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I joined this forum specifically to comment on your post. Everything you wrote really resonated with my own situation. I'm a 30 year old female.

I have had weird GI issues for ages, but they really got out of hand a few months ago. TMI, but I had diarrhea for weeks that eventually resulted in a lower GI bleed. I went to the ER and my bloodwork came back with smaller than normal hemoglobin and a count of 104. I was told probably IBS and sent home. Everything went downhill from there and I started having stomach pains and vomiting. The pain was odd, like a tightness right at my bra line and a stabbing pain under my rib by my right lung. The pain would be worse if I breathed in deeply. It got to the point where I couldn't sleep laying down because the pressure made it hard to breath.

I was diagnosed with acid reflux and given a PPI (first Nexium, then Tecta). That helped a bit, but the pain was still there.

Meanwhile my hemoglobin was down to 86 and my ferritin (stored iron) was zero. I was fainting and my hair started falling out! Eventually I took a leave of absence from work and went to stay with my parents. I was so scared I would just randomly burst into tears and my parents didn't know what to do.

I eventually hit 110 pounds at 6 feet tall so I was sent for a CT scan, a barium x-ray, an ultrasound, gallbladder test...and all came back normal. My bloodwork was perfect other than the anemia.

So, what I "think" (fingers crossed) turned this around for me was finding a great GI. I had a colonoscopy and upper endoscopy. The colonoscopy was perfect, but she did find a gastritis on the upper endoscopy. She took a biopsy and it came back as suspicious for H-Pylori. H-Pylori is a bacteria that eats away at the lining of your stomach. She placed me on triple therapy and I finished it a little over a week ago. It was a lifesaver. I'm feeling abut 95% of normal already. My weight is going back up, I'm losing less hair, and back to work. The crazy thing is that I'm off my PPI and eating foods that would normally give me reflux without issue!

Doctors will tell you that H-Pylori does not cause IBS, but my diarrhea is also gone.

So I really think you need to ask your doctor to be referred to a GI for an upper endoscopy. They can test for the bacteria using a blood test, but with the pain you're having it couldn't hurt to actually take a look in there since what you're describing could also be celiac disease. Both have been linked to iron deficiency anemia

And just because your blood cells are normal size, does not mean that you don't have iron deficient anemia. Ask for a blood test for ferritin as well as B12. If you are on a PPI for acid reflux, you will have issues absorbing iron as well as vitamin B. Iron deficiency causes small red bloodcells, but B12 deficiency causes large ones. You could have both happening. Also, I was told by my doctor that it takes a while for your hemoglobin to shrink. Its a sign of chronic iron deficiency so you might not be at that point yet.

Not sure about the leukocytes, but maybe a sign of infection? Definitely on the list of things to ask your doctor.

Are you in Canada? I ask because of how your hemoglobin is reported. If you are in Southern Ontario the GI Health Center in Burlington is fantastic and quick!

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