Mediterranean Anemia: Dizziness and Weakness Explained - Cardiology

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Mediterranean anemia (also known as thalassemia)


I have been diagnosed with thalassemia and often experience uncontrollable dizziness.
Sometimes my feet feel weak, and today I suddenly felt very dizzy, with my entire leg trembling, similar to the tremors seen in polio, but it was my leg shaking.
The shaking was so intense that it caused a loud noise when I hit the back of a car.
I hadn't eaten breakfast this morning, and the incident occurred between 9:00 and 9:20 AM.
Could this be due to skipping breakfast, or has my anemia worsened? This was the most severe episode I've experienced so far.

Duo Duo, 10~19 year old female. Ask Date: 2017/01/08

Dr. He Dongjin reply Cardiology


Hello, it seems that skipping breakfast has caused this issue.
Breakfast is very important, so remember to eat it! Changhua Hospital cares about you.

Reply Date: 2017/01/08

More Info


Mediterranean anemia, also known as thalassemia, is a genetic blood disorder characterized by reduced production of hemoglobin, the protein in red blood cells that carries oxygen throughout the body. This condition can lead to a variety of symptoms, including dizziness, weakness, and fatigue, which you are experiencing.
Dizziness and weakness are common symptoms in individuals with anemia, particularly when the hemoglobin levels are significantly low. In your case, the dizziness and weakness you described, along with the trembling in your legs, could be attributed to a combination of factors, including your underlying condition of Mediterranean anemia and possibly not having eaten breakfast.
When you skip meals, your blood sugar levels can drop, leading to symptoms such as dizziness, weakness, and shakiness. This is particularly concerning for someone with anemia, as your body may already be struggling to deliver adequate oxygen to your tissues due to the reduced hemoglobin levels. The combination of low blood sugar and anemia can exacerbate feelings of dizziness and weakness, making you feel worse than you might otherwise.

The trembling in your legs could also be a sign of muscle fatigue or weakness, which can occur when the body is not receiving enough oxygen. In severe cases of anemia, the body may not be able to compensate for the lack of oxygen, leading to more pronounced symptoms. It’s important to note that while the symptoms you’re experiencing can be alarming, they are not uncommon for someone with Mediterranean anemia, especially if your hemoglobin levels are low.

To address your symptoms, it is crucial to consult with a healthcare professional who can evaluate your condition more thoroughly. They may recommend blood tests to check your hemoglobin levels and assess the severity of your anemia. Depending on the results, treatment options may include iron supplements, blood transfusions, or other therapies aimed at managing your anemia.

In the meantime, it is advisable to maintain a balanced diet rich in iron and vitamins that support red blood cell production, such as vitamin B12 and folate. Eating regular meals can also help stabilize your blood sugar levels and prevent dizziness related to low blood sugar.
If you experience severe dizziness, fainting, or other concerning symptoms, it is essential to seek immediate medical attention. These could be signs of a more serious complication related to your anemia or other underlying health issues.
In summary, your symptoms of dizziness and weakness are likely related to your Mediterranean anemia and possibly exacerbated by not eating breakfast. It is essential to consult with a healthcare provider for a comprehensive evaluation and appropriate management of your condition. Regular monitoring and a proactive approach to your health can help mitigate these symptoms and improve your overall well-being.

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