Mild Hemochromatosis - shortness in breath - heart palpitations - Dizziness

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New to this forum and need some guidance. I have a ferritin level of 535 and have been to the doc and gastro who both agreed i need to lower iron levels however the gastro was not very sympathising with my-symptoms and said that this was not Iron overload causing this.

After reading almost everypost on this im second guessing that the symptoms are not related.

Also the gastro advised that there is no rush to get vansections done as i have lived with this most of my life and what would the diffence be in a few weeks to send a referal to begin the unloading.

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12 Replies

  • Posted

    This all sounds very familiar... I have the same problems including chest pain and aching in my left face, jaw, left shoulder blade and other areas you would associate with angina only it is nearly always at rest. It lasts for 20 - 40 mins then goes away. I have shortness of breath like I cant get a satisfying breath at times and bursts of abnormal heart rhythms and palpitations. My ferritin fluctuates between 550 and 850 and has done for years. I have recently been diagnosed with compound haemochromatosis. I have just started venesections but only had two sessions so far. I have had every cardiac test you can think of and everything is always normal. I can only guess that iron in the finer arteries is to blame. If it can cause avascular necrosis then why not microvascular angina? Same as you I have found most docs seem uneducated on the full potential of haemochromotosis with the latest cardiologist I seen telling me it only causes joint pain and arthritis... Laughable only for me I don't find it funny. All the papers and journals I can get my hands on list many problems caused by too much iron including cardiac problems.

    Have you had the genetic test and if so are you compound C282Y/H63D or classic C282Y ?

    • Posted

      This is all very similar to what is happening with me, the gastro did tell me that fatigue and joint pain was a symptom but i didnt have it. which was a little strange. Compound Heterozygous C282Y/H63D I believe this is a very very mild form of HH but no mater which way you look at it iron over laod is present. I feel like abit of a idiot constantly getting fobbed of. If it wasnt for this form i would.

      I am trying to get vensections sooner so i can agree/Disagree with the gastros opinion that the symptoms are unrelated.

      I understand the gastro possbly sees this on a daily bassis hence why I was second guessing. But after reading alot about it and symptoms that other people have it seems like to much of a coincidence.

      I have also had a stress test xray of the chest to rule out any heart issues and doctor in A/E told me there was noting wrong and that i shouldnt worry.

      As you described i have shortness of breath for about 20-40 mins at a time and go away they come back again

    • Posted

      I too was led to believe that compound is a mild form of haemochromatosis but Im not so sure. I also read that it is quite rare and few studies have been done around it. I read a medical paper from the 1960s that detailed the case of a man that had angina at rest with his haemohromatosis that went away after 18 months of venesections. He stopped vx thinking his problems had been solved and within 12 months angina had returned. He started vx again and the angina went away, coincidence?? I dont think it is as black and white as they say it is and they are still learning of new things related to haemohromatosis all the time. Maybe they only document what they can physically see and therefore people like us fly under the radar. Despite my symptoms I am continually discharged from cardiology like I am making it up! "if our machines cant see it then it doesn't exist" seems to be the current logic. I share your frustration at being told nothing is wrong when it clearly is. Nobody knows your own body better than you do.

      Modern medicine is in its infancy, there are lots of things we dont know, cant see, lots of things we dont understand, cant explain and have no treatment for. Our docs only know what their text books tell them. If it isnt in the book your fighting a lost cause until the right person proves otherwise. How can they prove/disprove what they cannot see? It is well documented that microvascular angina (cardiac syndrome x) exists and that there are no scanners that can see it as the vessels it affects are only the width of a human hair. Who is to say that iron is not capable of clogging these arteries too? They say that haemochromatosis affects different people in different ways. I have to agree with them on that at least!

      I dont have joint pain either. I do have fatigue though. Maybe different people store the iron in different places depending on our genetic make up?

    • Posted

      There is plenty of research studies out there that prove various issues but drs don't bother to read them. They rely on the little they learnt at university, which is tiny.

      Haemochromatosis programs have been set up for drs to do to gain further accreditation, but they don't bother, or prefer to focus on something else which is more fashionable, like prostate, obesity, diabetes, etc.

  • Posted

    Gastros look after livers. If you do not have a problem with your liver ask to be referred to a haemotologist. Even they do no know all the nitty gritty issues with haemochromatosis but know how to monitor blood levels and venesections.

    I was diagnosed 21 years ago with homozygous C282Y with 9 years severe symptoms before that undiagnosed. This also included arrythmia, chest pain, shortness of breath as I felt like I was walking through quicksand and getting no-where. The chest pain, etc dissipated after a few vx.

