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Low iron and high eosinophil
My recent blood test shows Hb 11.2 g/ dL, ferritin 8.84 ng/mL, serum iron 23.2 µg/dL and transferrin saturation 6.15%, consistent with iron-deficiency anemia. My eosinophils are also very high at 30%, with an absolute eosinophil count of 2268 cells/cu.mm.
I have been experiencing recurrent gastric/stomach pain and haven't taken a deworming tablet in a while. I am also a competitive athlete/rower and have noticed elevated heart rate and reduced performance.
Could the eosinophilia, stomach symptoms and iron deficiency be related, for example due to a parasitic infection? What investigations would you recommend? I used to take orofer xt tablets a while back, do I start taking it again
My VitB12 and VitD values are also in the lower end- 263 pg/mL and 18.5 ng/mL respectively.
Answers (14)
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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.
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It is most probably due to worm infection. Need proper treatment according to worm type.
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
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Consult
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Yes those symptoms could be due to worm infestation. Take tab bandy plus one after dinner with hot water or milk, repeat after 15 days.
Take oral iron, b12, vit d supplements.
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The combination of iron deficiency n mod eosinophilia n recurrent abdominal pain could be a parasitic cause particularly hookworm/Strongyloides, but other causes also need consideration.
Next Steps
As of stop iron tablets till abdominal pain subsides
Recommended to get few investigations done
Health Tips
Get a consultation n let’s discuss further
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Do consult
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Your results confirm iron-deficiency anaemia, and the eosinophilia needs evaluation; both may coexist, but a parasitic cause is not the only possibility.
Please consult a physician for stool routine/ova-parasite testing (preferably 3 samples), repeat CBC with smear, and assessment for allergy or other causes.
Start iron only after confirming a suitable dose and cause; do not self-medicate with deworming tablets.
Because you have reduced exercise performance, please book a consultation on Practo for a focused review.
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Ms. Maryada Goyal
General Physician
1 yrs exp
Jhajjar
It can be a Parasitic infection if you also observe low grade fever now and then. But a smear/ stool ova/parasite testing will help there.
Next Steps
Consult a sports medicine expert
Health Tips
Meanwhile you can opt for dietary modifications, eat iron rich food.
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Dr. Sachin Bhiwaji Sanap
General Practitioner
8 yrs exp
Hingoli
It’s more likely IDA but Once take deworming tablet
And start the supplement for Vit D and B12
Repeat the reports after 1 month
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
The combination of iron-deficiency symptoms, high eosinophils, and ongoing stomach pain is worth investigating together rather than one at a time, since a parasitic infection can cause exactly this picture.
Next Steps
Ask for a stool test for ova and parasites alongside your iron workup, and loop in a gastroenterologist given how long the stomach symptoms have lasted.
Health Tips
Please don't restart any iron supplement on your own, since the right choice and duration depend on what the workup finds.
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