When To Seek Medical Advice
See your GP if you have persistent or severe symptoms of haemorrhoids. You should always get any rectal bleeding checked out, so your doctor can rule out more potentially serious causes.
The symptoms of haemorrhoids often clear up on their own or with simple treatments that can be bought from a pharmacy without a prescription . However, speak to your GP if your symptoms donât get better or if you experience pain or bleeding.
Your GP can often diagnose haemorrhoids using a simple internal examination of your back passage, although they may need to refer you to a colorectal specialist for diagnosis and treatment.
Some people with haemorrhoids are reluctant to see their GP. However, theres no need to be embarrassed, because GPs are very used to diagnosing and treating haemorrhoids.
Read more about diagnosing haemorrhoids.
Vitamin B12 Deficiency Symptoms
Vitamin B12 deficiency can be slow to develop, causing symptoms to appear gradually and intensify over time. It can also come on relatively quickly. Given the array of symptoms a vitamin B12 deficiency can cause, the condition can be overlooked or confused with something else. Vitamin B12deficiency symptoms may include:
- strange sensations, numbness, or tingling in the hands, legs, or feet
- difficulty walking
- difficulty thinking and reasoning , or memory loss
While an experienced physician may notice the symptoms and be able to detect a vitamin B12 deficiency with a good interview and physical exam, a blood test is needed to confirm the condition.
Its a good idea to ask your doctor about having your B12 level checked if you are a strict vegetarian or have had weight-loss surgery or have a condition that interferes with the absorption of food.
Early detection and treatment is important. If left untreated, the deficiency can cause severe neurologic problems and blood diseases.
If Iron Deficiency Anaemia Is Not Treated
Untreated iron deficiency anaemia:
- can make you more at risk of illness and infection a lack of iron affects the immune system
- may increase your risk of developing complications that affect the heart or lungs such as an abnormally fast heartbeat or heart failure
- in pregnancy, can cause a greater risk of complications before and after birth
Page last reviewed: 29 January 2021 Next review due: 29 January 2024
Recommended Reading: How To Slit My Wrist
Symptoms Of Vitamin B12 Deficiency
This is a complete list of all possible symptoms of vitamin B12 deficiency. You may have only a few or more of these symptoms. Vitamin B12 deficiency affects people differently, according to the level of depletion.
Can Vitamin B12 Cause Nausea
SymptomsVitamin B12Vitamin B12lead tosymptomsnausea
Accordingly, what are the side effects of taking vitamin b12?
Injectable vitamin B-12, which is used to treat significant deficiencies, can cause the following side effects:
- mild diarrhea.
- pulmonary edema and congestive heart failure early in treatment.
Subsequently, question is, why do B vitamins make me nauseous? You’re taking vitamins on an empty stomach.Vitamins that are more acidic in nature ? like vitamin C or folate ? may cause nausea if they’re consumed on an empty stomach, Poppers told HuffPost.
Also to know is, can vitamin b12 cause stomach upset?
Other symptoms of vitamin B12 deficiency involve the digestive tract. These symptoms include nausea and vomiting, heartburn, abdominal bloating and gas, constipation or diarrhea, loss of appetite, and weight loss. An enlarged liver is another symptom.
Does vitamin b12 help with nausea?
Because vitamin B12 is an essential key in digestive enzyme production, it is necessary to keep nausea at bay. It also helps to foster a healthy gut, which will also help keep you from experiencing any nausea. While once considered rare, vitamin B12 deficiency is much higher than initially believed.
Also Check: Kujala Anterior Knee Pain Scale
Symptoms Of Vitamin B12 Deficiency Anemia
Dont ignore possible symptoms of vitamin B12 deficiency- often, the only way to effectively catch vitamin B12 anemia before it becomes debilitating is by recognizing some of the earliest signs, such as constant daily fatigue, memory problems, depression, and painful numbness and tingling in the extremities.
Vitamin B12 blood tests may be helpful for diagnosing severe pernicious anemia , but their track record for preventing symptoms of vitamin B12 deficiency in the moderate range is not reassuring. Thats because the range for detecting depleted vitamin B12 is set too low, producing inaccurate test readings when more vitamin B12 is needed to provide relief and prevent nerve damage.
