i just got my blood results back and I'm a bit concerned. My anion gap is 0. I'm wondering what some cause are and if vomiting could be one of them? Also symptoms? My hemoglobin and RBC have been continually going down and my hemoglobin is now 116 g/L and my RBC is 3.77 x E12/L My hematocrit is now low also at 0.34 L/L. I was wondering how these could be treated? I was also wondering if esophageal bleeding could cause this because I've been suffering with horrific reflux and am getting an endoscopy on Thursday.
Maybe you mean your hemoglobin is 11.6 g/L? Hemoglobin and Hematocrit are indicators of anemia. Bleeding of the esophagus will cause anemia if you bleed enough. An H & H (Hemoglobin & Hematocrit) of 11.6 & 34 is a slightly anemic state depending on sex and age. The solution is iron, unless you lose more blood and your Dr. chooses a transfusion, which so far isn't likely. Your number of RBC's are down for the same reason: you're bleeding them out faster than your body can replace them.
Vomiting can definitely mess up your electrolytes which in turn will give you an out-of-ideal-range anion gap. So... you already suspected the correct causes of your problems and I hope you're well on your way to healing by today.
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