Pernicious anemia is a type of
megaloblastic anemia. Pernicious anemia is
caused by disturbed absorption of Vitamin
B12. Absorption of the Vitamin B12 is
disturbed because the so called
“intrinsic factor”, which is produced
in the stomach, is missing. The Intrinsic
factor becomes missing in cases of chronic
atrophic gastritis. Was chronic gastritis
proven in your case? Other reasons for
deficit of Vitamin B12 could be: diet with
less Vitamin B12, presence of intestinal
parasites, intestinal disorders and
genetic defects of Vitamin B12 transport
and cell intake.
Every laboratory has its own referent
values for Vitamin B12 level in the serum
so I can’t judge about your values
because you didn’t tell me the referent
values for Vitamin B12 in the serum. For
evaluating the anemia condition 2
parameters are very important: hemoglobin
level and MCV (erythrocyte volume). You
told me that the hemoglobin was fine but
nothing about MCV. As long as the
hemoglobin level and MCV are OK there is
nothing to be worry about.
Gallbladder removal should not disturb the
Vitamin B12 absorption.
Injections with Vitamin B12 should work.
You may want to consult a hematologist and
gastroenterologist about your condition.
DISCLAIMER:
"Ask a Doctor" Questions are answered by Dr. Nikola Gjuzelov, General Practitioner. Dr. Gjuzelov practices medicine for the general public and is affiliated with the Republic of Macedonia Public Health Institution. For more information about Dr. Gjuzelov or other eHealthForum.com medical experts, please visit our About Us page. You may also visit our Immune Disorders Forum, for moderated patient to patient support and information.
The material presented in the eHealth Forum Discussion Forums and Ask A Doctor is in no way intended to replace professional medical care or attention by a qualified licensed medical professional. eHealth Forum and eHealth Forum's Ask A Doctor advises all users with health problems and concerns to consult their personal doctors. Furthermore, if you have any questions or concerns about your condition, you must consult your qualified licenseced medical professional before starting any treatment.
The materials in the eHealth Forum Discussion Forums and Ask A Doctor cannot and should not be used as a basis for diagnosis or choice of treatment. To the fullest extent possible, eHealth Forum and eHealth Forum's Ask A Doctor expressly excludes all liability in respect of the information and opinions contained in the Discussion Forums and Ask A Doctor, this Web site, or any sites linked to this Web site.