Anemia and Dizziness: When to Seek Medical Help - Family Medicine

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Anemia. Dizziness?


Hello, I would like to ask the doctor that I went to the hospital for a blood test, and the results were normal.
However, after the blood draw, I continued to feel dizzy and had difficulty breathing.
Additionally, during my menstrual period, I often feel dizzy and almost faint, with pale lips, but the menstrual flow is very light.
Would supplementing with iron softgels improve my condition, or which specialty should I consult?

Ru Fang, 10~19 year old female. Ask Date: 2017/06/14

Dr. Wu Fangcan reply Family Medicine


According to your description: the examination is normal, but you feel dizzy after blood tests, and the dizziness worsens during your menstrual period.
It is recommended to consult a family medicine or gynecology physician for a comprehensive evaluation, and it is not advisable to indiscriminately supplement with iron.

Reply Date: 2017/06/14

More Info


Anemia is a condition characterized by a deficiency in the number or quality of red blood cells, which can lead to reduced oxygen transport in the body. This can result in symptoms such as fatigue, weakness, dizziness, and pale skin. Your experience of dizziness, especially after blood tests and during menstruation, raises important questions about your health that should be addressed.

Given that your blood tests returned normal results, it is crucial to consider several factors that could contribute to your symptoms. First, the dizziness you experience could be related to a variety of causes, including dehydration, low blood pressure, or even anxiety. It is also possible that your symptoms are linked to your menstrual cycle, particularly if you experience significant blood loss during menstruation, which can lead to a temporary decrease in hemoglobin levels and result in dizziness or faintness.

The fact that you mention having a pale lip color and experiencing dizziness during your menstrual period suggests that you might be experiencing some degree of blood loss or a drop in hemoglobin levels, even if your overall blood tests appear normal. It is important to note that some individuals may have normal hemoglobin levels but still experience symptoms of anemia due to other factors, such as iron deficiency or vitamin deficiencies (like vitamin B12 or folate).

Regarding your question about taking iron supplements, such as iron soft gel capsules, this could potentially help if your symptoms are indeed due to iron deficiency anemia. Iron supplements can help increase hemoglobin levels and improve symptoms associated with anemia. However, it is essential to consult with a healthcare provider before starting any supplementation, as excessive iron intake can lead to other health issues.

In terms of which department to consult, I recommend seeing a hematologist, a specialist in blood disorders. A hematologist can perform more specific tests to determine if you have any underlying conditions contributing to your symptoms, such as iron deficiency anemia or other types of anemia. They can also assess your menstrual health and any potential gynecological issues that may be affecting your blood loss and overall well-being.

Additionally, if your symptoms of dizziness and difficulty breathing persist, it is crucial to seek immediate medical attention. These symptoms could indicate a more serious underlying condition that requires prompt evaluation and treatment.
In summary, while iron supplementation may help if you are iron deficient, it is essential to consult with a healthcare provider to determine the underlying cause of your symptoms. A hematologist or a gynecologist would be the appropriate specialists to evaluate your condition further. They can provide a comprehensive assessment and recommend the best course of action to improve your health and alleviate your symptoms.

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