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Your anemia is moderate, and your iron deficiency severe. Iron is absorbed in the small intestine, so you may be able to absorb it adequately. It depends somewhat on why you had a total colectomy and if there is any small bowel disease present, like Crohn's or celiac disease. Iron can be given IV if oral doesn't bring it up. It appears you are dehydrated by the BUN/creatinine ratio being high. The job of the large bowel (colon) is to reabsorb water, so you are probably having excess fluid loss from liquid stools? that isn't being replaced adequately by oral fluid intake. That should be addressed as well, initially by your GI Dr. Vitamin C aids iron absorption, so include that with your supplements. You should feel better in a couple of months but it will take much longer to build up your iron stores again (ferritin).
[QUOTE=ladybud;5184585]Your anemia is moderate, and your iron deficiency severe. Iron is absorbed in the small intestine, so you may be able to absorb it adequately. It depends somewhat on why you had a total colectomy and if there is any small bowel disease present, like Crohn's or celiac disease. Iron can be given IV if oral doesn't bring it up. It appears you are dehydrated by the BUN/creatinine ratio being high. The job of the large bowel (colon) is to reabsorb water, so you are probably having excess fluid loss from liquid stools? that isn't being replaced adequately by oral fluid intake. That should be addressed as well, initially by your GI Dr. Vitamin C aids iron absorption, so include that with your supplements. You should feel better in a couple of months but it will take much longer to build up your iron stores again (ferritin).[/QUOTE]

Thanks Ladybud. I got my bloodwork done because I have been working with a personal trainer and dieting my tail off. I have been doing 90 minutes cardio daily and lift 6 days a week. I have not been able to shed the weight after a year and a half. My trainer suggested I got bloodwork done as he suspected my body is not absorbing/processing nutrients. He wasn't sure if that is from the colectomy or not. But it was a start for us. I had a colectomy (large intestine removal) due to colonic inertia. My trainer feels the iron deficiency anemia confirms his thought that my body is not processing nutrients. I am going to the Gastroenterologist tomorrow and hopefully they will fix me up. I agree the dehydration is due to the watery stools (several motions per day). I am concerned the iron pills will not be absorbed properly if nothing else absorbs correctly. I still have undigested food passing through at this time which is the second reason I am headed to the Gastro. I currently take 4000 mg of Vitamin C daily as part of my supplements I take :) I have read that iron deficient anemia is microcytic and that it is secondary to the primary cause. Everything I read refers back to gastrointestinal bleeding. I am not sure if my small intestines are inflamed or if there is blood loss from another source.

Thanks so much for replying. I appreciate it.
[QUOTE=ladybud;5184585]Your anemia is moderate, and your iron deficiency severe. Iron is absorbed in the small intestine, so you may be able to absorb it adequately. It depends somewhat on why you had a total colectomy and if there is any small bowel disease present, like Crohn's or celiac disease. Iron can be given IV if oral doesn't bring it up. It appears you are dehydrated by the BUN/creatinine ratio being high. The job of the large bowel (colon) is to reabsorb water, so you are probably having excess fluid loss from liquid stools? that isn't being replaced adequately by oral fluid intake. That should be addressed as well, initially by your GI Dr. Vitamin C aids iron absorption, so include that with your supplements. You should feel better in a couple of months but it will take much longer to build up your iron stores again (ferritin).[/QUOTE]

I saw the Gastro on Friday. He thinks I have pouchitis which is common with people with colectomies. He also thinks I have Celiac. I had my blood drawn and I am scheduled for a endoscopy and colonscopy.





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