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Dr Uzair
Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 6399
Experience:  MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
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there, After much frustration with my doctors surgery

Resolved Question:

Hi there,
After much frustration with my doctors surgery I'm now here in desperation.
Since having my gall bladder out 9 years ago I have suffered with the following symptoms.
Hair shedding and now thinning. This has been sporadic with times where I have very bald bits, to times where I can see regrowth. After seeing a tricolosigt privately she suggested Having my ferritin levels checked. She said they should be at least 80 for normal hair growth. Mine came back at 15. Since then I've been on iron and put on contraceptive due to wry heavy bleeding. Whilst on iron my hair, nails, paleness, pressure in chest improved but following advice from my doctor and my level reaching over 80, I've now been off them for over 3 months. All these symptoms have come back, my thyroid is normal. I'm now starting to take my iron again.
Over the last few months I've also had problems with post nasal drip, very painful acid indigestion and the feeling of my stomach in my rib cage. This has been reduced by eating very clean diet.
Overall I'm not happy with just taking iron forever, I would like to find the underlying cause as my ferritin started dropping again whilst off the daily dose of 620mg. Why can my body not store enough iron? Also something I've noticed is my platelet count is always on the lower end of the scale with my latest result being 134. I would like some advise on why steps I can take next? Could I possibly be deficent in sole vital vitamins and minerals and should my doctors be checking this?
A rather frustrated 32 year old female who plays 10 hours I badminton a week and exercises 3-4 times a week at the gym! I also don't smoke or drink!! No heritart hair loss on both sides of my family!
Many thanks
***** *****!
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Uzair replied 1 year ago.
Dr Uzair :

Hi. Welcome to JustAnswer. I shall try my best to assist you while you are corresponding with me.

Dr Uzair :

Iron deficiency can be due to an inadequate diet, loosing iron somewhere or an inability to absorb and store iron.

Dr Uzair :

From the information you have provided, it does not seem that your diet is inadequate.

Dr Uzair :

And since you have replenished lost stores with oral iron replacement therapy, absorption does not seem to be it either.

Dr Uzair :

It is thus, evident that you problem might be loss of iron. The most common cause of iron deficiency via this channel is bleeding, since haemoglobin contains iron and people who bleed from somewhere chronically develop iron deficiency anemia.

Dr Uzair :

And when bleeding is concerned it is not about iron replacement but rather to stop the underlying process i.e., bleeding.

Dr Uzair :

If you have abnormal menstrual bleeding or stomach upsets like gastritis or ulceration causing black tarry stools then they need to be treated.

Dr Uzair :

For as long as you keep loosing iron, replacement will be required. But once, the loss is controlled, the stores will be replenished themselves.

Dr Uzair :

I would suggest that you visit an Internist rather than a Trichologist and have a complete evaluation done.

Dr Uzair :

Once the underlying cause is pin pointed, treatment can be initiated and your problems solved.

Dr Uzair :

Please reply back or interact so that we can proceed.

Customer: Hi there, thank you for the information. I have suggested to my doctor on many occasions about internal bleeding bit everything I mentioned has always been dismissed with the outcome, I stay on iron or take medication for my digestive issues. I would like to treat the root cause.
Customer: thank you for your reply.
Dr Uzair :

It was a pleasure.

Dr Uzair :

Are you seeing your internist for this?

Customer: Due to financial restraints is it possible to be referred to an internist? I'm pretty sure your going to reply with a "no"??
Dr Uzair :

As in on the site?

Customer: via my GP?
Dr Uzair :

Yes, does NHS or an insurance cover you?

Customer: nhs I'm afraid
Dr Uzair :

I don't have much experience in the UK health system. But I am sure, referral is possible via NHS.

Dr Uzair :

After all, this needs to be evaluated. You will have to be proactive with your GP about this and demand for a referral.

Customer: Ok. Can I ask how an internal bleed is found please?
Dr Uzair :

If you have black tarry / jelly like stools then it is definitely your upper GI tract.

Dr Uzair :

But if not that, then your menstrual irregularity is reason enough to cause iron deficiency.\

Dr Uzair :

It is fairly simple to judge and a few questions are enough. A full blood count, iron levels, TIBC, ferritin levels, liver function tests and a stool test for occult blood are the tests required initially.

Customer: Whilst on contraception inplant I've not had a period for 6 months but ferritin level is still dropping.
Customer: I can't say about the stools due to be on iron anyway.
Customer: I think I will have to be adamant with my doctor and demand further tests. Thank you I shall rate you now
Dr Uzair :

Yes, that is the best thing to do.

Dr Uzair :

And thank you. :)

Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 6399
Experience: MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
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