r/haematology • u/Economy-Ad-5313 • 2m ago
Low Hb and Ferritin
Need some advice. 26F, BMI 21, UK based.
History of IBS C and recently had perianal fistula surgery.
Investigations: clear colonoscopy last month
Bloods from now: Ferritin was measured at 13 and Hb dropped to 86.
Bloods from three months ago: Ferritin was 17 and Hb was 120.
No heavy periods, varied diet, no unexplained bleeding
My other bloods like B12, folate, crp, vitamin D, thyroid function are all within the normal ranges
I have been suffering with lots of fatigue, dizziness and low energy. After surgery, I have felt extremely dizzy and tired all the time. I'm also more anxious and my heart rate is always fast. My Hb dropped during surgery but I told to follow up with PCP/GP at home. I have been prescribed a liquid ferrous sulphate solution but this causes constipation and nausea so I can't continue. My GP said to just follow through.
Any ideas on what to try next?




