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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 32548
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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My daughter 28 y.o. is greatly fatigued almost sleeping 24

Customer Question

Hi,
JA: Hello. What do you want help with?
Customer: My daughter 28 y.o. is greatly fatigued almost sleeping 24 hrs in a day. Her last lot of bloods showed she was extremely low in iron and her body is not absorbing iron. Her local GP in Victoria thought she needed a blood transfusion. She has moved to Darwin to be with us for support just this week. am not sure how to proceed. Have a drs appt for tomorrow but it will mean waiting for results again and delaying something happening.
JA: In general, how has your health been lately?
Customer: My health or my daughters
JA: Anything else in your medical history you think the doctor should know?
Customer: She has mastocytosis. Not sure if there is a link with low iron and the disease or it is something separate
Submitted: 3 months ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 3 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  Dr. Arun Phophalia replied 3 months ago.

Mastocytosis can be related to her iron deficiency anemia. She should be seen by a doctor, as soon as possible. This is all the more necessary as her GP mentioned that she needs blood transfusion, which indicates that her hemoglobin is too low. You can consider going to Accident and Emergency services, where the investigations may be repeated and accordingly treatment decision can be taken immediately. A blood transfusion also can be done there.

A colonoscopy is usually advised as there can be polyps in the intestines (benign growths) which can bleed intermittently and can cause anemia. 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.

The most common causes 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 entail;

1) Complete blood count (CBC)

2) Peripheral blood film

3) Vitamin B-12

4) Folate

5) Reticulocyte count

6) LDH

7) Thyroid-stimulating hormone

8) Serum creatinine and estimated glomerular filtration rate

9) Serum ferritin

10) Serum iron

11) Total iron-binding capacity

So these investigations need to be done for the exact assessment and long term management.

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Expert:  Dr. Arun Phophalia replied 3 months ago.

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Expert:  Dr. Arun Phophalia replied 3 months ago.

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