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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Blood Test Result For Fatigue And Swollen Ankle And Eyes Indicate?

I feel fatigue, cant even walk sometimes, shortness of breath for daily simple taks...ankles & sometimes eyes, wrists are swelling. Below are blood test results- HBA1c 4.7 (normal RDW-CV 17.6(normal 14) PDW 9.2(normal 9.6) GGT 40 (normal SGOT 24(normal 31) SGPT 28(normal 28) albumin 4(normal 4.8) thyroid normal kidney profile normal iron 38(normal 60) i have been always prescribed iron suppliments, multivitamin medications but its not helping.
Mon, 19 Jun 2017
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Anesthesiologist,  's  Response
Hello,

The fatigue and shortness of breath is due to Iron deficiency anemia as it is evident from the increased red cell distribution with (RDW) and low serum Iron levels.
There can be multiple causes for the iron deficiency anemia like:
1) Nutritional deficiency (most common)
2) Worm infestation in intestine
3) Occult blood loss from gastrointestinal tract
4) Bleeding
5) Drug induced
6) Defective absorption from intestine
7) Chronic diseases causing inflammation in the body

The cause of your iron deficiency anemia needs to be found out. It would have been better if you have mentioned the hemoglobin level of your blood, your age. Treatment depends on severity of symptoms and level of hemoglobin.
My advice to you is:
a) Improve your diet with iron rich food
b) Get a peripheral smear of blood done
c) Kindly do ESR and occult blood in stool

The symptoms you have mentioned point toward the need for red cell transfusion. Kindly consult a physician with the above said investigation reports.

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

Regards,
Dr. Meera Rajeev
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What Does My Blood Test Result For Fatigue And Swollen Ankle And Eyes Indicate?

Hello, The fatigue and shortness of breath is due to Iron deficiency anemia as it is evident from the increased red cell distribution with (RDW) and low serum Iron levels. There can be multiple causes for the iron deficiency anemia like: 1) Nutritional deficiency (most common) 2) Worm infestation in intestine 3) Occult blood loss from gastrointestinal tract 4) Bleeding 5) Drug induced 6) Defective absorption from intestine 7) Chronic diseases causing inflammation in the body The cause of your iron deficiency anemia needs to be found out. It would have been better if you have mentioned the hemoglobin level of your blood, your age. Treatment depends on severity of symptoms and level of hemoglobin. My advice to you is: a) Improve your diet with iron rich food b) Get a peripheral smear of blood done c) Kindly do ESR and occult blood in stool The symptoms you have mentioned point toward the need for red cell transfusion. Kindly consult a physician with the above said investigation reports. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Meera Rajeev