Which department is for anemia?

Written by Li Guo Bao
Hematology
Updated on May 06, 2025
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There are many causes of anemia, and anemia is just one clinical manifestation of many diseases. Which department to visit for anemia should be determined based on the clinical symptoms of the patient. For example, if an anemic patient has symptoms of the digestive tract such as black stools, nausea, vomiting, or even vomiting blood, it is advised to visit the department of gastroenterology. If a female patient also has an increased amount of menstrual flow, prolonged periods, or other irregular menstrual conditions, it is advised to visit the department of gynecology. If a patient has unexplained fever, anemia, and petechiae on the body, it is recommended to visit the department of hematology.

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Written by Li Fang Fang
Hematology
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How to deal with anemia and dizziness?

Dizziness during anemia is caused by the anemia itself, as the body is in a state of ischemia and hypoxia during anemia, leading to dizziness due to ischemia and hypoxia in the nervous system. In addition to dizziness, there is also a feeling of heavy-headedness and headaches. To quickly improve these symptoms, it is necessary to transfuse red blood cells and correct the anemia. However, after correcting the anemia, due to the limited lifespan of red blood cells, if the cause of the disease is not clearly identified and treated accordingly, the patient will still experience anemia and symptoms like dizziness again.

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

To determine if someone is anemic, we should look at the red blood cell count and hemoglobin level in a complete blood count. Currently, hemoglobin level is the commonly used indicator clinically. Normal hemoglobin levels are 110~150g/L for women and 120~160g/L for men. Anemia is diagnosed when the hemoglobin level falls below the normal range. Based on the amount of hemoglobin, anemia can be classified into very severe, severe, moderate, or mild. Hemoglobin levels above 90g/L indicate mild anemia, levels between 60~90g/L indicate moderate anemia, levels between 30~60g/L indicate severe anemia, and levels below 30g/L indicate very severe anemia.

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Written by Zhang Yue Mei
Cardiology
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Symptoms of low blood pressure and anemia

Main clinical symptoms of low blood pressure and anemia: general fatigue, pale complexion, heart palpitations and shortness of breath, cerebral ischemia causing dizziness and vertigo, insomnia and frequent dreams; some patients may also experience loss of appetite, indigestion, and other symptoms. Low blood pressure and anemia are not the same disease, and their clinical treatments differ. Low blood pressure is caused by excessively low blood pressure leading to ischemia above the brain, and the treatment should aim to increase blood volume and elevate blood pressure. Anemia is caused by a reduction in hemoglobin, leading to ischemia and hypoxia in the body, and treatment should involve supplementation of nutrients and the essential trace elements that are lacking, which should be treated seriously.

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Written by Liu Wei Jie
Obstetrics
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What should pregnant women do about anemia?

We often find that anemia in pregnant women is very common during prenatal check-ups. There are three main reasons for anemia. The first reason is iron deficiency anemia, which is due to insufficient intake during pregnancy while the fetus requires a large amount, leading to iron deficiency anemia. The second reason is megaloblastic anemia, which is caused by insufficient intake of vitamin B6 and folic acid, resulting in anemia. Another condition is thalassemia, which is due to a genetic mutation causing anemia. For treatment of anemia, we first need to address the specific cause. If it is iron deficiency anemia, iron supplements are necessary, and the diet should include foods like pork liver and lean meat. If it is megaloblastic anemia, supplementation with folic acid and vitamin B12 is needed. Moreover, for thalassemia, mild cases can be observed, while severe cases may require a small amount of blood transfusion treatment.

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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.