.

    I agree with everything Heather said and if you've not had your B12 and D checked, I'd definitely get that done. B12 helps make iron work better in your system. It does for me anyway. I never got the cold feelings like you described, I'm actually always hot, and when my iron is too low I get even hotter for some reason.

     
    Old 07-26-2012, 10:37 PM   #4
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    Re: Help with Symptoms and CBC Results

    You are Iron Deficient Anemic by what you are describing. Your labs are very simular to mine. I recently had my first Iron IV Infusion and Im starting to slowly see a decrease in some of the symptoms. Biggest one gone is my ice cravings.. :}

    Over the past year I had 2 doctors kinda blow me off and say to just take some iron suppliments. I couldn't take them and slowly got worse till I hit rock bottom with zero liver iron stores and extreme fatigue, high HR, High BP, etc... I found a new doctor and when she saw my levels freaked and sent me to the GI and Hematologist. Within a week I saw him and was in for the infusion.

    I would urge you to not play with this. I tried to brush it off, "oh it will get better", and I let it get way out of hand. Im 30 and feel like Im in my 80's (stamina wise). If your insurance allows schedule an appointment with a Hematologist. If not ask your primary doctor to refer you to one! Over my doctors visits and referrals I wish a year ago when we discovered my levels were this bad I would have went straight to the hematologist. They to me know the best on how bad it is and the best treatment you should take!!


    Wanted to add my levels were as follows and considered in the severe range per my Hematologist.. Also to this day Im doing testing (next with OBGYN) to try and find the cause... Like mentioned above something bigger is causing the anemia (blood loss, absorbtion, etc)!!

    Iron - 12 (normal range 42-125)
    TIBC - 458
    %SAT - 3%
    HEMOGLOBIN - 9
    Hematocrit - 31
    MCH - 23
    Ferritin - 4
    WBC - 6
    RBS - 4


    GL and I hope you get to feeling better soon!

    Last edited by Suzie0225; 07-26-2012 at 10:42 PM.

     
    Old 07-26-2012, 10:56 PM   #5
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    Re: Help with Symptoms and CBC Results

    The anemia could definitely cause fatigue, pallor, cold hands and feet, and dizziness and fast pulse with exertion. The question is, why are you anemic and your iron levels so low? Usually it is caused by diet low in iron, heavy periods or poor absorption. I would wonder if you have an absorptiom problem associated with a gluten intolerance. Less likely, it may be that your red cells are being destroyed by antibodies. I would ask for tests for celiac disease, gluten sensitivity, and a retic count and Coombs test to check for destruction. You should be on iron supplement as well, daily, for 3-4 months while the cause is being sought.

     
    Old 09-06-2012, 08:30 PM   #6
    Skymama10
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    Unhappy Re: Help with Symptoms and CBC Results

    Thank you so much for all of the replys. I definitely think my anemia is due to absorption issues. I have chronic gastritis, ibs and have been on a PPI (strong antacid drug) for a very long time. Also I am borderline hypothyroid, which I heard can also be related to anemia. My B12 and Vitamin D levels are very good according to my doctor. I do take b12 shots monthly. I have been tested for Celiac which was negative. I may have a gluten sensitivity though. I was told that I should be on iron infusions, but I am extremely scared about side effects. Any advice regarding what to expect/outcome?? I cannot tolerate oral iron bc it upsets my stomach terribly and honestly I don't think I would absorb it.

    Again, thank you for all of your kind responses. I'm still waiting to be treated

     
    Old 09-06-2012, 08:57 PM   #7
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    Re: Help with Symptoms and CBC Results

    I can't advise you on what will happen but I can tell you what is going to happen will probably be pretty mild compared to how you feel now! You first posted this on 7-25 and still have not been treated, WOW! You must feel terrible!!!

    Don't be scared just do it! Most of the reactions people have are easy fixes, be it allergic or just not doing well with a certain iron. Just take care of it Sky for yourself!!

    I wish my Dr. would offer me an infusion! My iron is just being so dumb right now.

    Last edited by Heatherx5; 09-06-2012 at 08:57 PM.

     
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