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Yes, your level of anemia and iron deficiency can cause tachycardia and severe fatigue. It normally does not cause high BP though. You have some interesting findings on blood count and kidney function tests. Your ferritin (stored iron) is extremely low. This could have been caused by donating too much blood too frequently, or possible GI bleeding from the esophagitis. The diarrhea can result from the irritation of blood in the GI tract. It seems that ruling out GI bleeding would be important to do with a series of stool tests. Your GI Dr. could do those. The high calcium may be related to the elevated kidney function tests, elevated creatinine. Your parathyroid glands produce parathyroid hormone (PTH) and if in excess, it will cause high calcium levels. The PTH can be measured in the blood to see if it is excessive. It is unusual to see BP's this high in someone your age, and a good Dr. should do a work-up looking for physical causes of the high BP related to kidney blood flow and hormone levels, like adrenal hormones in excess. I think you need to see a good internist, hematologist, and endocrinologist in addition to your GI Dr. The high eosinophils can be seen in parasitic infections of the GI tract, like giardia, which cause diarrhea, so a stool test for parasites would be very important.
Thanks for the reply. I was beginning to feel like I was being a hypochondriac with the fatigue and tachycardia! Im seeing a hematologist next week so hopefully that will reveal more. My GI doc did the colonoscopy and didn't see any bleeding and didn't feel the esophagitis was severe enough to cause anemia. He did some thyroid testing bc of the Calcium and it seemed normal. Also looked at Cortisol and it was in normal range. As far as the high blood pressure no one has really looked into it…ER suggested I was worked up about tests and school work. I dont think its that bc Im a senior and had fine blood pressure until this started. I was at my campus health with a sinus infection a month before all this started and had very normal bp then.
Is it common to see kidney function off and the morphology issues with Iron Deficiency Anemia? The ER thought the kidney function was bc of dehydration- though only my Potassium was off to a minor degree. Im getting the levels rechecked tomorrow on doctor's orders tho.
Your BUN and BUN/creatinine ratio is more an indicator of dehydration. Your BUN is at top of range but not high enough to explain a creatinine of 1.6. Chronic kidney disease can cause anemia, but it is not normally iron deficient, it is anemia of chronic disease, which looks different than yours. Thyroid levels have nothing to do with calcium. Parathyroid levels do, and they are 2 totally different things. A parathyroid hormone level (PTH) should be done, best fasting, to evaluate the high calcium. The hematologist is a good idea. The slightly elevated white count with high neutrophils may be related to the diarrhea, as it indicates possible infection. I hope you get some more tests to clear up what is going on. Gluten intolerance can cause severe iron deficiency anemia and diarrhea, if it is celiac disease. Did they do any small bowel biopsies when endoscopy was done to check for celiac disease? Any family history of autoimmune disorders should be relayed to your Dr.
The appointment with the hematologist went well! He feels I dont have any blood disorder and it is related to the iron. My RDW went up to 19 on his bloodwork. He did some work on the iron and found my level was a 17 and the iron saturation is only 4%- which he said is very severe iron deficiency. My TBIC was high at 444 and Unbound Iron Capacity high at 427. He advised being worked up in depth for the small bowel and Crohn's Disease because he feels that only blood loss could cause a deficiency that severe in a male my age.
He wants me to see a kidney doctor as well to look at the Kidney levels more and feels that is more related to the past kidney failure episode. Also my Alkaline Phospohate was low at 51, which he found unusual but not serious.

I did get my first Iron IV today (he's ordered a month long session of 6 infusions) and have more energy than I have in awhile. They did say it will take a few before I feel a major difference though.





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