<s>[INST]I have a drop in hemoglobin from 14 to 9 in less than 1 year.  So far tests have shown no bleeding.  In not sure where to go because Im told its not low enough to cause my symptoms.  Im nauseous, light headed, fatigued, I just dont feel right.  Ive had pounding hear eats eats and also PACs.  Im feeling so bad at the moment I want to go to ER.  They will just tell me its nothing serious and go see my family DR.  Any advice?[/INST]Hello, Thanks for the query to Chat Doctor. Forum. This is right that hemoglobin level is low 9 gm/ DL. The cause of concern is that it came down from 14 to 9 gm / DL. May be due to any disease in the stomach as you are complaining that there are nausea, light-headed, fatigue, but remember that all these symptoms may be due to low hemoglobin level. Gastric disorder, Worm infestation, Intestinal disorder, All these above-mentioned may be a cause of lowering hemoglobin. Get in blood for C B C, E S R, blood dysplasia. Consult a hematologist and get his opinion. Stool & urine examination play an important role. </s>