Consult a physician.

Long use of antacid may be the cause, Go for thalassemia test.

Need some more details kindly consult

You need to do cbc , iron profile, b12 levels. Chronic Pan tablet reduces iron and b12 absorption. Then you can get iv iron injection

You need complete iron  folic acid and b12 levels done plus study for haemoglobinopathys. If it is only iron deficiency, than iron can be given by injection.

This indicates severe iron deficiency anemia. Long-term Sompraz reduces iron absorption, so tablets may not work. Best option: IV iron therapy under medical supervision Cause of anemia must be evaluated. Consult me on Practo for proper anemia management.

I cannot believe I am reading this in 2026. For Women in your age iron deficiency anaemia is usually due to periods. Saying that some have other reasons to do with bowel issues. Please do the following, 1. https://amzn.in/d/dyPWbRq This is the link to something called ‘Iron fish’. (You put that in the cooking pan or dish in which you cook your food. The fish stay inside the pan and iron disperses into the food without changing the taste. This idea came from a project done in Africa more than 10 years ago). 2. Can have intravenous Iron at your local hospital (which is good if you can’t tolerate oral iron) 3. Blood tests- Coeliac test (IgA-TTG), B12 and Folate 4. Long term Somprz 40 like medications significantly increase your risk of developing Osteoporosis (brittle bones) and are known to increase risk of Stomach Cancer. So you really need to find out from whoever suggested it, do you really need to keep taking it. 5. Your target Haemoglobin is at least 12. All the best. J G S R clinic.

If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion

You can't take T.Sompraz for such long duration. For further evaluation and management kindly consult me on practo

Long term use of these tablets tends to cause depletion of protective acid cover of stomach, rhus increasing vulnerability for infections and even cancer. Therefore try to stop tablets for some time. Take small, frequent meals,  avoid fried and spicy food, late evening meals,  heavy meals in evening, alcohol, excess of tea, coffee. Drink more water. Get test done for H.pylori, upper G.I. endoscopy and share results,  then I can help you to heal.

it is not advisable to take PPI for long term as they can cause various side effects.you will need workup.please connect in practo so that I can guide you

longterm ppi uses aggravate the iron absorption, that's why you are anemic and low levels.please consult me for proper time to take these medications to avoid interaction between them.you need to further testing also like complete iron profile and then consult me for further evaluation and guidance.

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Need not worry Iron rich diet Drink plenty of water

Avoid fried and spicy food Water intake more Do connect and consult

Consult Gastroenterologist

Need a few more details please consult for further evaluation and treatment

Can help you, kindly consult and provide detailed history for proper diagnosis and further management