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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Stomachache While On Metformin For Diabetes?

My friend 48 year old female, on metformin w/ diabetes presents with low iron, she has had severe stomach pains, red blood count is off. Her dr s have asked her about long car rides or long airplane trips in the future? what do you think she has?
Tue, 5 Nov 2019
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Endocrinologist,  's  Response
Hi,

Low iron means anemia or exactly iron deficiency anemia. Severe stomach pain can be caused by a gastritis or a stomach ulcer. Ulcer can cause anemia and deplete the iron stores in the body. Metformin can cause gastrointestinal symptoms as side effects but in my opinion this is not your friend's case.

To resume my answer: In my opinion, your friend has a gastric ulcer that has caused iron deficiency anemia. A gatric fibrogastroscopy is necessary to confirm the diagnosis and than the doctor can start the treatment with a PPI drug and iron supplements.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Elona Xhardo, Endocrinologist
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What Causes Severe Stomachache While On Metformin For Diabetes?

Hi, Low iron means anemia or exactly iron deficiency anemia. Severe stomach pain can be caused by a gastritis or a stomach ulcer. Ulcer can cause anemia and deplete the iron stores in the body. Metformin can cause gastrointestinal symptoms as side effects but in my opinion this is not your friend s case. To resume my answer: In my opinion, your friend has a gastric ulcer that has caused iron deficiency anemia. A gatric fibrogastroscopy is necessary to confirm the diagnosis and than the doctor can start the treatment with a PPI drug and iron supplements. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Elona Xhardo, Endocrinologist