Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.

Question Title: Anemia

Forum: The Gastroenterology and Liver Diseases Forum
Topic: Ulcer


I have anemia from an ulcer.I have been tired for a few months
but lately I am having shortness of breathe. I happens mostly
when I rise from a kneeling position. When I rise in the morning and rise from a sitting position I hear my heart beating in my ears.
It is beating right now as i write you. do you think this is from the
anemia and ulcer??

thanks

_Dear Patty,

Anemia is usually insidious in its onset and has no specific symptoms to alert the physician to its presence. However, with increased loss of blood volume symptoms may occur. When blood loss occurs the body tries to compensate for the diminished oxygen supply. Abrupt losses of circulating blood volume will result in blood pressure changes, thirst and shortness of breath. When active bleeding occurs one usually sees bright red blood per rectum or black, tarry stools. In chronic anemias the heart tries to pump out more blood (increase cardiac output). Blood pressure changes occur with change in position. This may be associated with dizziness, headaches, palpitations and shortness of breath on exertion. Patients with underlying heart disease will more frequently experience these symptoms with anemia. In any case, you should discuss these symptoms with your doctor and have a repeat blood count to look for anemia. If anemia is present, it may be necessary to have an upper endoscopy to look for signs of active bleeding and ulcer healing. I hope you find this information helpful.

This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health.

If you would like to be seen at our institution please call 1-800-653-6568, our Referring Physicians' Office and make an appointment to see Dr. Muszkat, one of our experts in Gastroenterology.

HFHSM.D.-ym
*Keywords: anemia, symptoms


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