Bloodwork is the only way to know for sure that you are anemic. Blood tests used to determine anemia include a complete blood count (CBC), hematocrit, hemoglobin, and ferritin levels.  If you are prone to anemia, you may be able to recognize the symptoms as they return. Anemia affects people differently. Possible symptoms include: Brittle or spoon-shaped nails Cold hands and feet Dizziness Dry and damaged skin and hair Fatigue Headaches and migraines Heart palpitations Pale skin Restless legs syndrome Shortness of breath Sores or swelling on the tongue and mouth Tinnitus