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

### input:
yes, my duaghter, 16 years of age. bloodwork was done at my request becuase i saw symptons of anemia , which i myself have suffered since the age of 12. she is of african american race her dads side,he once told me he had sickle cell traits but it never affected him.myself not knowing my whole side becuase my mother did not put my dad on the birth certificate leaves a half side- kinda unknowen.reason why im stateing this is the doctors office said they couldnt give me a proper diagnosis becuase my duaghter blood level was so extremly low her red blood cells ..ect.. very low.they gave her a month worth of strong iron pills @ laxatives to help her with the iron pills. they said they will have to retest becuase they couldnt determind proper lab results has to why or what it maybe?.the doctor asked if maybe it was thalassemia her dad may have had? but i know he said sickle cell traits.(we are no longer together & cant find him at this time.)when i looked up thalassemia very scary. but im white catch.. 22 my mother refuses to tell anyone whom my birth father is, well in concultion i cant be mediterrranean or asian haritage.. maybe itailain?or greek? problem is to norrow this down,.....maybe?.. cant sickle cell traits disguise as maybe as thalassemia?

### output:

Your description of your daughters' problem shows that she has anemia which you think might be sickle cell trait or Thalassemia. First test which can be performed is a reticulocyte count. If this is high it is a hemolytic anemia. A peripheral smear should be done which will make the picture clearer. A bone marrow biopsy can be done to rule out plastic anemia or other bone marrow abnormalities. All these tests will help you to narrow down the diagnosis