Can malabsorption cause fatigue, malaise, dizziness, and hair loss?
Hello doctor,
I am a 43 year old female. I visited my doctor last week and she said I do not have anemia because my MCV is within normal limits. I have fatigue, malaise, hair loss, shortness of breath on exertion, dizziness, pale skin, and I bruise easily. I have a history of gastric bypass surgery 10 years ago. I have a dual-chamber pacemaker because of severe tachycardia. I also have hypothyroidism, malabsorption secondary to gastric bypass, and heavy menses. I am currently taking Ranitidine and Levothyroxine. I had an iron infusion seven months back but the result did not last long. Last week my doctor said I am not anemic and that she wants to watch my MCVs, she ordered a B12 injection and wants me to do a repeat CBC (complete blood count).
Does this seem reasonable, or would you say from the trend in my reports that I am anemic, and would benefit from further iron infusions as I am suffering from malabsorption? Kindly suggest.
Thank you.
29 Apr 2024 - 1 min read
Can beta thalassemia minor affect the relationship DNA test?
Hi doctor,
I am beta thalassemia minor. If I go for a relationship DNA test with my son, will the DNA report be false due to this?
25 Apr 2024 - 1 min read
What is the prognosis of pulmonary Koch's disease?
Hi doctor,
My friend was diagnosed with refractory T cell ALL pulmonary Koch's with the organized pericardial collection. He was admitted to a hospital and now they discharged him and advised further treatment. Please give me valuable advice. What is the current condition? And how much is the percentage of living?
25 Apr 2024 - 1 min read
Is a sudden drop in neutrophil and WBC count concerning?
Hi doctor,
I am a 30-year-old woman. I have recently lost a pregnancy at 19 weeks due to membrane rupture. I had induced abortion with Misoprostol two weeks back and there is no complication since. I have had a CBC done almost every week from the starting of my pregnancy and they were all absolutely normal. A month back I had normal complete blood count with WBC 7.5 and neutrophils 5.2. After abortion, I had some trouble being tired and sleepy, hence I have repeated the CBC yesterday. Everything came out the same except for the WBC which is now 4.7 and the neutrophils are 2.28. I have been very stressed out with the abortion experience and I am very much disturbed, depressed, tired and sleepy both during and after the procedure. The obstetrician did not seem concerned, but I was surprised by the drop. I am worried that this drop in neutrophils might be something more worrisome like leukemia. I do not have any fever, flu or cold for many months. I took Propylthiouracil for a few months recently but stopped right before the abortion. I had a urine culture yesterday which is also clear. I have no other symptoms but some pain in the lower abdomen which the doctor said was normal after the abortion. I had a similar neutrophil count three years ago. At that time it was 2.15, so it is not unheard for me. But I am more concerned about the quick drop. Is it something I should be worried about? I feel so tired and overwhelmed by all that happened with the pregnancy.
Kindly help me.
23 Apr 2024 - 1 min read
What causes recurrent fever and body pain in a 13-year-old?
Hi doctor,
My son is 13 years old and his weight is 101 lbs. His WBC is 6000, lymphocyte is around 50% (checked thrice in the last two years), Hb is 11 g% and HbE trait. His overall health is fine, but he is getting recurrent fever attack of around four to five times in a year with severe body pain. Please help.
23 Apr 2024 - 1 min read
