Diphyllobothrium latum would be the probable cause of vague abdominal symptoms and a macrocytic anemia.
What is macrocytic anemia?
A blood condition called macrocytic anemia develops when your bone marrow makes unusually big red blood cells.
Red blood cells need certain nutrients to operate correctly, but these aberrant blood cells lack those.
Although macrocytic anemia is not a serious sickness, it can have serious consequences for your health if you don't address it.
The underlying cause of macrocytosis must be identified and treated in order to be managed.
In the case of a folate or vitamin B-12 shortage. If a person's body cannot absorb vitamins owing to an underlying illness or if they do not consume enough foods containing these vitamins, they may have a deficit in one of these.
Dietary changes, dietary supplements, and injections may all be part of the therapy plan. You could require a blood transfusion if the serious anemia caused by the underlying reason is severe.