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Pernicious Anemia

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  • Trouble with balance while standing, especially at night
  • Leaking urine or losing control of their bladder (called "incontinence)

  • People with pernicious anemia might also have changes in how they feel and act, including: � �
    • Problems with memory and thinking (a condition called "dementia " �)
    • Mood problems, such as being cranky or grouchy

    Is there a test for pernicious anemia? " � Yes. Doctors use many different blood and urine tests to check for pernicious anemia. � �
    How is pernicious anemia treated? " � Pernicious anemia is treated with large doses of vitamin B12. Most of the time, you will get an injection (shot) of vitamin B12 every day for 1 week. A nurse can show you (or a relative or friend) how to give the shots. Then you will need 1 shot per week for 4 weeks, followed by monthly shots of vitamin B12 for the rest of your life. � �
    In some cases, vitamin B12 can be taken in different forms, including: � �
    • A pill that you swallow
    • A tablet that you dissolve under your tongue
    • A spray that you breathe in through your nose

    These treatments must be taken every single day for the rest of your life. � �
    No matter what form of treatment you use, it is very important to keep taking vitamin B12. If you stop, you will get pernicious anemia again in about 3 years. � �
    All topics are updated as new evidence becomes available and our peer review process is complete. � �
    This topic retrieved from UpToDate on: Nov 04, 2014. � �
    Topic 83066 Version 2.0 � �
    Release: 22.8 - C22.208 � �
    � � 2014 UpToDate, Inc. All rights reserved. � �

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