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Symptoms

By Mayo Clinic staff

Signs and symptoms vary depending on the cause of your anemia, but may include:

  • Fatigue
  • Pale skin
  • A fast or irregular heartbeat
  • Shortness of breath
  • Chest pain
  • Dizziness
  • Cognitive problems
  • Cold hands and feet
  • Headache

Initially, anemia can be so mild it goes unnoticed. But signs and symptoms increase as anemia worsens.

When to see a doctor
See your doctor if you're feeling fatigued for unexplained reasons, especially if you're at risk of anemia. Some anemias, such as iron deficiency anemia, are common. But don't assume that if you're tired, you must be anemic. Fatigue has many causes besides anemia.

Some people learn that their hemoglobin is low, which indicates anemia, when they go to donate blood. Low hemoglobin may be a temporary problem remedied by eating more iron-rich foods or taking a multivitamin containing iron. However, it may also be a warning sign of blood loss in your body that may be causing you to be deficient in iron. If you're told that you can't donate blood because of low hemoglobin, see your doctor.

References
  1. Anemia. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/anemia/anemia_whatis.html. Accessed Dec. 8, 2008.
  2. Pernicious anemia. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/prnanmia/prnanmia_all.html. Accessed Dec. 10, 2008.
  3. Schrier SL. Patient information: Iron deficiency anemia. http://www.uptodate.com/home/index.html. Accessed Nov. 25, 2008.
  4. Schrier SL, et al. Anemia of chronic disease (anemia of chronic inflammation). http://www.uptodate.com/home/index.html. Accessed Nov. 25, 2008.
  5. Schrier SL. Aplastic anemia: Pathogenesis; clinical manifestations; and diagnosis. http://www.uptodate.com/home/index.html. Accessed Nov. 25, 2008.
  6. Schrier SL. Approach to the diagnosis of hemolytic anemia in the adult. http://www.uptodate.com/home/index.html. Accessed Nov. 25, 2008.
  7. Hemolytic anemia. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/ha/ha_all.html. Accessed Dec. 10, 2008.
  8. Sickle cell anemia. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/ha/ha_all.html. Accessed Dec. 8, 2008.
  9. Schrier SL. Aplastic anemia: Prognosis and treatment. http://www.uptodate.com/home/index.html. Accessed Nov. 25, 2008.
  10. Schrier SL. Causes and diagnosis of anemia due to iron deficiency. http://www.uptodate.com/home/index.html. Accessed Nov. 25, 2008.
  11. Mechanisms of Anemia. In: Hoffman R et al. Hematology: Basic Principles and Practice. 4th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2005. http://www.mdconsult.com/das/book/body/114764765-5/786318263/1267/208.html#4-u1.0-B0-443-06628-0..50032-8--cesec2_821. Accessed Dec. 19, 2008.
  12. Linker CA. General Approach to Anemias. In: McPhee SJ et al. Current Medical Diagnosis & Treatment 2009. 48th ed. San Francisco, Calif.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/content.aspx?aID=5476&searchStr=anemias. Accessed Dec. 19, 2008.

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March 19, 2009

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