A 50-years-old female presented with bilateral leg swelling, chest pain & shortness of breath, having Hb 2.9 gm/dl drammatically improved only with 1.5 months Iron supplements

Disclaimer:-

This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here February 2017 after collecting informed patient consent (form downloadable Click Here)  by BMJ Elective Student. 

Journey of a patient from getting typical symptoms of "Anemia with Hb 2.9 gm/dl" to " Hb 11.1 gm/dl with improvement in symptoms" within one and half months:

Story before 1.5 months:

Patient was presented to OPD with the complain of chest pain, shortness of breath and bilateral leg swelling with no history of blood loss. Patient was reasonably well 7 days prior to presentation. ↧

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Lab investigations were ordered that turned out to have very low HB level (2.9 gm/dl) [All the reports are attached] 

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Patient was diagnosed with Iron deficiency anemia and prescribed with ferrous fumarate 150mg (OD) for 15 days and no blood transfusions were advised.

After 15 Days:  

Patient came to OPD for the follow up and tests were repeated which turned out that patients HB level is increased upto 5.1 gm/dl. [All the reports are attached]  

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This time patient was advised to continue the same Iron supplements for 3 weeks more.

1 Month Later:


Patient again came for the follow up and tests were repeated which showed that patients HB level has increased now to 11.1 gm/dl. 

Now, the question remains to answer:

1. How dramatic it is to see Hb level from 2.9  - 5.5 - 11.1 (gm/dl) within 1.5months of iron supplements without blood transfusion?

2. Could it be more better with blood transfusion?