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Rectal examinationArectal examination is usually only needed if you are bleeding from your bottom. This is a common procedure that can help your GP find out if there is something in your gastrointestinal tract that is causing bleeding. Your GP will insert a gloved, lubricated finger into your bottom sothey can feel any abnormalities.

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examine your abdomen (stomach) to check for any physical signs of gastrointestinal bleeding look for signs ofheart failure (when your heart is not pumping blood around your body very efficiently), such as swollen ankles, as heart failure can have some similar symptoms to iron deficiency anaemia Two other possible types of physical examination you may have are explained below.

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Physical examinationAphysical examination will usually only be needed if the cause has not been found through your medical history and symptoms.

Learn about patient choice nowIf you experience symptoms of iron deficiency anaemia, see your GP. A simple blood test can usually confirm the diagnosis.

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if your symptoms or medical history suggest your anaemia may be due to something else.

During a pelvic examination, your GP will examine your vulva and labia (external sex organs) for signs of bleeding or infection. They may also examine you internally. This will involve your GP inserting gloved, lubricated fingers into your vagina to feel whether youruterus (womb)is tender or enlarged.

ask if you regularly donate blood other medical conditions your GP may ask if you have recently had another illness or experienced other symptoms, such as weight loss Irondeficiency anaemia is common during pregnancy. If you are pregnant, your GPwill usually only look for an alternative cause if a blood test has showna particularly low haemoglobin level, or Bottega Veneta Intrecciato Turnlock Clutch

Read more about vitamin B12 and folate deficiency anaemia.

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Pelvic examinationWomen may have a pelvic examination if their GP suspects heavy menstrual bleeding (menorrhagia) may be the cause of their anaemia.

A rectal examination is not something to be embarrassed about, as it is a procedure your GP will be used to doing. It should not cause great pain or discomfort, and you will only feel a slight feeling, as if your bowels are moving.

Referral to a specialistIn some cases, your GP may refer you to a gastroenterologist (a specialist in treating digestive conditions), who can carry out a more thorough examination.

Your GP may also carry out a physical examination and ask you a number of questions, to determine the cause of your anaemia.


Finding the causeTo determine the underlying cause of your anaemia, your GP may askquestions about your lifestyle and medical history. For example, you may be asked about:

your diet to see what you typically eat and whether this includes any iron rich foods any medicines that you take to see if you have been regularly taking a type of medicine that can cause gastrointestinal bleeding (bleeding from the stomach and intestines), such asibuprofen oraspirin your menstrual pattern if you're a woman, your GP may ask if you have been experiencing particularlyheavy periods your family history you will be asked if your immediate family has anaemia ora history of gastrointestinal bleeding or blood disorders blood donation your GP may Bottega Veneta Medium Intrecciato Convertible Tote

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In these cases, your GP may:

This type of anaemia is more common in people who are over 75 years old.

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A pelvic examination will not be done without your consent, and you can choose to have someone with you.

Exercise your right to choice in the NHS

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Blood testTo diagnose iron deficiency anaemia, a blood sampleis taken from a vein in your arm and a full blood countis made. This meansall the different types of blood cells in the sample will be measured.

your levels of haemoglobin (a substance that transports oxygen) will be lower than normal you will have fewer red blood cells (which contain haemoglobin) than normal your red blood Prada Canvas Bag cells may be smaller and paler than usual Your GP may also test for a substance called ferritin a protein that stores iron. If your ferritin levels are low, there is not much iron stored in your body and you mayhave iron deficiency anaemia.

If you have anaemia:

Vitamin B12 and folate deficiencyIf your GP thinks your anaemia may be due to a vitamin B12 and folate deficiency, the levels of these substances may be tested. Folate works with vitamin B12 to help your body produce red blood cells.

Don't miss out .

Read more about blood tests.

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