### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi,I have been off work for 6 weeks due to anaemia. This is causing me dizzy spells and as a sales rep that spends a lot of time on the road, I felt unable to work after a dizzy spell whilst driving on the motorway shocked me into visiting my doctor and being signed off work.The cause of the anaemia is not yet known and is being investigated.However I am due to return next week as my company will no longer provide sick pay. I am still getting the dizzy spells and m quite concerned that they are still occurring despite taking ferrous sulphate. Please can you advise?

### output:

HiT hanks for query. 1. Most common cause of anemia is nutritional deficiency of iron, vitamin B12 and/ or folic acid. Dizziness is one of the commonest symptoms of anemia.2. When you are diagnosed with anemia, it becomes important to know the type of anemia as well. Get complete hologram done along with peripheral blood smear examination to know the type of anemia and take treatment accordingly.3. It takes at least two weeks for the symptoms to improve with oral therapy. If it's been more than two weeks get a reticulocyte count done to check for response, meanwhile discuss with your consultant the use of injectable forms of iron therapy as iron absorption might be hindered by worms sometimes. 4. Also get a deforming done for hookworm.5. Improve on your nutrition by having more cereals, citrus fruits, red meat(rich in iron and other micro nutrients). 6. Be regular on your medicines, take lots of fluids and avoid tea as tannins inhibit iron absorption. Hope this helps. Regards