Conversation: The conversation between human and AI assistant.
[|Human|] i am 69 years of age male .After no illness at all in my life so far i have been told I am anaemic , my blood count has dropped by 30% .I have been prescribed iron tablets for an 8 week period .i have had no blood loss , have taken part in the bowel cancer tests for 2 to 3 years without any issues detected .What are the usual reason for this to happen at this stage?I am eating veg , liver , steak  ,dried apricots to get iron into my system and was considering having 3 pints of guinness a  week ( does it help ? )I walk 4 miles most days.Can you advise why this may have occurred , Thanks Brian Lilley
[|AI|]  Dear Brian Villa, Firstly I would like to know if you have any symptom of palpitation(FAST HEART BEAT), shortness of breath, mild headache or insufficient sleep. If Yes possibly you are anemic. There are many reasons of anemia one of which is nutritional efficiency caused by less intake or less absorption in your body which is ruled out as you say, but worm infestation has also to be ruled out. Other cause may be low production of blood cells from bone marrow or the blood cells are quickly destroyed. Firstly a complete blood count with peripheral smear examination is needed to have the basic clue about the type of anemia you have. You can go for further investigations for which CBC will be the guide, and we can determine what type of anemia you have. Your primary physician will guide you accordingly. Truly,