Iron-deficiency Anemia

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Written by Zhang Xiao Le
Hematology
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What is the fastest way to treat iron deficiency anemia?

The treatment of iron deficiency anemia mainly includes two aspects: one is iron supplementation, and the other is identifying and correcting the underlying cause of the anemia. Iron supplementation for patients with iron deficiency anemia can be administered orally or via intravenous infusion, the latter of which tends to be faster. Generally, hemoglobin begins to rise about a week after treatment starts, and returns to normal levels within two to three weeks. Even after hemoglobin levels normalize, iron supplementation should continue for three to six months. It is more important to identify and treat the underlying causes of anemia. Common causes of iron deficiency anemia include chronic blood loss, such as from gastrointestinal ulcers or tumors. Therefore, patients with iron deficiency anemia typically need to undergo gastrointestinal endoscopy to identify the specific cause of the iron deficiency.

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Written by He Li Fang
Hematology
1min 19sec home-news-image

Can people with iron deficiency anemia drink tea?

The first aspect of treating patients with iron deficiency anemia is etiological treatment. It is necessary to remove the causes of iron deficiency as much as possible. While simple iron supplementation can restore blood indices, if the primary disease is not actively treated, it cannot fundamentally solve anemia. If left untreated, anemia in patients is prone to recurrence. Secondly, iron supplementation is the clinical priority, with oral iron supplements being the most commonly used treatment. Ferrous preparations such as ferrous succinate and ferrous fumarate are most often used. These medications are generally taken with meals or after meals to reduce gastrointestinal irritation. This raises the issue of whether patients with iron deficiency anemia can drink tea. When iron supplements are taken with tea, they can bind with the tannins in the tea to form an insoluble precipitate that is difficult to absorb. Thus, it is clinically advised that patients with iron deficiency anemia should avoid drinking tea, as it can reduce the absorption of iron and thus result in suboptimal treatment outcomes.

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Written by He Li Fang
Hematology
1min 36sec home-news-image

What department should I go to for iron deficiency anemia?

Iron is one of the essential trace elements for the human body, and it is the most likely to be deficient among trace elements. Iron deficiency can lead to iron deficiency anemia, which is also identified by the World Health Organization as one of the global nutritional deficiency diseases and a major public health nutrition issue in China. According to epidemiological surveys, iron deficiency is related to the following factors: improper feeding during infancy, picky eating and nosebleeds during childhood and adolescence. In women, it is associated with excessive menstrual flow, poor nutrition, inadequate protein intake (especially low intake of animal proteins), inappropriate consumption methods of dairy products, as well as repeated pregnancies, breastfeeding, and certain diseases such as atrophic gastritis, chronic diarrhea, significant gastric resection, and hookworm infections, all of which can cause iron deficiency. Therefore, patients with iron deficiency anemia should consult the department of hematology, as iron deficiency anemia falls under the category of red blood cell disorders within hematology. Of course, infants, children, and adolescents under the age of 14 can visit pediatrics, and a portion of patients, such as pregnant and lactating women, can visit the obstetrics department.

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Written by Li Fang Fang
Hematology
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What indicators are used to diagnose iron deficiency anemia?

For iron deficiency anemia, a complete blood count should first be considered. The blood count presenting as microcytic hypochromic anemia often suggests the possibility of iron deficiency anemia. Microcytic hypochromic anemia is characterized by a decrease in hemoglobin, a decrease in mean corpuscular volume, a decrease in mean corpuscular hemoglobin concentration, and a decrease in mean corpuscular hemoglobin. When the complete blood count indicates the possibility of iron deficiency anemia, further investigation into iron-related indices is required, such as decreased serum iron, decreased ferritin, decreased transferrin saturation, and increased soluble transferrin receptor capacity.

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Written by He Li Fang
Hematology
1min 6sec home-news-image

Iron deficiency anemia lacks what element?

Iron deficiency anemia refers to a type of anemia caused by a lack of stored iron in the body, which affects the synthesis of hemoglobin. Its characteristics include a lack of stainable iron in organs such as the bone marrow, liver, and spleen, leading to decreased serum iron concentration, decreased transferrin saturation, and decreased serum ferritin. Typical iron deficiency anemia presents as microcytic hypochromic anemia. Therefore, iron deficiency anemia involves a deficiency in iron, a trace element essential for the human body, which is widely present in cells and participates in the body's metabolic processes. The human body has a strict iron metabolism regulatory mechanism to maintain normal physiological levels. Once this homeostasis is disrupted, it can lead to the occurrence of iron deficiency anemia. Factors that affect the distribution, absorption, transport, and storage of iron can all cause iron deficiency anemia.

