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Vitamin B12 deficiency anemia
Usually happens when the digestive system is not able to absorb the vitamin. This can happen if: You have pernicious anemia. In this anemia, your body destroys the cells in your stomach that help you absorb vitamin B12.
Symptoms:
- Fatigue
- Shortness of breath
- Dizziness
- Pale or yellowish skin
- Irregular heartbeats
- Weight loss
- Numbness or tingling in your hands and feet
- Muscle weakness
- Personality changes
- Unsteady movements
- Mental confusion or forgetfulness
Preliminary plan:
- General practitioner appointment
- Complete blood count (CBC)
- Reticulocyte count
- Urinalysis
- Stool analysis - Protozoans and Helminths (microscopy)
- Blood test:
- Latent iron-binding capacity
- Iron
- Vitamin B12 (cyanocobalamin)
- Transferrin
- Ferritin
- Folic acid (folates)
- Potassium Sodium Chlorine (K, Na, Cl) (blood)
- Urea (BUN)
- Creatinine
- Glucose
- Cholesterol
- Triglycerides
- Alkaline phosphatase (ALP)
- Alanine transaminase (ALT)
- Bilirubin (total, direct)
- Esophagogastroduodenoscopy (endoscopy)
- Colonoscopy
- Irrigoscopy
- X-ray of the esophagus, stomach, duodenum
- Abdominal ultrasound: liver, gallbladder, pancreas
- Spleen ultrasound
- Histological examination of bone marrow biopsy fragment