If you experience any of the following symptoms, then its advisable to start a regimen of vitamin B12 supplements, and track results.
The Importance Of Time Intervals
A very common reason for high B12 levels is because the blood test has been carried out too soon after the administration of a B12 injection. This should be avoided and tests should be delayed by 7-10 days post-injection. Results can otherwise be very misleading, as B12 that has not yet been metabolised elevates the blood level. Nonetheless, high B12 levels are absolutely harmless in these cases.
Taking high-dose oral B12 supplements can also greatly increase blood levels here, the same period of 7-10 days should be observed before testing.
Should high blood levels occur during a course of vitamin B12, then another measurement should be taken 10 days after supplementation has ended.
Recommended Reading: Is Stomach Pain A Sign Of Pregnancy
Bleeding From The Anus
A common sign of hemorrhoids is bleeding from the anus. Blood from hemorrhoids is likely to be a brighter red because it comes directly from arteries or veins. The blood can be found:
- On toilet paper after wiping
- In the toilet bowl
Anal bleeding is a symptom of several other conditions, including:
Anal fissure, anal abscess and anal fistula
Bright red blood can also be a sign of an anal fissure, anal abscess and/or anal fistula.
- An anal fissure is a small tear or sore in the skin of the anal canal
- An anal abscess is a pocket near the anus filled with pus
- An anal fistula is a tunnel that runs from the end of the bowel to the skin around the anus
Symptoms of these conditions that are not shared with hemorrhoids include:
- Anal fissure can cause sharp pain during and after passing a stool, while hemorrhoid pain is normally less severe
- An anal abscess can cause a firm, warm, tender, non-thrombosed lump around the anus. Abscesses may sometimes cause fever
- Anal fistula commonly forms after a previous abscess
Polyps are another type of growth that can be found in similar parts of the body to hemorrhoids. A polyp in the colon or rectum can also cause bleeding. In the case of colorectal polyps, blood can sometimes be seen in the feces. If a person has polyps they may also experience:
- Abdominal pain
- A change in bowel habits
Colon cancer and rectal cancer
Are You At Risk Of Vitamin B12 Deficiency
There are many causes for vitamin B12 deficiency. Surprisingly, two of them are practices often undertaken to improve health: a vegetarian diet and weight-loss surgery.
Plants dont make vitamin B12. The only foods that deliver it are meat, eggs, poultry, dairy products, and other foods from animals. Strict vegetarians and vegans are at high risk for developing a B12 deficiency if they dont eat grains that have been fortified with the vitamin or take a vitamin supplement. People who have weight-loss surgery are also more likely to be low in vitamin B12 because the operation interferes with the bodys ability to extract vitamin B12 from food.
Conditions that interfere with nutrient absorption, such celiac or Crohns disease, can cause B12trouble. So can the use of commonly prescribed heartburn drugs, which reduce acid production in the stomach . The condition is more likely to occur in older people due to the cutback in stomach acid production that often occurs with aging.
Don’t Miss: Neck Stomach Syndrome Symptoms
Pernicious Anemia Occurs In The Stomach
Intrinsic factor is one such protein that your body needs, both to extract cobalamin from food and to utilize it efficiently so that it reaches your blood stream.
But with digestive disorders such as Crohns disease, or if there is any type of damage to your esophagus, stomach walls, or intestinal tract, then you run a high risk for vitamin B12 deficiency, and possibly pernicious anemia.
So while people assume that pernicious anemia is a blood disease, it really begins in the stomach, with bloating, acid reflux, and heartburn.
Anaemia Of Chronic Disease
ACD is the most frequent anaemia in hospitalised patients and develops in subjects suffering from diseases that are associated with chronic activation of cell mediated immunity, such as chronic infections, immune mediated inflammatory disorders, or malignancy. Thus ACD is primarily an immune driven disorder with cytokines such as TNF- or IFN- and acute phase proteins being the major players. Several factors contribute to the development of ACD.
Diversion of iron traffic
A hallmark of ACD is hypoferraemia, and accordingly iron limitations at the erythron, while iron is taken up by macrophages and dendritic cells of the reticuloendothelial system . Thus ACD can be easily diagnosed by the presence of hypoferraemia and increased serum levels of ferritin .
