<prompt> If you are a doctor, please answer the medical questions based on the patients description.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?  <response>: 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. 