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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.
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Avoid self medication.
To understand your condition please consult.
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History written is not enough. I need to enquire more. Pls opt for CONSULTATION
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Aapki reports mein iron-deficiency anemia clearly present hai — Hb 11.2 g/dL ke saath ferritin 8.84, serum iron 23.2 aur transferrin saturation 6.15% hain. MCV bhi low hai, jo iron deficiency ko support karta hai. Is wajah se fatigue, reduced exercise tolerance aur heart rate increase ho sakta hai.
Eosinophil count (AEC 2268 cells/µL) bhi significantly elevated hai. Parasitic infection iska ek possible cause hai, especially agar recurrent abdominal symptoms hain, lekin allergy, certain medicines aur other inflammatory/eosinophilic conditions bhi causes ho sakte hain. Isliye sirf deworming karke cause assume karna appropriate nahi hoga.
Aapke case mein physician evaluation ke saath repeat CBC with differential/peripheral smear, stool examination for ova & parasites (often more than one sample), aur exposure/travel history ke according further testing useful ho sakti hai. Persistent AEC elevation mein cause ko properly establish karna important hai.
Iron deficiency ka treatment bhi zaroori hai, lekin Orofer-XT ko bina current formulation, elemental iron dose aur previous tolerance dekhe blindly restart karna advisable nahi hoga. Menstrual blood loss, dietary intake aur GI blood loss/malabsorption jaise causes bhi assess karne chahiye.
Aapki B12 (263 pg/mL) aur Vitamin D (18.5 ng/mL) bhi lower side par hain, jinko overall nutritional assessment mein consider kiya ja sakta hai.
Aap chahein to online consultation mein apni complete history, menstrual pattern, diet, deworming history, allergies/skin symptoms, medications aur previous reports share kar sakti hain. In details ke basis par investigations aur treatment ko systematically plan kiya ja sakta hai.
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Your reports confirm iron-deficiency anemia (Hb 11.2, ferritin 8.8, TSAT 6.1%). This can explain fatigue, reduced exercise tolerance and increased heart rate, particularly in an athlete.
The AEC of 2268/µL is significant eosinophilia and, in the setting of recurrent abdominal pain, a parasitic helminth infection is an important possibility, although not the only cause. I would suggest:
* Stool routine/microscopy for ova and parasites (preferably 2–3 samples)
* Coeliac screening (tTG-IgA + total IgA) and consider H. pylori testing for persistent GI symptoms
* Repeat CBC with differential after evaluation/treatment; persistent eosinophilia warrants further work-up.
You can discuss restarting oral iron (Orofer-XT) with your physician; the appropriate dose depends on the elemental iron content and your tolerance.
Vitamin D 18.5 ng/mL is deficient and should be supplemented.
Next Steps
* Stool routine/microscopy for ova and parasites (preferably 2–3 samples)
* Coeliac screening (tTG-IgA + total IgA) and consider H. pylori testing for persistent GI symptoms
* Repeat CBC with differential after evaluation/treatment; persistent eosinophilia warrants further work-up.
Health Tips
I would not empirically deworm without evaluation, particularly with AEC >2000/µL.
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Need more history.
Any history of weight loss?
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Eosinophil
May cause
Allergic condition related to skin
Or
Respiratory system
Tab Hetrazan100 three times after food for 3 weeks.
Before starting medicine
Tab Albendazole400 one at Before breakfast with one glass of water. ONLY ONE.
HAEM UP OR
R B TONE 10 ML OR ONE CAPLET AFTER DINNER FOR TWO MONTHS.
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Do consult
need proper history and more investigations
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Kindly consult and give proper detailed history along with symptoms for evaluation and take proper timely treatment with relevant investigations if required.
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Most probably warm infestation
tablet gentle 1 teb one night for 1 day repeat after 7 days
bilastin decame one daily after breakfast after one month
blood for ths vitamin d3
for better openion please consult
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As it's showing the Iron Deficiency anemia and Vit D Deficiency with higher eosinophils which needs attention and presumption to avoid further complications
Beyond your sheet of reports it's also about to see towards your symptoms, diet and Lifestyle.
Eosinophilia might reflecting allergy.
Next Steps
Iron supplements, Vit D supplements, Diet management and a lifestyle build-up.
Health Tips
It's not just about a treatment course of 2 months it's more about your Lifestyle habits and what you eat throughout the Day to avoid further medications.
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Do consult
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The report point to iron Def anemia and high eosinophils count, perhaps due to worms or allergic disorders, and vitamin d deficiency.you can take ferrous biglycinate once a day.repeat the CBC after a few days,if eosinophils count remain high,get IgE consult a physician in your area
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please book a consultation with me for proper evaluation.
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Pls consult me on my WhatsApp no 864 zero zero 2 zero 56 zero
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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
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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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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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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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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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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs evaluation
Do consult
Uprise d3 capsule weekly once for 12 weeks
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You need to consult online
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Shariqua Kouser
General Physician
2 yrs exp
Vellore
It's is iron deficiency anemia Probably due to hookworm infection
Next Steps
reasses stool examination and blood tests too
and mainly book ur consultation for more evaluation and treatment
Health Tips
high iron rich diet
seek medical advice urgently if u develop severe or frequent abdominal pain , weightloss, bleeding
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
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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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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.