EXPERT
Samuel Friedman
Hematologist-Oncologist | Hematology & Oncology
- Tamuning, Guam
- University of British Columbia
- Accepting new patients
People Behaving Badly, Or Why There Is a Medical Crisis in Guam
Originally published in The Guam Daily Post, Letter to the Editor (Part 1/Part 2)Oh, the poor folks hate the rich folksAnd the rich folks hate the poor folks. All of my folks hate...
For Shame, Guam!
Uruguay is a small, democratic country on the east coast of South America atop Argentina. Unlike many of its co-continental nations, it has distinguished itself as a viable, true,...
Truth in Medical Advertising or "Fake News"
Originally published in The Guam Daily Post, Letter to the EditorI read an interesting article in a medical journal recently from the Department of Medical Ethics at New York University...
A Swing Too Far
It has been difficult to avoid the news this past year or so—with the ongoing opioid epidemic in the USA and the hysterical swings authorities, of various stripes, have been taking...
Blood LDH level?
How long does postpartum anemia last?
Diabetes blood test different meter answers?
What does low hemoglobin mean after surgery?
Can a CT scan confirm a blood cancer?
Iron based anemia vs something else?
Lab result question?
What is the best schedule for a child with anemia?
What could this lump be besides lymphoma?
Do blood transfusions help cancer patients?
What causes lymphoma to develop in adults?
Extreme fatigue and lab results?
1) you obviously had bleeding in excess of your iron intake which could have been from the intestine or menstruation. This caused iron deficiency and severe anemia. Your stool should have been checked and still should be checked for occult blood to see if indeed you are bleeding from the bowel. Iron three daly is ridiculous and shows poor knowledge. One tablet, three times per week with meat or fish and not with dairy products or vegetables should be more than enough.
2) your lab values are reasonable now and I question if you need to continue iron if you are not further bleeding anywhere.
3) "possible immune gastritis" is disturbing as this is often a prelude to atrophic gastritis and pernicious anemia due to vitamin B12 malabsorption and deficiency. as well as a higher incidence of malignancy, especially lymphoma.
4) Atrophic gastritis is sometimes found in so-called Schmidt's syndrome an auto-immune disease affecting several endocrine organs like the thyroid and adrenal glands, which could certainly cause fatigue. You are the right sex and age for this and perhaps an endocrinologist may be helpful.