The criteria for diagnosing anemia is not low hemoglobin only. There are other criteria too like iron levels, red blood cell counts etc. Ferritin is a blood test which evaluates for the total iron available in the body. Serum ferritin is the most useful test for diagnosing iron-deficiency anemia. Low serum ferritin (less than 12 ng/mL) is highly specific for iron-deficiency anemia. Please read this resource;
The most common causes of anemia are;
1) iron deficiency (with or without blood loss),
2) chronic disease/inflammation
3) chronic kidney disease
4) deficiencies of folate or vitamin B-12,
5) diseases of the bone marrow
6) hypothyroidism, hypersplenism, and hemolytic anemia
So investigations for anemia entail;
1) Complete blood count (CBC)
2) Peripheral blood film / smear; this is blood spread on a slide and seen under microscope for looking at the size and configuration of the blood cells.
3) Vitamin B-12
5) Reticulocyte count
7) Thyroid-stimulating hormone
8) Serum creatinine and estimated glomerular filtration rate
9) Serum ferritin
10) Serum iron
11) Total iron-binding capacity.
It seems that you had a panic reaction because of the symptoms and also because it is a undiagnosed issue. Since you are taking blood pressure regularly and monitoring it, medication may not be required.
a) Patients with the mild high blood pressure / hypertension do need to restrict table salt which is considered as a prime regulator of the blood pressure. It is advised to reduce sodium intake to no more than 2.4 g sodium or 6 g sodium chloride per day. It is also advised that adequate intake of dietary potassium (approximately 90 mmol/d), helps in reducing the blood pressure.
b) Following dietary and nutrition measure are strongly recommended to bring down the blood pressure;
A diet rich in fruits, vegetables, and low-fat dairy products may lower blood pressure by 10-16 mm Hg.
Oral potassium supplement may lower both systolic and diastolic pressure. Calcium and magnesium supplements, too, decrease the in blood pressure.
Low alcohol consumption lowers the blood pressure.
Stop smoking, if you do and reducing intake of dietary saturated fat and cholesterol benefits tremendously in overall cardiovascular health.
Following reduce and regulate the blood pressure:
2) Fish oil
3) Herb Hawthorn
4) Coenzyme Q10 (CoQ10).
Ultrasound is not good enough investigation for the thyroid and a blood work for the thyroid should be done for your symptoms. You need to get all the other tests too which we had discussed. Possibilities of the diagnosis in your case can be;
1) Thyroid abnormality
2) Acid reflux
3) Pinched nerves in neck
4) Esophageal (food pipe) motility disorder.
Some of these above conditions can be concomitant. I am not worried about an heart condition in your case but I suggested heart tests as these should be done for the cautionary purpose and to categorically rule out heart as a culprit.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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