Please specify the department?
My mother is in her seventies and underwent breast cancer surgery four years ago.
She is still on medication and has recently been experiencing a loss of appetite and episodes of dizziness.
Could this be a sign of anemia? Which department should she see for medical attention? Thank you.
hungta, 70~79 year old female. Ask Date: 2005/11/24
Dr. Chen Baoli reply Internal Medicine
Hello Hungta: Since your mother is still on medication, it indicates that she is under continuous medical follow-up.
You can ask her doctor to evaluate whether further examinations are necessary.
Additionally, regarding the symptoms you mentioned, you may also consider consulting specialists in hepatobiliary and gastroenterology, neurology, family medicine, or general internal medicine.
Wishing you good health, Chen Baoli.
Reply Date: 2005/11/24
More Info
When considering whether your mother may be experiencing anemia, it is essential to understand the symptoms and the potential underlying causes, especially given her medical history of breast cancer and ongoing medication. Anemia is a condition characterized by a deficiency of red blood cells or hemoglobin in the blood, leading to reduced oxygen transport to the body's tissues. Common symptoms of anemia include fatigue, weakness, pale skin, shortness of breath, and dizziness or lightheadedness, which aligns with your mother's reported symptoms of loss of appetite and dizziness.
Given her age and medical history, it is crucial to approach this situation with caution. The symptoms you describe could indeed be indicative of anemia, but they could also be related to other health issues, including the side effects of her cancer treatment or other underlying conditions. For instance, certain medications can affect appetite and cause dizziness, and the nutritional status of older adults can significantly impact their overall health.
To determine whether your mother has anemia, it is advisable to consult a healthcare professional. The appropriate specialist to see would typically be a hematologist, who specializes in blood disorders, including anemia. However, given her history of breast cancer, starting with her oncologist or primary care physician may be beneficial. They can perform a comprehensive evaluation, including blood tests to check her hemoglobin levels, red blood cell count, and other relevant parameters.
In addition to anemia, her symptoms could be related to other conditions such as nutritional deficiencies (like iron, vitamin B12, or folate), chronic diseases, or even the psychological effects of her cancer treatment. It is also important to consider that older adults often have multiple health issues that can complicate diagnosis and treatment.
If anemia is confirmed, the treatment will depend on the underlying cause. For example, if it is due to iron deficiency, iron supplements or dietary changes may be recommended. If it is related to chronic disease or bone marrow issues, more specialized treatments may be necessary.
In summary, it is crucial for your mother to see a healthcare provider to evaluate her symptoms comprehensively. Starting with her oncologist or primary care physician is a good approach, as they can guide her to the appropriate specialist if needed. Early diagnosis and treatment are essential for managing anemia and improving her quality of life, especially considering her medical history and age.
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