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Written by He Li Fang
Hematology
1min 14sec home-news-image

What is good to eat for iron deficiency anemia?

Iron deficiency anemia is a commonly seen type of nutritional anemia in clinical settings, with many causes. It can be caused by an insufficient intake of dietary iron needed to meet the body's demands. This insufficiency can also arise when the body's requirement for iron increases, or due to certain diseases, such as atrophic gastritis, lack of stomach acid, or the excessive use of antacids, which affect iron absorption. Increased bodily consumption due to conditions like diarrhea or hookworm infection can also lead to iron deficiency. For patients with iron deficiency anemia, it is generally recommended to improve the utilization of dietary iron. The first step is to modify dietary habits and lifestyle. For instance, it is suggested that vegetarians change their dietary patterns to include more iron-rich foods, such as animal liver, beef kidney, and chicken gizzards. Iron-rich vegetarian options include soy, black fungus, sesame paste, brown sugar, and dried fruits. Therefore, it is advisable for patients with iron deficiency anemia to increase their intake of these types of foods.

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Written by Zhang Xiao Le
Hematology
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Does iron deficiency anemia cause a yellow complexion?

No matter what type of anemia, it manifests as a decrease in hemoglobin. Red blood cells are the main cells that carry oxygen, so patients with anemia will have signs of ischemia and hypoxia to some extent, and anemia manifests as pallor in the skin and mucous membranes. Since Chinese are of the yellow race, the manifestation of anemia in Chinese patients often appears as a yellowish complexion. Therefore, patients with iron deficiency anemia can have a yellowish complexion. Of course, if there is obvious yellowing of the skin and sclera in addition to the yellowish complexion, further tests such as hemolysis indicators are needed to rule out hemolytic anemia, as patients with hemolytic anemia often have concurrent jaundice.

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Written by He Li Fang
Hematology
1min 31sec home-news-image

How long should iron supplements be taken for iron deficiency anemia?

First, it's important to understand that in treating iron deficiency anemia, addressing the underlying cause is the top priority. It's crucial to eliminate the causes of iron deficiency as much as possible. Solely supplementing with iron can only restore the blood picture, and neglecting the treatment of the primary illness will not lead to a thorough treatment of the anemia. Once the medication for anemia is stopped, it can easily relapse. So how long should iron supplements be taken for iron deficiency anemia? Generally, after patients start taking iron supplements, they can quickly feel an improvement in symptoms. The reticulocyte count tends to rise within three to four days after starting the supplements, reaching a peak around seven days. Hemoglobin shows a significant increase two weeks after starting the medication and can return to normal levels within one to two months. However, even after hemoglobin returns to normal, iron treatment should continue until the serum ferritin level has returned to 50 micrograms per liter before stopping the medication. If it's not possible to monitor serum ferritin, then iron supplements should be continued for three more months after hemoglobin has normalized, to replenish the body's iron stores. Therefore, the treatment of iron deficiency anemia with iron supplements generally lasts for three to six months.

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Written by He Li Fang
Hematology
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Diet for Iron Deficiency Anemia

Patients with iron-deficiency anemia need to undergo pharmacological treatment with oral or injective iron supplements. In addition, patient health education should be enhanced to guide them in following a scientific and reasonable diet. For example, patients who are picky eaters or have insufficient intake should change their dietary structure and lifestyle in order to increase iron intake and bioavailability. This ensures that all key nutrients involved in the production of red blood cells are sufficient. Moreover, it is necessary to increase the intake of iron-rich foods, mainly including animal liver, blood, as well as soybeans, black fungus, egg yolks, brown sugar, lean meat, sheep kidneys, dried fruits, and sesame paste.

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Written by Li Fang Fang
Hematology
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Can iron deficiency anemia be cured?

Iron deficiency anemia is treatable, but it is essential to identify the cause of the iron deficiency. The treatment of iron deficiency anemia is divided into two main parts. The first part involves iron supplementation, which can be administered orally or intravenously, with intravenous supplementation generally being more effective and faster. The second part is crucial: identifying the cause of the iron deficiency. For example, common causes in women of childbearing age include heavy menstrual periods, while older patients often suffer from gastrointestinal tumors or ulcers, and in children, the common cause is usually nutritional deficiency. It is vital to treat the underlying cause.