<s>[INST] hi, i am anemic due to low iron levels. i am always feeling dizzy, tired, have eye pains, have been losing wieght, shortness of breath, cold hands and swelling of hands, kidney pains, arm and back back pains and have recently got a sopt which is red on the outside but white on the inside on my arm. can you tell me what can be? [/INST] Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. Amemia can cause white patch, but it never causes red patch. I advise you should investigate the cause for such a severe anemia with nearby general physician. Till you get investigate please start the treatment according to your hemoglobin level. If your hemoglobin level is much lower you should start blood transfusion. If its mildly elevated its necessary to start the treatment with oral iron therapy. Please take the treatment till your hemoglobin reaches to normal value plus three months to replenish the iron storage of the body. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor.  Thank you. ChatDoctorInfectious diseases specialist. </s>