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Yes, Hb 10.2 with low serum iron looks like iron deficiency anaemia, so you do need iron. With IBS-D, ferrous bisglycinate or iron polymaltose suits better than ferrous sulphate. Take one tablet daily or on alternate days, empty stomach or with light breakfast, with lemon water or amla. Keep tea, coffee, milk and calcium 2 hours away. Usually 3 months after Hb normalises to refill stores.

Hello, Take Balanced diet which is mentioned below, 1/3 of food plate should contain bread ( or 4 roti ), pasta, potato and rice. 1/3 of food plate should contain fruits and vegetables. 1/9 of food plate should contain fish, meat, egg, beans and other non dairy sources of protein. 1/9  of food plate should contain milk and dairy foods. 1/9 of food plate should contain food and drink high in fat and/ or sugar.   plus a glass of milk daily.   For prescription contact me at WhatsApp at +91959508739nine or consult by practo app. In future if consultations are required than contact me at WhatsApp at +91959508739nine or consult by practo app. Thanks.

You can take iron, combined with folic acid supplements,  ,morning and evening, after meals, for 4 weeks.. Tab uprise 60,000 units once a week for 8 weeks.

Firstly I want to appreciate your clear way of expressing your problem. Secondly, you divide your MCV with RBC count. If it is less than 13 then you have a problem. Thirdly considering your anemia is due to iron deficiency and your having IBS D, the best iron supplement would be iron bisglycinate (chelated iron) or polysaccharide iron complex which are best tolerated. Take any good brand.

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

Yes u need ro take iron and vitamins supplements. Since u have ibs d problem, its better to take iron injection

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Your Hb is low and the low serum iron may suggest iron deficiency, but ferritin and iron studies (TIBC/TSAT) are needed for confirmation. If iron deficiency is confirmed, ferrous bisglycinate is often better tolerated in people with sensitive stomach/IBS-D. Take it once daily or on alternate days as advised, and continue until Hb normalizes and iron stores are replenished. Avoid taking iron with tea/coffee, calcium/dairy, or antacids; separate these by 2–3 hours. Your vitamin D is also mildly low and can be supplemented

Aapki reports dekhne par Hb 10.2 g/dL aur serum iron 37 µg/dL hai, jo iron deficiency ki possibility ko strongly suggest karta hai. Vitamin B12 normal hai. Vitamin D 23.6 ng/mL mildly low/insufficient range mein hai. Meri advice hogi ki iron treatment start karne se pehle serum ferritin, TIBC/transferrin saturation aur CBC indices (MCV, MCH, RDW) ko bhi consider kiya jaye, kyunki sirf serum iron se iron deficiency confirm nahi hoti. Aapka stomach sensitive hai aur IBS-D bhi hai, isliye main unnecessarily high-dose iron se start nahi karunga. Aapke liye low-dose, better-tolerated iron preparation such as ferrous bisglycinate consider ki ja sakti hai, generally around 40–65 mg elemental iron, often alternate days se start karna GI tolerance ke liye useful hota hai. Exact preparation/dose aapki complete reports aur history dekhkar decide karna better rahega.

Your report shows haemoglobin and serum iron below the reference ranges printed on it. Whether you need an iron supplement, and which type, dose and duration would suit your IBS, is a decision for your doctor after looking at the full report. It also helps to find out why your iron is low, since heavy periods are a common reason in women your age. Iron from food and supplements is absorbed better alongside a vitamin C source like lemon or amla. Keep tea, coffee, milk and calcium tablets a couple of hours away from it.