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Doctor insights on: Gastric Bypass And Chronic Pernicious Anemia

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What is the best way to treat anemia for a pregnant patient with gastric bypass surgery 7 years ago?

What is the best way to treat anemia for a pregnant patient with gastric bypass surgery 7 years ago?

B12 and Fe : Gastric bypass is associated with vit B12 deficiency which is secondary to loss of intrinsic factor secreted by the stomach along with fe (iron) deficiency which is absorbed by the duodenum. Moreover during pregnancy the blood volume increase to support the fetal circulation thus lead to dilutional anemia. The best approach is to receive vit B12 and fe replacements. Good luck. ...Read more

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Pernicious Anemia (Definition)

It is a decline in the amount of red cells in the circulation as a result of impaired production in the bone marrow resulting from a lack of vitamin b12. This is most commonly as a consequence of impaired absorption due to an autoimmune condition affecting the stomach lining. If untreated, it may also lead to brain and spinal cord problems. It is easily ...Read more


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Is it possible for chronic gastritis to cause pernicious anemia?

Is it possible for chronic gastritis to cause pernicious anemia?

The two are linked: This finding goes back to 1964, believe it or not: http://www.Ncbi.Nlm.Nih.Gov/pmc/articles/pmc1552204/?Page=1 there are autoimmune antibodies in both conditions, so while one might not cause the other, the two are related. ...Read more

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I have pernicious anemia - must i give up alcohol?

I have pernicious anemia - must i give up alcohol?

Certainly: Pernicious anemia is due to vitamin B12 deficiency. Alcohol in many ways can contribute to B12 deficiency: 1. Interferes with b vitamin absorption - alcoholics also do not have enough b vitamins in their diet 2. May cause gastritis leading to poor acid secretion in stomach (acid helps B12 absorption) 3. May cause intestinal damage leading to malabsorption. Thus, better to avoid alcohol! ...Read more

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How does pernicious anemia cause people to have achlorhydria?

How  does pernicious anemia cause people to have achlorhydria?

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. ...Read more

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Can 7yrs of undiagnosed coeliacs cause pernicious anemia, irreversible villi damage and miscarriages?

Gi issues: This is a question best answered by a gastro intestinal specialist , i would seek a consult to find this answer. ...Read more

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Does having pernicious anemia lead to fertility problems?

Yes indirectly: Pernicious anemia is a deficiency of vitamin B12 and or folate (folic acid) (another b vitamin) that can lead to significant medical problems many of which affect the nervous system. Folate (folic acid) is so critical to fetal neural development that the fda recommends that all women trying to conceive or pregnant take a Folic Acid supplement of 0.4 milligrams or 400 micrograms a day. ...Read more

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My mom gets pernicious anemia, so am I likely to get it later?

Pernicious Anemia: Pernicious anemia is not inheritated to my knowledge. It is usually caused by lack of the vitamins b 12 in diet ( by vegetarians) or lack of intrinsic factors in autoimmune atrophic gastritis or in patients who had part of the stomach cut off for bariatric surgery( to reduce weight) or as surgical treatment for peptic or gastric ulcers ( gastrostomy). ...Read more

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


Dr. Gregg Nishi
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Gastric Bypass Surgery (Definition)

Gastric bypass surgery is a restrictive and malabsorptive procedure to help lose weight. Restrictive is in the fact that the stomach is down sized to a 2 oz pouch and malabsorptive is in bypassing part of the stomach and 100 to 150 cm of the small ...Read more