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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fatigue And Small Red Blood Cells

I have small red blood cells & feel fatigued most of the day. I have had several tests & all come back negative on disease/anemia/thyroid issues. My doc wants me to try Lysteda during my cycle; but have read it has terrible side affects. Any suggestions how I can get my red blood cells to grow bigger?
posted on Wed, 20 May 2015
Twitter Mon, 29 Mar 2021 Answered on
Twitter Tue, 30 Mar 2021 Last reviewed on
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General & Family Physician,  's  Response
Hi,

As per your symptoms and findings, you seem to have Iron deficiency anemia as the same presents with fatigue and has small RBCs. The cause of the same seems to be chronic blood loss due to may be excessive bleeding during your cycles and so Lysteda may be helpful with same. So you must take the same in view of excess bleeding.

For further workup we need following
1. Peripheral blood smear
2. Serum iron profile (Fasting)
3. Serum vitamin B12 and folic acid levels
4. Stool R / M, ova / cyst
5. USG Whole abdomen

For treatment we may consider:
1. Tab Bandyplus single dose
2. Tab Multivitamin (A to Z) for a week
We may review with investigations

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Santosh K. Pandey, General & Family Physician
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Suggest Treatment For Fatigue And Small Red Blood Cells

Hi, As per your symptoms and findings, you seem to have Iron deficiency anemia as the same presents with fatigue and has small RBCs. The cause of the same seems to be chronic blood loss due to may be excessive bleeding during your cycles and so Lysteda may be helpful with same. So you must take the same in view of excess bleeding. For further workup we need following 1. Peripheral blood smear 2. Serum iron profile (Fasting) 3. Serum vitamin B12 and folic acid levels 4. Stool R / M, ova / cyst 5. USG Whole abdomen For treatment we may consider: 1. Tab Bandyplus single dose 2. Tab Multivitamin (A to Z) for a week We may review with investigations Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Santosh K. Pandey, General & Family Physician