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Iron Deficiency Anemia (weight loss con)
Hb 6.8 Since 1 Year, No Improvement
Female (unmarried) | Age 25, weight: 38 kg, height: 5.3.
I’ve been suffering from anemia for 6–7 years. My hemoglobin remains at 6.8 g/dL despite multiple treatments and a healthy diet.
Had typhoid/stomach infections 2–3 times.
Constant fatigue, weakness, pale skin, weight loss.
White hair and increased hunger despite low weight. Liver, thyroid, and sugar reports are normal.
Iron tablets cause stomach issues; I can’t tolerate them.
Doctors give meds but no clear diagnosis. Recent Reports Summary (19-May-2025):
✅ Liver Function Test: Normal
✅ Thyroid Profile (T3, T4, TSH): Normal
✅ Blood Sugar: Normal
⚠️ CBC:
Hemoglobin: 6.8 g/dL (Severely low)
RBC Count: 3.22 million/µL – Low
PCV: 21.2% – Low
MCV, MCH, MCHC: All low → Microcytic Hypochromic Anemia. Platelets: Normal (2.28 lakhs). Please guide me:
What could be the cause?
What tests should I do next?
Any gentle and affordable iron treatment options?
I am really worried. Please help.🙏
Answers (27)
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You may need proper tests, like stool tests, iron profile, and other tests, maybe bone marrow examination. Need to consult a doctor soon as this is very low haemoglobin, you may need iron in injectable forms if you are unable to ingest it
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Take proper consultation as soon as possible
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Hi, anemia at your age can be due to many reasons like heavy bleeding during periods, Parasite infection in the tummy and poor diet.
If you are not able to tolerate iron supplements you may take Ferric carboxymaltose injection with a doctor's prescription.
A stool test to look at parasites will be helpful. If despite iron your anemia persists or recurs , you will need further investigations
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Dr. Vishali R
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
9 yrs exp
Chennai
Hi. Thank you for sharing.. kindly check on deworming tablets which needs to be taken. As that can also be one of reasons for low HB
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Kindly connect and consult
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Need few more details
Kindly consult
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Hello,
Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
Thanks.
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Haeme up is best
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You need to get properly investigated at hospital. Not on tele consultations. You may have some parasitic infestation or some type of rare anaemia
Next Steps
Go to hospital
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You have done all the required investigations. Please consult a General Physician in your area for further management. I feel you definitely need IV Iron injections . You may need blood transfusion too. A remote possibility of needing Bone marrow biopsy.
You are not the case for Tele-consultation.
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The values you have mentioned, point to iron deficiency anemia.You may do a serum iron profile to confirm.If confirmed take ferrous bisglycinate known to be very gentle on the stomach.If you can not tolerate,then consider going for infusion of ferric carboxy maltose injections.
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It is Iron Deficiency Anemia ,if you are not aBle to tolerate oral iron tablets ,atleast you should take iv iron injections on alternate days.
Next Steps
Take iron rich foods
Health Tips
avoid tea,coffee as they may hinder iron absorption.
Drink lime juice which has Vit C which promotes iron absorption
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Avoid fried food and spicy
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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You need to get iron studies with ferritin levels done . Iron tablets are known to cause stomach issues and have benefits over long term , after taking for 2 months your iron levels start building up . Better to take iv iron , in the form inj ferrinject . Please consult with all your reports . For better guidance .
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Need to do investigation iron profile
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Detailed history is needed, do you have excess bleeding during periods?
Get serum total iron , ferritin, total iron binding capacity, reticulocyte count done.
Take fefol capsule one after meals 3 times daily for 8 weeks.
For stomach issues, you can take laxatives if constipation.
Tab vitamin c 500mg one morning and one evening for 30 days
Take green leafy vegetables, beetroot, pumpkin, dry fruits like raisins, apricots, fresh fruits like pomegranate , guava.
Also take protein supplements like proteinuria.
Repeat Haemoglobin after 4 then 8 weeks.
Share results.
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according to your blood report it's iron deficiency anemia. But the haemoglobin count is too low so wee need other investigation like serum iron, serum ferritin, TIBC, PERIPHERAL SMEAR .
Most of iron supplement cause stomach upset up on taking . You need to drink plenty of water. If tablet didn't show improvement. We need to give iron as intravenously based on patient weight.
Next Steps
take albendazole first and repeat after 2week
Health Tips
Eat plenty of leafy vegetables, Raisins. and also take vit c tablet along the iron tablet. avoid Tea and other milk products at the time of iron supplement
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Need few more details
Kindly connect.
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Go for thalassemia test one of the most important cause.
Till than
Haem up caplet one at night. Polybion lc syr10 ml after dinner for one month.
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For detailed evaluation of your case/further queries /guidance/management plan,whatsapp nine three seven zero two eight four three seven six or connect via Practo.
Please consult with all your reports by booking a proper time slot.
You need proper detailed evaluation
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You should get iron sucrose via IV therapy..
And a detailed history is required and any investigations you underwent just to find out any internal cause of blood loss… kindly consult
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Connect
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For a HB of 6.8 , IV therapy is advised.
If you get constant stomach issues, I suggest you to deworm once in 6 months , as worms are the common causes for chronic anemia
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated.
Take iron supplements.
Iron rich food
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult local general physician need complete examination
Proper investigation and treatment, regular follow ups ,do not neglect,if u contact online will guide ,but need a complete general physical examination
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Dr. Sunil Nagar
General Physician
17 yrs exp
Rewa
Connect
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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
Hb electrophoresis helps
Next Steps
consultation
Health Tips
iron rich diet
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Dr. Shreyas Singh
General Physician
2 yrs exp
Haldwani
It can be due to infection or condition like celiac disease can be there as per history.
Kindly consult me personally via chat and provide proper history. So that we can reach a proper diagnosis and treatment can be done with follow up if needed
Thank you 🙏😊
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.