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Doctor insights on: Iron Deficiency Anemia In Gastric Bypass Patient

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Are transfusions for blood loss and iron deficiency anemia the same?

Are transfusions for blood loss and iron deficiency anemia the same?

Transfusion/infusion: Blood ( pack red blood cells) transfusion is usually given in the setting of significant anemia due to blood loss. Intravenous iron infusion is given to treat iron deficiency anemia. However both blood transfusion and iron infusion can be given in anemia due to blood loss and iron deficiency anemia- decision will depend on how severe the anemia/symptoms & how quickly you want to treat the anemia. ...Read more

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Dr. Gregg Nishi
473 doctors shared insights

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


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Why MCHC is low in iron deficiency anemia but normal in pernicious anemia?

Why MCHC is low in iron deficiency anemia but normal in pernicious anemia?

MCHC: MCHC=mean corpuscular hemoglobin concentration This value is a calculated value of hemoglobin per red cell. In iron deficiency the body has difficulty making enough hemoglobin, and the resultant cells are both small and low on hgb. The defect with PA is not with hgb synthesis but with cell replication and nuclear maturation, so the amount of hgb/cell is unaffected. ...Read more

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Is this iron deficiency with or without anemia? The results were confusing to me: HGB 12.5, TIBC 453, UIBC 413, Iron (serum) 40, Iron Saturation 9

Is this iron deficiency with or without anemia? The results were confusing to me: HGB 12.5, TIBC 453, UIBC 413, Iron (serum) 40, Iron Saturation 9

Results not too bad: Normal value range is: Iron: 60 to 170 micrograms per deciliter (mcg/dL) or 10.74 to 30.43 micromoles per liter (micromol/L) Total iron binding capacity (TIBC): 240 to 450 mcg/dL or 42.96 to 80.55 micromol/L. Transferrin saturation: 20% to 50%; hemoglobin is: For men, 13.5 to 17.5 grams per deciliter. For women, 12.0 to 15.5 grams per deciliter. ...Read more

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Is polychromasia typically associated with microcytic anemia (iron deficient anemia)?

Is polychromasia typically associated with microcytic  anemia (iron deficient anemia)?

Iron deficiency is: Usually hypo chromic. Polychromasia is seen in rapidly changing circumstances like hemolytic anemia. ...Read more

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What vitamin deficiency usually causes memory lapses? Post gastric bypass 9/2011

What vitamin deficiency usually causes memory lapses? Post gastric bypass 9/2011

Vitamins: The most common vitamin deficiencies seen after gastric bypass are with vitamin b12, vitamin d and iron. Some have low calcium. Vitamin B12 deficiency can affect the central nervous system and memory. ...Read more

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If ferritin level is high (double uln) but iron and tibc are low in pt. With remote gastric bypass, is iron replacement still recommended.?

If ferritin level is high (double uln) but iron and tibc are low in pt. With remote gastric bypass, is iron replacement still recommended.?

Probable: A high ferritin can be interpreted as an acute phase reactant or chronic inflammation, but if your iron level is low, this can suggest deficiency. Having gastric bypass does cause iron absorption issues including others such as calcium. Routine specific labs are recommended for all bypass patients. Have your primary take a further look at this whether you would need chronic iron supplements. ...Read more

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Serum b12> 1999 mma 0.4, homocysteine high 19. No folate (folic acid) or iron deficiency normocytic anemia not responding to procrit. Is this an absorption issue?

Serum b12> 1999 mma 0.4, homocysteine high 19. No folate (folic acid) or iron deficiency normocytic anemia not responding to procrit. Is this an absorption issue?

Anemia: can be caused by blood loss or bone marrow suppression as well. More information is needed ( how long have you had a normal iron, folate (folic acid) and b12 level. What is your reticulocyte count ? ( is your bone marrow producing new RBC's) ? How low is your HCT and has it come up or gone down with B12. Is the RDW elevated ( do you put out large and small RBC's at the same time? Any blood loss ? ...Read more

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I have iron deficiency anemia. Current bloodwork: Transferrin 379, iron 120, TIBC 565, iron saturation 21.2. Hgb 8.9, above results still anemia??