    I found that when my ferritin leapt up some, these symptoms came back. You can always google 'arrythmia and iron overload' for confirmation. Have you had a genetic test yet. That needs to be done. What is your TS% and you MCV, assuming that has been done. If your TS% is >45% this is an important marker for haemochromatosis, and MCV >94 is known to be a marker for HH.

    The best advice I ever got was from a heart specialist telling me that if there was iron in my heart, they cannot drain it out, cut it out, etc. only venesections can get rid of it. If you do have confirmed haemochromatosis, ditch this guy and see a haemotologist who will arrange and monitor venesections. If you do not have confirmed hemochromatosis, ditch him and see a cardiologist.

    Good luck.

    • Posted

      Thankfully im gettting somewhere with the appointments im sorry i should correct myself, i went to see a gastroentoogist if thats the right name who specialises in hemochrombtosis. I was refered to the consultant after the genetics test.

      Just for reference

      Ferritin was 535, transferritin is 43 s iron is 25 if that makes any sense.

      It can be extremely frustrating being told there is noting wrong with you and you may have anxiety when you clearly know you own body. Also the waiting game for the genetics test is beyond a joke as you are left feeling the same way you went in to the doctor originally and the doctor normally just shrugs there shoulders and says its in your head.

      Because the treatment is relatively simple the GP should almost prescribe 1/2 vansections while waiting on the genetics test to lower the iron levels regardless. if the patient feels even 1% better that would be a result in the short term in my opinion.

    • Posted

      YOur TS% is less than the >45% marker for haemochromatosis, but sometimes this can happen.

      In the meantime, you could always go donate blood at a blood bank but do not mention suspected haemochromatosis or high ferritin/iron.

      If your Hb is ok, there should be no problem unless you are taking medication or illnesses which will prevent them from doing it. Be careful about talking about suspected symptoms if you have not been diagnosed with anything.

  • Posted

    Had the first vansection today they only took about half a pint for the first one and said they would ramp up to full pint for the next 4 sessions. Is this normal. and would you normally have symptom relief with the first.

  • Posted

    I'm new to this forum and looking into this condition has been enlightening to say the least. I've only received my diagnosis today and whilst disappointed to learn, I'm also relieved. Reading that some folk have ferritin levels of around 500, mine was 1200. I put my symptoms down to the pace of my work and the hours I do, so unprepared for the Dr's prognosis, a revelation. Any guidance will be much appreciated.

    • Posted

      Hi Paul

      I hope this is not the only reading you have done. It is necessary to read more formal and official medical research rather than blogs. As you don't provide much in the way of detail, e.g. what HFE gene/genes, TS%, how often you currently have vx, any health issues as a result of delayed diagnosis, etc. it is not appropriate to offer guidance from our experience, otherwise we are whistling into the wind so to speak.

      Just think though, it is a better diagnosis than one that requires chemo or other such awful treatments, and also, diet does not cure haemochromatosis, regardless of what you may read in blogs and other unofficial websites. Just stay away from iron supplemented foods. The iron that exists in fresh foods will not harm you when you are being treated with vx. Vit C (including juices which contain a lot of fruit) with meals (not Vit C foods) promotes the uptake of iron, and calcium foods eaten with meals is proven to reduce the uptake of iron. So we have cheese, yoghurt as a dessert. But calcium also reduces the uptake of other minerals as well, so we are caught in a hard place. In reality, the small amount of iron that it reduces is of little consequence. Vx is the only successful treatment.

      Also regardless of what you may read, tumeric/curcumin does NOT chelate or reduce iron. Otherwise all of India would be anaemic.

      Eliminating sugars/starchy carbs from your diet will help reduce the risk of fatty liver, which we are all prone to.

      If you have more specific questions, please provide the above information to get more specific answers because all the differences in our metabolic disorder makes a big difference.

  • Posted

    Hi Sorry for the Long delay in response. I have had a genetic test done and can confirm i have Heterozygous C282Y, this i believe is a milder version of it. I am currently on my second venesection.

    First venesection was about 280ML felt fine after it but later that night i was a little tired and weak

    Second Venesection was about 230ML because i had requested this as i was fasting for liver and spleen ultrasound. felt bit dizzy that day and lightheaded.

    Is it normal to have heart palpitations after the venesection and headaches.

    Also ferrtin levels dropped nearly 150 from the first blood test. i thought this was a bit strange.

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