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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Anemia

I am 41y/o female. 5'4" 170 lbs. I have been overweight since my last pregnancy 3 years ago despite much effort to change my diet and lifestyle. Otherwise, I consider myself to be in good health. Surgical history is significant for an emergency c-section and subsequent tubal ligation. I have HHT (Osler-Weber-Rendu). l just moved so I do not have a doctor at this time. I see a GYN doctor for routine and annual checkups. I have chronic anemia r/t HHT. I know when it is time to have labs drawn when I start eating trays of ice. I do have some Pica cravings at this time but it isn't severe.
I take no prescription medications. I take Claritin, Zyrtec OR Benadryl nearly every day for seasonal allergies and Tylenol, as needed, for general aches and pains.

There are two separate (I think) problems. I am experiencing numbness in the notch just above my sternum. The numb area is limited to the superficial tissue, as I can appreciate sensation of pressure in the deeper tissues. It reminds me of a paresthesia one might expect from a compressed nerve. I just can't see how that could be, given the area. Second, I have been feeling an uncomfortable pressure in my left upper abdomen, just under my ribcage. It feels very much like, in late pregnancy, when the baby would press her foot into my ribcage, only it doesn't subside until I lie down. I do not have any pain associated. I am not constipated. I effects only the left side. So Doctor, am I falling apart?
Thu, 25 Sep 2014
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Geriatrics Specialist 's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. Possible gastritis leading to your present symptoms.
2. Chronic Vit b12 deficiency due to gastritis, leading to pernicious anemia.
3. Take antacids to reduce pain and also proton pump inhibitors. Vit B12 supplementation is also necessary to improve anemia and numbness.
Hope it helps.
Any further queries, happy to help again.
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Suggest Treatment For Chronic Anemia

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Possible gastritis leading to your present symptoms. 2. Chronic Vit b12 deficiency due to gastritis, leading to pernicious anemia. 3. Take antacids to reduce pain and also proton pump inhibitors. Vit B12 supplementation is also necessary to improve anemia and numbness. Hope it helps. Any further queries, happy to help again.