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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
Make an appointment with your doctor if you're feeling fatigued for unexplained reasons. Some anemias, such as iron deficiency anemia, are common. Fatigue has many causes besides anemia, so don't assume that if you're tired, you must be anemic.

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, make an appointment with your doctor.

References
  1. Anemia. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/anemia/anemia_all.html. Accessed Jan. 6, 2011.
  2. Marks PW. Approach to anemia in the adult and child. In: Hoffman R, et al. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2009. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-443-06715-0..X5001-8--TOP&isbn=978-0-443-06715-0&uniqId=230100505-56. Accessed Jan. 6, 2011.
  3. Anemia. American Society of Hematology. http://www.hematology.org/Patients/Blood-Disorders/Anemia/5225.aspx. Accessed Jan. 12, 2011.
  4. How is pernicious anemia treated? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/prnanmia/prnanmia_treatments.html. Accessed Jan. 13, 2011.
  5. How is hemolytic anemia treated? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/ha/ha_treatments.html. Accessed Jan. 13, 2011.
  6. How is sickle cell anemia treated? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/Sca/SCA_Treatments.html. Accessed Jan. 13, 2011.
  7. Laboratory reference values. Hematology group. Rochester, Minn.: Mayo Foundation for Medical Education and Research; January 2011.
DS00321 Feb. 19, 2011

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