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What Causes Anemia, Fatigue And Pain In Legs?
Question: Hi Doctor
My age is 37 years. I have a 10 years old son. I am vegetarian and my regular diet is full of fibre and leafy vegetables. I have been experiencing the following problems
1) Severe anaemia
2) Pain in the legs
3) Fatigue
This has been happening for last 5-6 months. My doctor adviced for the following tests :
1) Pelvic Sonography ( report attached )
2) S folate
3) S B12
4) S ferritin
5) Iron binding capacity
6) HG electrophoresis
The report for sonography has come. It shows
a) Uterine fibroid
b) Thick endometrium with endometrial polyp.
My questions are as under :
a) Uterine fibroids and thick endometrium are responsible for anaemia?
b) If yes, what is the solution of the above problem? Kindly explain in detail as I don’t wish to go for surgery?
c) If surgery is the only available option , which one is safe and better ?
Your replies would help me to understand the problem in clear context so as to discuss with my doctor on the same lines.
Regards
My age is 37 years. I have a 10 years old son. I am vegetarian and my regular diet is full of fibre and leafy vegetables. I have been experiencing the following problems
1) Severe anaemia
2) Pain in the legs
3) Fatigue
This has been happening for last 5-6 months. My doctor adviced for the following tests :
1) Pelvic Sonography ( report attached )
2) S folate
3) S B12
4) S ferritin
5) Iron binding capacity
6) HG electrophoresis
The report for sonography has come. It shows
a) Uterine fibroid
b) Thick endometrium with endometrial polyp.
My questions are as under :
a) Uterine fibroids and thick endometrium are responsible for anaemia?
b) If yes, what is the solution of the above problem? Kindly explain in detail as I don’t wish to go for surgery?
c) If surgery is the only available option , which one is safe and better ?
Your replies would help me to understand the problem in clear context so as to discuss with my doctor on the same lines.
Regards
Brief Answer:
polyp is causing menorrhagia and heavy menses, causing anemia
Detailed Answer:
Hello,
Thanks for contacting healthcaremagic.
Going by your history, it appears that you have been suffering from severe anemia secondary to probable acute blood loss during menses or during intermenstrual period.
On ultrasound there is a presence of an endometrial polyp which is the most common cause for heavy menses and also prolonged menses with passage of clots. so it had to be removed hysteroscopiclly. How ever the anterior wall fibroid is small and not impinging the uterine cavity and hence cant cause bleeding. So its removal is not warranted.
The fatigue and body pain is because of anemia itself. The tests which have been ordered are to rule out iron deficiency anaemia or any other cause of anemia like helminthiasis or intestinal worms.
Severe anemia is less than 6 gm% , so you may require blood transfusion before hysteroscopic removal of polyp is contemplated.
you may review with your menstrual cycle details and other reports.
regards,
dr XXXXXXX XXXXXXX
polyp is causing menorrhagia and heavy menses, causing anemia
Detailed Answer:
Hello,
Thanks for contacting healthcaremagic.
Going by your history, it appears that you have been suffering from severe anemia secondary to probable acute blood loss during menses or during intermenstrual period.
On ultrasound there is a presence of an endometrial polyp which is the most common cause for heavy menses and also prolonged menses with passage of clots. so it had to be removed hysteroscopiclly. How ever the anterior wall fibroid is small and not impinging the uterine cavity and hence cant cause bleeding. So its removal is not warranted.
The fatigue and body pain is because of anemia itself. The tests which have been ordered are to rule out iron deficiency anaemia or any other cause of anemia like helminthiasis or intestinal worms.
Severe anemia is less than 6 gm% , so you may require blood transfusion before hysteroscopic removal of polyp is contemplated.
you may review with your menstrual cycle details and other reports.
regards,
dr XXXXXXX XXXXXXX
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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