Mediterranean Anemia: Symptoms and Specialist Consultation - Internal Medicine

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Mediterranean anemia (also known as thalassemia)


Hello doctor, a few years ago I had surgery at the hospital and was diagnosed with Mediterranean anemia.
The hospital said my hemoglobin level was seven, but I didn't feel dizzy at that time.
However, in the past few days, I've been feeling very dizzy, even when going out for a meal.
Is my anemia severe? Can Mediterranean anemia be managed by an internist?

Ms. Huang, 20~29 year old female. Ask Date: 2013/10/18

Dr. Cai Zonglin reply Internal Medicine


There are different types of Mediterranean anemia, varying in severity.
If hemoglobin levels are low at around 7 and symptoms are present, blood transfusion may be considered, and it is advisable to consult a hematologist.

Reply Date: 2013/10/18

More Info


Mediterranean anemia, also known as thalassemia, is a genetic blood disorder characterized by the body’s inability to produce adequate hemoglobin, which is essential for transporting oxygen in the blood. This condition can lead to various symptoms, including fatigue, weakness, pale skin, and in more severe cases, dizziness and shortness of breath. Given your recent experience of feeling dizzy, it is crucial to consider the possibility that your anemia may be worsening, especially if you have a history of thalassemia.

The severity of thalassemia can vary significantly from person to person. In your case, you mentioned that your hemoglobin level was measured at seven, which is considered low. Normal hemoglobin levels typically range from 12 to 16 grams per deciliter for women and 14 to 18 grams per deciliter for men. A level of seven indicates that you are indeed anemic, and this could explain the dizziness you are experiencing, particularly if it is a new symptom. Anemia can lead to insufficient oxygen delivery to the brain and other organs, resulting in feelings of lightheadedness or dizziness.

It is advisable to consult a healthcare professional, particularly a hematologist, who specializes in blood disorders. While you can see a general internist, a hematologist will have more specific expertise in managing conditions like thalassemia. They can provide a comprehensive evaluation of your condition, including blood tests to assess your hemoglobin levels, red blood cell counts, and other relevant parameters. They may also discuss potential treatments, which could include blood transfusions, iron chelation therapy, or even bone marrow transplantation in severe cases.

In addition to consulting a specialist, it is essential to monitor your symptoms closely. If you experience increased dizziness, fatigue, or any other concerning symptoms, seek medical attention promptly. It may also be beneficial to keep a record of your symptoms and any triggers you notice, as this information can be helpful for your healthcare provider in determining the best course of action.

Furthermore, lifestyle modifications can also play a role in managing thalassemia. Ensuring a balanced diet rich in iron and vitamins, particularly folic acid and vitamin B12, can support your overall health. However, it is crucial to consult with your healthcare provider before making any significant dietary changes or starting new supplements, as excessive iron intake can be harmful, especially for individuals with thalassemia.

In summary, your symptoms of dizziness could indicate a worsening of your Mediterranean anemia, and it is essential to seek medical advice. A hematologist will be best suited to evaluate your condition and recommend appropriate treatment options. Remember to monitor your symptoms and maintain open communication with your healthcare team to ensure the best possible management of your thalassemia.

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