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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hypochromic Microcytic Anemia With Anisopoikilocytosis

i have 50 years old menopause with no history of any bleeding my Hb is 10 gm and i have hypochromic microcytic anemia with anisopoikilocytosis . What is the possible cause and what is the best treatment.?
N.B :I eat everything and I am not a vegeterenian
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Mon, 7 Jul 2014
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Geriatrics Specialist 's  Response
Hi,
Microcytic hypochromic anemia is common in females due to iron deficiency.
Looking at your history, if menstrual loss is ruled out, I can think of three other causes.
1. Bleeding from other places like gut - stomach or intestinal bleeding. - look for dark color of stools or is it blood tinged
2.parasitic infections of gut - you need to get a stool examination for ova, cyst and blood
3. Inadequate iron intake.- can be ruled out based on your diet.

Based on further tests, cause can be identified. Now, you need to start on iron tablets therapy to improve iron levels.
Response to therapy can be checked by doing reticulocyte count after 15 days.
Any further queries, happy to answer again.
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Suggest Treatment For Hypochromic Microcytic Anemia With Anisopoikilocytosis

Hi, Microcytic hypochromic anemia is common in females due to iron deficiency. Looking at your history, if menstrual loss is ruled out, I can think of three other causes. 1. Bleeding from other places like gut - stomach or intestinal bleeding. - look for dark color of stools or is it blood tinged 2.parasitic infections of gut - you need to get a stool examination for ova, cyst and blood 3. Inadequate iron intake.- can be ruled out based on your diet. Based on further tests, cause can be identified. Now, you need to start on iron tablets therapy to improve iron levels. Response to therapy can be checked by doing reticulocyte count after 15 days. Any further queries, happy to answer again.