Which department should I go to for anemia?

Written by Li Fang Fang
Hematology
Updated on September 24, 2024
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Anemia is classified as a hematological disease and requires further diagnosis and treatment in the department of hematology. In severe cases of anemia, the body can be in a state of ischemia and hypoxia, which can induce the occurrence of acute cardiovascular and cerebrovascular diseases, such as acute angina and cerebral thrombosis. Therefore, patients with acute anemia need to have red blood cell transfusions to support treatment and correct the anemia. If the anemia is not severe, red blood cell transfusion is not necessary, but it is important to complete tests like anemia indicators, bone marrow aspiration, and bone marrow biopsy to further clarify the cause of the anemia and treat it accordingly.

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Written by Li Fang Fang
Hematology
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Can anemia cause tinnitus?

Anemia can cause tinnitus. When anemia is severe, various organs of the body are in a state of ischemia and hypoxia. The nervous system can exhibit symptoms such as dizziness, headaches, and a feeling of heaviness in the head, as well as tinnitus. At this point, infusing red blood cells to correct the anemia can alleviate symptoms like tinnitus. It is also important to actively seek the underlying causes of the anemia. Anemia can be categorized based on the size of red blood cells into microcytic hypochromic anemia, normocytic anemia, and macrocytic anemia. Microcytic hypochromic anemia is commonly seen in chronic disease anemia and iron deficiency anemia, normocytic anemia is commonly found in conditions such as leukemia, multiple myeloma, and acute blood loss anemia, while macrocytic anemia is typical in megaloblastic anemia and myelodysplastic syndromes.

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Written by Li Fang Fang
Hematology
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Anemia lacks what element

Anemia is not always caused by a deficiency in elements. In cases of iron deficiency anemia, it is due to a lack of iron. Megaloblastic anemia occurs because of a deficiency in folate or vitamin B12. However, clinically, there are many other types of anemia, such as aplastic anemia, hemolytic anemia, myelodysplastic syndromes, leukemia, etc. The anemia caused by these diseases is not due to a deficiency in elements, but is due to the diseases themselves affecting bone marrow hematopoiesis, leading to anemia. Therefore, it is necessary to clearly diagnose the cause of anemia in order to treat it effectively.

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Written by Li Fang Fang
Hematology
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How to check for anemia?

Anemia requires an initial routine blood test, which is a complete blood count. If it indicates a reduction in red blood cell count and a significant decrease in hemoglobin, it suggests anemia. Once anemia is indicated by the complete blood count, further tests are guided by the size of the red blood cell volume. If it is microcytic anemia, common types include iron deficiency anemia and anemia of chronic disease, and tests such as serum iron, ferritin, and tumor markers are needed. If it is normocytic anemia, a bone marrow biopsy is required to rule out aplastic anemia, multiple myeloma, etc. If it is macrocytic anemia, tests for folate and vitamin B12 are needed to exclude myelodysplastic syndrome and megaloblastic anemia, among others.

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Written by Li Fang Fang
Hematology
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Can anemic people donate blood?

Patients with anemia cannot donate blood. After donating blood, due to the reduction of blood volume, it may worsen anemia and cause symptoms such as dizziness, excessive sweating, nausea, vomiting, and other manifestations of low blood pressure. In severe cases, it can even induce acute cardiovascular and cerebrovascular accidents, so patients with anemia cannot donate blood. Clinically, the requirements for blood donors include not being anemic, weighing more than 45 kilograms, and being free of infectious diseases.

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Written by Gong Hui
Pediatrics
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How to supplement baby's anemia?

The treatment for childhood anemia primarily focuses on addressing the underlying cause. Nutritional anemia is the most common type of anemia in children, which includes iron-deficiency anemia and megaloblastic anemia. For iron-deficiency anemia, the main treatment is iron supplementation. This can be done through dietary means, such as increasing the intake of foods high in iron like pork liver and egg yolks. Additionally, treatment should address any underlying causes of iron deficiency. For instance, if parasitic infections are causing blood loss, then treating the parasitic infection is necessary. If the anemia is due to poor dietary habits or picky eating, then changing these habits is crucial. If general treatments are ineffective, then oral iron supplements should be considered. In the case of megaloblastic anemia, it is important to address the vitamin deficiencies that cause it, namely the lack of folate and vitamin B12. Supplementation of folate and vitamin B12 is recommended.