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A 34-year-old member asked:

how does pernicious anemia cause people to have achlorhydria?

2 doctor answers4 doctors weighed in
Dr. Ed Friedlander
Pathology 44 years experience
Common cause: Both pernicious anemia (inability to absorb vitamin b12) and achlorhydria (inability of the stomach to make acid) result from the same underlying problem -- autoimmune destruction of the inner mucosal lining of the stomach ("autoimmune atrohpic gastritis").
Dr. Agos Luca
Specializes in Pathology
The other way around: Achlorhydria (lack of adequate gastric acid production and secretion) is one of the causes of pernicious anemia and not the other way around. Normal gastric acid is essential for adequate absorption of vitamin b-12. Vitamin b-12 deficiency in turn causes pernicious anemia.

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A 37-year-old member asked:

Should I plan on resting if I have anemia?

2 doctor answers4 doctors weighed in
Dr. Padmavati Garvey
A Verified Doctoranswered
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No: It really depends on how severe your anemia is. Anemia is very common in pregnancy. The baby takes your iron stores. Also there is more water in your blood vessels so your blood count looks lower. Take your vitamins, eat lots of greens. Most women are not affected by the typical drop in their blood count and can function.
A 44-year-old member asked:

What are the effects of anemia on pregnancy?

2 doctor answers13 doctors weighed in
Dr. Padmavati Garvey
A Verified Doctoranswered
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Variable: If you are severely anemic then it could affect the baby's growth. If you are mildly anemic then your iron stores will become depleted because the baby will deplete your iron stores. Some people have medical problems like sickle cell or thalassemia and will always be anemic. Usually the treatment for anemia is to take extra iron supplements as prescribed by you doctor.
A 40-year-old member asked:

I wake up rested, but get extremely tired throughout the day. Could I be anemic?

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Dr. Padmavati Garvey
A Verified Doctoranswered
A US doctor answeredLearn more
Unlikely: Fatigue is more commonly a symptom of the pregnancy hormones.
A 21-year-old member asked:

What causes anemia during pregnancy?

2 doctor answers4 doctors weighed in
Dr. Michael Carson
Internal Medicine 29 years experience
Water Retention: During pregnancy your body makes more red blood cells, but your it also normally holds onto more water. The increase in water is greater than the increase in red blood cells, and that causes a mild anemia in almost every pregnant woman. Your body uses iron to make red blood cells, and because the baby uses iron, your obstetrician may determine that you need extra iron in the form of a pill.
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A 33-year-old female asked:

Please interpret mcv=74.50, mchb=24.40 and platelet count is 482. Could this be a sign of anemia?

2 doctor answers4 doctors weighed in
Dr. Romeo Mandanas
Hematology and Oncology 38 years experience
Microcytic Anemia: The red blood cell (rbc) indices MCV & MCH reflect the size of the red cell and the amount of hemoglobin (oxygen-carrying protein-iron complex) inside the rbc. Iron deficiency is the most common cause of low MCV & MCH often associated with microcytic (small sized cells) anemia. The platelet count also is elevated in many cases of iron deficiency anemia.

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Last updated Mar 20, 2017

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