Iron and erythropoiesis in chronic disease. When erythropoiesis is suppressed, iron which is released at the end of the red cell lifespan and which would normally have been recycled into new haemoglobin is diverted into iron stores. As a result, serum ferritin levels are increased. Iron absorption is driven mainly by erythropoiesis. When this is suppressed, iron absorption is likewise decreased.
Inhibition of erythroid progenitor proliferation and differentiation
Blunted Epo response
Read Also: Pinched Nerve Ear Pain
Complications Of Vitamin B12 Deficiency
Occasionally, a vitamin B12 deficiency can cause complications. These depend on the severity and duration of the deficiency, but may include:
- Neurological problems. These may include vision disturbances, memory loss, pins and needles, difficulty walking or speaking, and damage to the nerves , particularly in the legs. Occasionally, some of these problems may be irreversible.
- Infertility. A vitamin B12 deficiency may cause women to be unable to fall pregnant. However, this is usually reversible with treatment.
- Stomach cancer. In cases of vitamin B12 deficiency caused by pernicious anemia, the risk of developing stomach cancer may be increased.
- Neural tube defects. Pregnant women with a vitamin B12 deficiency may be at an increased risk of their baby developing serious birth defects such as spina bifida.
In addition, anemia of all kinds can sometimes cause serious heart and lung complications. These include a fast heartbeat and heart failure. Read more about anemia complications Â»
To prevent complications, people who suspect they may have a vitamin B12 deficiency are advised to consult a qualified healthcare practitioner without delay.
How Do B12 Levels Change As People Age
In a 2016 study, researchers measured the levels of vitamin B12 in the brains of more than 60 deceased individuals, ranging in age from a fetus in a late stage of gestation to 80 years. The study, published in the journal PLOS ONE, was the first to compare the levels of vitamin B12 in the brain across the human lifetime.
The researchers found that levels of vitamin B12 in the brain were 10 times lower in the oldest people compared with the youngest, reflecting a gradual, natural and consistent decline over time. But in people with certain medical conditions, the researchers detected levels of the vitamin that didn’t fit into this pattern. For example, the brains of young people with autism and the brains of middle-age people with schizophrenia had about one-third the levels of vitamin B12 compared with similarly aged people who did not have these conditions.
The study, however, found only an association between vitamin B12 levels and these neurological conditions it did not find that low levels of the vitamin lead to the conditions.
Also Check: Sore Stomach Early Pregnancy
Nausea Vomiting And Diarrhea
Vitamin B-12 deficiency can affect the digestive tract.
A lack of red blood cells means that not enough oxygen reaches the gut. Insufficient oxygen here may lead to a person both feeling and being sick. It may also cause diarrhea.
The following factors make a person more likely to have a vitamin B-12 deficiency:
- being older, because a person becomes less able to absorb B-12 as they age
- eating a vegetarian or vegan diet
- taking anti-acid medication for an extended period
- weight loss surgery or other stomach surgery, which can affect how the digestive system absorbs vitamin B-12
The Most Overlooked Risk Of Stomach Bloating
Gassy, painful stomach bloating from indigestion may mean that you need more of an essential vitamin in your blood supply. If your gut feels like a war zone, then experts recommend getting tested for vitamin B12 deficiency, a form of anemia linked to gastritis.
Stomach bloating? Check your B12.
Also Check: Lidocaine Prescription Strength
Can Vitamin Deficiency Cause High Blood Sugar
4/5vitaminlevelsvitaminincreaseddiabeteshigh bloodhigh blood sugar
Consequently, can low vitamin D cause high blood sugar?
If you have a vitamin D deficiency, youre more likely to develop type 2 diabetes. Vitamin D helps your body produce hormones that regulate your blood sugar. Without it, your blood sugaris more likely to fluctuate and spiral out of control.
Secondly, what vitamin helps lower blood sugar? Here are 10 supplements that may help lower blood sugar.
- Cinnamon. Cinnamon supplements are either made from whole cinnamon powder or an extract.
- American Ginseng.
Also know, does vitamin D help with blood sugar?
Vitamin D is believed to help improve the bodys sensitivity to insulin the hormone responsible for regulating blood sugar levels and thus reduce the risk of insulin resistance, which is often a precursor to type 2 diabetes.
Can Vitamin b12 affect blood sugar?
