The very specific type of erosions of the angles of the lips which
occur with this type of dietary anemia would not occur in anyone who
has a normal diet, and is taking a multivitamin.
Vitamin B-12 deficiency due to lack of intrinsic factor (pernicious
anemia), or in patients post gastrectomy, or intestinal bypass, can
not be overcome with dietary vitamin B-12. Vitamin B-12 is given by
IV or IM injection.
Dietary B-12 deficiency can occur becuse B12 stores are more easily
depleted. This is most commonly seen in alcoholic & other substnce
abuse patients. Also pts. with anorexia.
Iron deficiency anemia develops with long term, chronic blood loss.
it can occur from mal-absorption, years after some older types of
gastric surgery, which were an older treatment for ulcer disease.
Again, treatment requires an injection of iron. When patients are
found to have Iron Deficiency anemia, it is more important to find
the cause of anemia (Often OCCULT CANCER), than to treat the anemia
(Which is easy).
I think that your symptoms would have disappeared without the
dietary supplement change.
Physicians usually look at the patients "nail beds" when trying to
evaluate anemia. The specific type of anemia can not be determined
on physical exam. A series of lab values is necessary for an
accurate diagnosis. I doubt the reliability of the test you describe.
Michael (MD in NC) (L) C+ 3/31/03
--- In surfacehippy@
> I have been digging around for information because I had a lip
crack in the corner of my
> mouth. Come to find out it could have been either iron or
Riboflavin(B2) deficiency. In my
> research I came across a handy way to check for Iron deficiency.
You turn you palm face
> up and stretch your fingers toward the ground. Supposedly, if the
creases in the palm of
> your hand become darker then you aren't anemic. My palmar creases
become dark red
> with this test. The creases are pale in someone who has Iron
deficiency. Maybe some of
> your medical types can elaborate on the efficacy of this test.
> I restarted and doubled my multiple vitamin and the crack was gone
in two days. I think it
> was B2 deficiency which can occur after surgery. FWIW and YMMV.
> Dr. Ure RBHR 12/10/07
> --- In surfacehippy@
> > Greetings from sunny Michigan -
> > Does anyone have any advice about pre-op iron supplements?
> > Source?
> > Thanks,
> > Richard
> > [Non-text portions of this message have been removed]
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