I have iron deficiency anemia.  Current bloodwork: Transferrin 379, iron 120, TIBC 565, iron saturation 21.2. Hgb 8.9, above results still anemia??

Yes indeed: Hemoglobin 8.9 is anemia, period. Please forgive my frankness. I hope that no one is forcing you to be a non-supplementing vegetarian. If you have blood loss, either monthly or from illness, I hope the source is discovered -- it could be ulcer, cancer, hookworm, etc. If you tolerate oral iron poorly, please consider an injectable form. Best wishes. ...Read more

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Can total iron binding capacity normal with iron deficiency anemia?

Can total iron binding capacity normal with iron deficiency anemia?

Iron & anemia: When you ask it that way, the answer is 'yes', it can happen, but not commonly. In iron deficiency anemia the TIBC usually goes up, but not uncommonly you may have another kind of anemia at the same time, eg. Anemia of chronic disease, anemia of renal insufficiency, nutritional deficiency, etc. These often send the TIBC lower or have no effect. If would be nice is iron deficiency anemia was pure. ...Read more

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Is cirrhosis related to pernicious anemia?

Is cirrhosis related to pernicious anemia?

No it is not!: Unless it is primary biliary cirrhosis, or autoimmune hepatitis. They are associated with true pernicious anemia. Alcoholic cirrhosis is not! ...Read more

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Precaution of overload iron for thalesminia major patient?

Precaution of overload iron for thalesminia major patient?

Learn about it: When a thal major patient is dependent on transfusions, it's great for quality of life but ultimately is disastrous if the iron cannot be removed using chelators, which are much better than they used to be. I encourage you, if this affects you or a loved one, to learn all you can about the subject, with your physician recommending resources. ...Read more

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Should anemic pregnant women treat chronic gastritis with PPI? Will PPI affect iron absorption?

Should anemic pregnant women treat chronic gastritis with PPI? Will PPI affect iron absorption?

PPI and iron: There are not many studies that directly look at the long-term effects of regular PPI use on iron absorption, and the results have been somewhat unclear. Short term, there is likely little concern for iron absorption and PPI use. ...Read more

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Most important lab.Hct, iron serum, iron saturation or hemoglobin?

Most important lab.Hct, iron serum, iron saturation or hemoglobin?

Unclear question: Serum iron and iron saturation are only indicated if hb and hct are low and iron deficiency is suspected. ...Read more

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What is the prevalence of iron deficiency anaemia in menstruating women?

What is the prevalence of iron deficiency anaemia in menstruating women?

It depends : Although the data is old, according to the usa center for disease control statistics referenced below, it is about 3%. Center for disease control and prevention. Iron deficiency—United States, 1999–2000. Mmwr morb mortal wkly rep. 2002;51(40):899. ...Read more

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What are problems with untreated, iron deficiency, anemia?

What are problems with untreated, iron deficiency, anemia?

Anemia: Your hemoglobin will go down, and you will end up requiring blood transfusions. Usually there is an underlying problem causing the anemia (most commonly from the intestines or the bone marrow), and this needs to be sorted out. ...Read more

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2 months old child, exclusively breast feeding. Hb = 10, MCV = 80, this happens most commonly due to Iron deficiency anemia or thalasemia trait?

2 months old child, exclusively breast feeding. Hb = 10, MCV = 80, this happens most commonly due to Iron deficiency anemia or thalasemia trait?

Not thalassemia: Both iron deficiency and thalassemia have lower MCV, often less than 70. The anemia may be due to combination of nutritional deficiencies, e.g., deficiency of both iron and folic acid. It would be prudent to consult your pediatrician for evaluation and proper treatment. ...Read more

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Is unexplained bruising linked to iron deficiency anaemia?

Could be: Need evaluation to look at other causes of bruising including medication side effects. ...Read more

Dr. Steven Ginsberg
1,283 doctors shared insights

Anemia (Definition)

Any condition where there is a decrease in the red blood ...Read more


Dr. Ed Friedlander
287 doctors shared insights

Iron Deficiency Anemia (Definition)

Too few healthy red blood cells due to too little ...Read more