It is more likely that you are deficient in iron, folate and/or vitamin B12. When red blood cells are old and A1c values show blood sugar levels to be higher than reality, insulin regimens can be mistakenly increased. This can cause hypoglycemia.
Dont Miss: How To Drop Sugar Levels
Treatment Of Vitamin B12 Deficiency
Treatment will depend on the reasons for the vitamin B12 deficiency. In most cases, having injections or taking a prescribed oral supplement will be sufficient to treat the condition.
A doctor may recommend having high-dose injections of vitamin B12, usually in a form called hydroxocobalamin, every second day for two weeks, or until symptoms have cleared.
If the cause of the deficiency is dietary, the doctor may advise taking a daily supplement or continuing to have injections twice a year or more, indefinitely. They may also refer the person to a dietician for advice on ways to increase vitamin B12 intake in their diet.
In cases where the deficiency is not related to a personâs diet, it will usually be necessary to have vitamin B12 injections every three months or more frequently, for the rest of their life.
People who have symptoms that affect their nervous system, such as pins and needles or numbness, may be referred to a hematologist for specialized management of the deficiency. It may be necessary for them to have injections every two months or more frequently, for life.
Vitamin B12 injections typically do not have any side-effects other than a small amount of discomfort where the needle is inserted.
Follow-up blood tests will generally be requested one to three months after starting treatment, to check that vitamin B12 levels have returned to normal. Thereafter, a doctor may advise a once-yearly follow-up test.
Don’t Miss: Blueberries Stomach Pain
Adults Over 50 Are Also At Risk
As you age, your stomach produces less acid, and stomach acid is key for B12 absorption, says Middleberg. About one in 31 adults over 50 are deficient, estimates the Centers for Disease Control and Prevention. “Older individuals also often have poorer appetites and food intakes, and they may be on medications that can further reduce stomach acid levels,” she says. In fact, some seniors actually lose the ability to absorb vitamin B12 from food completely, and they must get it via supplements or, if the deficiency is severe, injections.
Signs Symptoms And Complications Of Pernicious Anemia
A lack of vitamin B12 causes the signs and symptoms of pernicious anemia. Without enough vitamin B12, your body canât make enough healthy red blood cells, which causes .
Some of the signs and symptoms of pernicious anemia apply to all types of anemia. Other signs and symptoms are specific to a lack of vitamin B12.
Recommended Reading: Stomach Ache After Eating Pineapple
How Can I Prevent Iron Deficiency
Iron deficiency may be difficult to prevent if it is due to disease â for example, bleeding from the bowels. However, it should be possible to prevent iron deficiency that is due solely to not having enough iron in your diet. See the section below on iron-containing foods.
With increasing evidence that we need to limit our intake of meat, particularly red meat, how much iron do we need in our diet? The UK recommended daily intake for an adult man is 8.7 mg. For a woman who has not reached her menopause, this is increased to 14.8 mg. Higher amounts are needed in pregnancy and in children and young people.
Diseases Causing Increased Gas
Most people with gas-related symptoms have increased sensitivity to gas or have one of the causes of increased gas production mentioned above. However, occasionally these symptoms can be caused by diseases of the bowel. Sometimes, the illness can be short-lived. For example, acute gastroenteritis , often caused by infection with a virus, can result in a short-term condition associated with increased gas.
Occasionally, gas-related symptoms can be features of long-term diseases. All of them can cause at least one gas-related symptom .
Coeliac diseaseCoeliac disease is caused by intolerance to a protein called gluten which is found in certain foods containing wheat, barley and rye. It principally affects the part of the gut called the small intestine. It can occur at any age. Symptoms are relieved by avoiding gluten-containing foods. See the separate leaflet called Coeliac Disease.
DiverticulitisDiverticulitis occurs when small pouches in the wall of the large bowel become infected. See the separate leaflet called Diverticula .
Short bowel syndromeShort bowel syndrome can be a complication of bowel surgery. If more than half the small bowel is removed during surgery this can cause difficulties in food absorption.
GiardiasisThis is caused by infection with a germ calledÃ giardia. One of the symptoms is belching up foul-smelling gas.
Read Also: What Foods Not To Eat With Leaky Gut
Don’t Miss: Are Blueberries Good For Gastritis