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

### input:
I was told my red blood count was 8.9 and would have to have 3 months of Lupron shots before I could have a hysterectomy (my uterus is enlarged and I am full of fibroids). I am seeing a recommended obgyn for the surgery. This is not the first time my blood count has been low. Should I contact my family doctor to let her know my count is low or assume the count is low from the fibroids. I have been on atenol for blood pressure 2 years ago after I was diagnosed with sever anemia. I had a pretty serious nose bleed the other day, and am nauseated everyday, heart palpitations, lack of energy, and my chin and arm have been going numb, frequent urination, extremely heavy periods, pain in my kidney area. Could this be from the anemia? I am not sure if I should be asking for more blood work to be done to check my vitiman D and B12 levels, they were low last time I was diagnosed with anemia. My current family doctor is booked up, so if I seen someone it would be a nurse practitioner. When I went 2 months ago with the above symptoms, the nurse practitioner drew no blood, ordered the trans vaginal ultrasound and kidney ultrasound. The kidney ultrasound was normal. My doctor canceled the trans vaginal ultrasound without telling me. I called and spoke to her assistant and reminded her that I was bleeding heavily. She had her assistant call to reschedule ultrasound. I had to wait another week. My doctor s assistant called to tell me my ultrasound showed and enlarged uterus and full of fibroids, that they would schedule an appointment with an obgyn for a hysterectomy. I called back asking for pain and nausea medicine. Again the assistant called prescribing nausea med and aleve. I don t know how serious my symptoms are, and if doing the Lupron shots, eating high iron and over the counter multivitamin is the right thing to do to get my blood count back up and wait for surgery in Janauary or should I see one of my doctor s nurse practitioner s because by doctor is booking out to November?

### output:

Dear friend. Welcome to Healthcare for your queries . I read your concern and your tiredness and weakness is due to ANEMIA. Anemia is due to fibroid as of your health concern, If fibroid is left untreated it can cause much more bleeding and your health becomes decorated even if managed by iron and multivitamin supplements, I would suggest you to book an appointment with GAEC Specialist and get fibroid removed by hysterectomy procedure and after procedure Vitamins and Iron supplements will surely improve blood level and your symptoms will be reduced. Do not be panic about pain in kidney region, Get checked for urine test and a course of antibiotics will cure the symptoms. Do not be worried, Your energy will be restored back to normal again ... You can ask me if you have any further queries. Regards Chat Doctor. Kingston John David