What is the treatment for anemia in a 28-year-old female who is a thalassemia carrier?

Question

Hi doctor,

I am a 28-year-old female have been suffering from anemia. I am a carrier of thalassemia. I have severe fatigue, headaches, dizziness, and bone pain. I recently had blood work and I am unsure what it all means. I want to fix this and find a better course of treatment, more than just taking some iron supplements. As per my report, my hemoglobin is 11.9 g/dL, mean corpuscular volume is 77 fL, mean corpuscular hemoglobin concentration is 32 g/dL, iron is 197 mcg/dL, iron % saturation is 55 %, and ferritin level is 18 ng/mL. Please help.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

You are having complaints of headache, dizziness, and bone pain. Your hemoglobin level is 11.9 g/dL, and the normal level is between 12 to 16 g/dL for females. Hence it needs to lead to such a presentation. Check your blood pressure first, which can lead to headaches and dizziness. Second otitis media-like ear infection ruled out by otoscopy examination. For bone pain, serum calcium and vitamin D3 levels need to be checked. If you have diarrhea and frequent intolerance to heat, check hyperthyroidism by serum TSH (thyroid stimulating hormone) and T4 (thyroxine) estimation. Investigate with CBC (complete blood count) and peripheral smear examination also. According to cause, specific treatment is given. If no particular reason is found, then it might be stress-induced chronic fatigue pain. Mention any further report and positive history if present.

I hope this information will help you.

Thank you.

What is the treatment for anemia in a 28-year-old female who is a thalassemia carrier?

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