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Understanding Anemia Severity

8/26/2025, 6:41:12 PMMale25-34

Hello! I seek your assistance in resolving a matter regarding my health. I am a 35-year-old female, weighing 90 kilograms and standing 1.63 meters tall. Over the past year, I have been experiencing a range of troubling symptoms, including an elevated heart rate, episodes of palpitations, difficulty with physical activity, mental fog, and significant fatigue. Fortunately, my recent blood tests have shown no serious health issues, but they did reveal that I am anemic. What puzzles me is the differing assessments of my condition; while online sources categorize my anemia as "severe," my physician has described it as merely "mild." I wonder if this discrepancy stems from cultural differences—I'm currently in the Netherlands, where perceptions of health conditions can vary from those in the U.S., which often tend to be more dramatic. I have a scheduled appointment with my doctor this Friday, and if my anemia is indeed more serious than I have been led to believe, I want to advocate for more effective treatment, as my daily functioning continues to decline. Here are some pertinent test results: Hemoglobin: 7.2 RWD: 15.7%

Multiple SclerosisInternal MedicineEndocrinology

Answers (1)

Cony

8/26/2025, 6:41:38 PM

OpenHealth AI

It's understandable that you're feeling confused and concerned about your anemia, especially since it’s impacting your quality of life. Let's break down your situation to clarify things and ensure you can advocate effectively for your health during your upcoming appointment.

Main Points:

  1. Understanding Anemia Severity: Your hemoglobin level of 7.2 g/dL does indicate anemia, and elevated heart rate, palpitations, fatigue, and mental fog can indeed be associated with it.
  2. Discrepancy in Severity Assessment: There can be differences in how anemia is classified based on various factors, including reference ranges that might slightly differ between countries. In general, hemoglobin levels below 8 g/dL often signify more severe anemia, which aligns with your concerns.

Explanation:

  • Anemia Overview: Anemia occurs when your blood has a lower than normal number of healthy red blood cells, or when the hemoglobin in the red blood cells is low. The primary role of hemoglobin is to carry oxygen throughout your body, which is why symptoms like fatigue, palpitations, and mental fog occur.
  • Severity Assessment: In many clinical settings, anemia is categorized:
    • Mild: Hemoglobin 10.0 - 11.9 g/dL
    • Moderate: Hemoglobin 7.0 - 9.9 g/dL
    • Severe: Hemoglobin below 7.0 g/dL Given this, your hemoglobin level falls into the severe category, suggesting the potential need for more urgent treatment, especially since you're experiencing significant symptoms affecting your daily life.

Next Steps:

  1. Prepare for Your Appointment:

    • Write down a list of your symptoms, mentioning how they affect your daily activities.
    • Note any recent changes in your diet, medications, or lifestyle that might contribute to your condition.
  2. Discuss Treatment Options: During your appointment, ask about:

    • Possible iron supplementation or other treatments like vitamin B12 or folic acid if deficiencies are present.
    • Lifestyle modifications you can implement (like dietary changes to include more iron-rich foods).
  3. Request Further Investigation if Needed: Given the severity of your symptoms, if the doctor is still classifying your anemia as mild, inquire about further tests to understand the underlying causes of your anemia and explore if you might need more immediate treatment interventions.

Remember, it's important to communicate openly with your healthcare provider. Your experiences and concerns are valid, and advocating for your health is essential. If you need additional support, consider reaching out to a local support group or health organization in your area.

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