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Doctor insights on: Borderline Anemic

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Dr. Steven Ginsberg
1,239 doctors shared insights

Anemia (Definition)

Anemia refers to any condition where there is a decrease in the red blood cells in the body. There are numerous causes of anemia but they can basically be broken down into 3 categories: decreased production of red blood cells increased destruction of red ...Read more


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Can a person experience some symptoms of anemia without being anemic? Borderline anemic? His hct was about 40, he is often tired, pale, eats ice, etc.

Can a person experience some symptoms of anemia without being anemic? Borderline anemic? His hct was about 40, he is often tired, pale, eats ice, etc.

Yes: You can have iron deficiency without having anemia yet. You could have vitamin B12 deficiency-without having significant anemia-yet etc. Yes, you could feel tired etc. But having said that, those symptoms also can be caused by different things like depression, thyroid problems, high blood sugar, chronic disease etc. D/w your md- and your doc can check few basic labs to help him out. ...Read more

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Ferritin 25 MCV 82 Hemoglobin 136 RDW 15.9 RBC 5.11 One doc says it's fine. Another says it's borderline anemic. Will a multi with 14 mg iron help?

Ferritin 25 MCV 82 Hemoglobin 136 RDW 15.9 RBC 5.11 One doc says it's fine. Another says it's borderline anemic. Will a multi with 14 mg iron help?

Borderline: I'd like to know why the iron is lowish. Heavy periods? Vegetarian? Blood donor? Is there the possibility of a bleeding ulcer or colon cancer? If there is no sign of serious undiscovered illness, then this is an okay supplement. ...Read more

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33 yrs old & my heart skips beats. A MRN said I have Thalassemia . I get out of breath easily. Low iron. Borderline anemic. What could that mean?

33 yrs old & my heart skips beats. A MRN said I have Thalassemia .  I get out of breath easily. Low iron. Borderline anemic. What could that mean?

Thalassemia: Thalassemia , also called "Mediterranean anemia " , affects people from that area as well as descendants of the same. There are basically 2 forms- Major and Minor. Most likely your's is minor. Most people wit this form are OK but do exhibit tiredness and other symptoms of low blood count. ...Read more

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Diagnosed with autoimmune pernicious anemia 5 years ago. Levels still low or at times borderline despite monthly injections of cyanocobalamin.

What's wrong?: If the level of B12 is not enough you may need a larger dose. If you mean you still have a mild or borderline anemia that can be OK. There is no reason to make you better than normal ( borderline is still normal ). I see you have a low ferritin and a high iron saturation. Talk with your doc about why those numbers are what they are. You may have another source of anemia. ...Read more

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Borderline anemia (3.7) w/ high MCV (103) high mch, -40lbs weight loss/fatique/pain/prssr under left ribs, random node swellng. Worry or no?

Borderline anemia (3.7) w/ high MCV (103) high mch, -40lbs weight loss/fatique/pain/prssr under left ribs, random node swellng. Worry or no?

Very worried: There are many possibilities, but based on what youve told me, you have malignant lymphoma until proved otherwise. It's your life and your risk of missing an opportunity for cure before it's too late. If you don't have confidence in the physician who ordered the bloodwork, please get with a practice group that you trust. ...Read more

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Slightly yellow eye balls, especially mornings.Skin normal color doesn't drink alcohol.Prior history of borderline anemia. Green eyes. What can it be?

Insufficient info: It is not feasible to provide a meaningful opinion from the available information. It would be prudent to see your doctor for an evaluation, especially in the yellow color of the eyeballs is recent. Hemolytic anemia causing mild jaundice is one possibility. ...Read more

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Is there a specific blood test to diagnose pernicious anemia? I have a family history. My doctor told me I have borderline B12 deficiency.

Is there a specific blood test to diagnose pernicious anemia?  I have a family history. My doctor told me I have borderline B12 deficiency.

Pernicious anemia: Yes your doctor can run a battery of tests including a cbc, peripheral blood smear, a serum b 12 level, and a reticulocyte count. These usually will help to diagnose the condition. Sometimes methylmalonic acid and homocysteine levels will be drawn to help with the diagnosis. ...Read more

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Diarrhoea, loose stools since 3 years, brittle hair, skin pigmentation, PCOS, borderline anemia, low vit d, watery eyes. Is this auto-immune disease?

Diarrhoea, loose stools since 3 years, brittle hair, skin pigmentation, PCOS, borderline anemia, low vit d, watery eyes. Is this auto-immune disease?

Could be: These chronic symptoms are concerning enough to warrant further evaluation. See your primary doctor to discuss all your concerns and symptoms. At that point screening labs for autoimmune conditions can be drawn and a referral to a rheumatologist can be made if indicated. ...Read more