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5417968 tn?1368261812

Anemia and lupus

For the past few months I've been feeling very tired ,and at times extremely exhausted. My periods have  very heavy  for the past year. Recently  I went to my doctor and she did some tests and I was diagnosed with anemia,but the test also showed I had some kind of inflammation along with some bleeding,she was never clear on what type of inflammation or where I had it.,but instead she only asked me a few questions and then diagnosed me with lupus .
My question is should my doctor run more tests before coming to the conclusion that  I have lupus?
I kind of felt dismissed by my own doctor.
11 Responses
351246 tn?1379685732
Well, if you have been having heavy periods and some inflammation in your body then you are likely to feel tired due to anemia and inflammation. Heavy periods or menorrhagia is usually due to fibroids, adenomyosis, endometriosis, uterine polyps, hormonal imbalance, thyroid problems and bleeding disorders. It can also be due to miscarriage, however in this case, there is bleeding in between periods as well.
The inflammation can be due to heavy bleeding, or due to pelvic inflammatory disease or due to vaginal thrush, or due to arthritis or an autoimmune disease. I am not sure what tests were done, but for confirmed diagnosis of lupus you need to get ANA, ANA staining and lupus related antibodies tested. Please try and consult a gynecologist first. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
5417968 tn?1368261812
Thank you doctor,for your advice.
434278 tn?1324709825
There are also other symptoms that go along w/ lupus like joint pain, hair falling out, facial rash (malar rash), fatigue, nausea, the list goes on and on.  Usually a rheumatologist makes the final diagnosis.  
5417968 tn?1368261812
I'm not experiencing nausea,or anything like that. But I've been getting some  light bruises on different parts of my body, for no explained reason and  I've had  swollen lymph nodes  for many months that doesn't seem to go away.
I get low fevers every now and then,but not very often.
Are these some signs of  lupus?
I hear that your immune system gets very weak when you have lupus,is that true ?
434278 tn?1324709825
Actually, lupus is an autoimmune disease which is when your immune system is in overdrive.  So the medicine they give you (plaquinel and steroids) lower your immunity.  

The bruising is a symptom of lupus and can indicate your blood is not clotting well.  

These are some symptoms of lupus:
1. malar rash over cheeks (butterfly rash) (74%)
2. discoid rash, red raised patches
3. photosensitivity - reaction to sunlight, resulting in skin rash (50%)
4. oral and nose ulcers
5. arthritis (95%)
6. serositis - inflamation of the lining of the lung or heart
7. reanl disorder - excessive protein in urine and/or cellular casts
8. neurologic disorder - seizures, or psychosis
9. anemia or low white blood count or lymphopenia or low platelet count
10. positive ANA
11. positive anti-DNA or anti-Sm, or antiphospholipid antibody or false pos. syphilis test

Other symptoms are:
fever (90-95%)
low vit D levels
abdominal pain
chest pain
shortness of breath
blood in urine
hair falling out (27%)
fatigue (90%)
muscle pain and weakness (90%)
poor memory
poor circulation in fingers and toes
tingling in extremities
weight loss
blurred vision
raynauds (where fingers turn white when cold)
intollerance to cold
sore throat
lymph node swelling (50%)
5417968 tn?1368261812
Thanks for the information. It seems like Lupus is a complex disease,but to tell you the truth out of all those symptoms I've only been experiencing a few of them ,but I guess every case is different. I appreciate your help...take care.
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