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Hematologic Diseases
Question #11481
261 days ago
471

Would like to know about low ferritin levels - #11481

Nandita

I have iron level 23 Haemoglobin 9.6 Ferritin5.3 I'm on orofer xt for 1 month Was suggested 5 iron injections have taken3 Have tiredness like dizzy.. get acidity bit frequently Just wanted to know your guidance

Age: 20
Chronic illnesses: Had seizures six years ago but we'll controlled with OXETOL 300
Bit of tiredness ocassional and acidity burps
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Doctors' responses

Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
261 days ago
5

1. Your reports show low hemoglobin (9.6 g/dl) and very low ferritin (5.3 ng/ml), which confirm iron deficiency anemia.

2. Symptoms like dizziness, tiredness, and weakness are common in this condition.

3. Oral iron (like Orofer XT) works, but since levels are quite low, iron injections are often required for faster recovery as your doctor advised.

4. To reduce acidity from iron tablets, take them after meals and with vitamin C rich foods (like orange or lemon juice), but avoid tea/coffee near the dose.

5. Continue treatment and repeat blood tests after 6 to 8 weeks. If symptoms worsen (severe breathlessness, palpitations), consult your doctor promptly.

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Low iron, hemoglobin and ferritin levels can indicate iron deficiency anemia, which might explain symptoms like dizziness and fatigue. Iron deficiency happens when your body doesn’t have enough iron to produce hemoglobin, an essential protein in red blood cells. Your treatment includes oral iron supplements (Orofer XT) and injectable iron, which are standard approaches to replenish your iron stores and address anemia. However, it’s crucial to ensure you’re taking your iron supplement correctly: it’s best absorbed on an empty stomach, but if it causes acidity, trying it with a small snack or alongside vitamin C-rich foods like citrus fruits can enhance absorption. Keep taking your injections as advised, and after completing them follow up with your healthcare provider to reassess your iron levels.

Regarding the dizziness and tiredness, make sure to monitor your symptoms. If they persist or worsen, re-evaluation by a doctor might be necessary. Sometimes, additional tests are needed to rule out other potential causes like bleeding sources in the gastrointestinal tract or absorption issues. Also, stay hydrated and try to maintain a balanced diet rich in iron (like lean meat, beans, and leafy greens) in conjunction with your treatment.

Acidity can sometimes be a side effect of oral iron. Managing acidity with antacids can help, but take them at a different time from your iron supplement to avoid impairment in absorption. Also, review any other medications or supplements you’re taking as some might influence acidity or interfere with iron absorption. If you’re still feeling off, have a conversation about potentially adjusting your treatment with your healthcare professional, especially if there are no improvements.

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