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In most cases, pernicious anaemia develops around the age of 60 and have the following mild symptoms: Constipation or diarrhoea Vomiting Nausea Loss of appetite Shortness of breath Fatigue Heartburn Mild jaundice Bleeding gums or a swollen tongue Low vitamin B12 levels for a prolonged time may lead to damage in the nervous system, some of the symptoms of which are as follows: Poor concentration Depression Confusion Short-term memory loss Irritability Hallucinations Delusions Problems in maintaining balance Numbness in the feet and hands Degeneration of the optic nerve If you have low vitamin B12 levels, your doctor may order this test to rule out pernicious anaemia

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While uncommon, awareness of this possibility ensures prompt care if symptoms develop

This includes: Checking vital signs: Temperature, heart rate, and respiratory rate