Why is there iron deficiency anemia?

Written by He Li Fang
Hematology
Updated on June 24, 2025
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Iron deficiency anemia refers to the anemia that occurs when the body's stored iron is depleted and can no longer meet the needs for normal red blood cell production. Before the production of red blood cells is limited, the body's iron stores are exhausted, but at this time, there are no obvious changes of anemia in the routine blood test; this condition is called iron deficiency. Iron deficiency anemia has its characteristics. Its main clinical manifestations are tissue and organ hypoxia caused by ischemia. Severe iron deficiency anemia can lead to mucosal tissue changes and some nutritional disorders, such as stomatitis, glossitis, atrophic gastritis, lack of gastric acid, dry skin, brittle hair, hair loss, and flat nails, among other changes. Therefore, any factors that cause iron deficiency in the body and affect iron absorption, including increased physiological iron demands, iron storage, and issues in iron excretion processes, can lead to iron deficiency anemia. The main causes can be divided into three aspects:1. Nutritional factors: Individuals such as infants, adolescents, menstruating women, pregnant women, and breastfeeding women are prone to nutritional iron deficiency anemia when the body's iron demand increases.2. Chronic blood loss: This includes gastrointestinal bleeding, heavy menstrual bleeding in women, bleeding hemorrhoids in men, and chronic bleeding from gastrointestinal ulcers, all of which can cause iron deficiency anemia.3. Absorption disorders: Conditions like total or partial gastrectomy can lead to iron deficiency years after the surgery, resulting in 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 Li Guo Bao
Hematology
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Can iron deficiency anemia be cured?

Iron deficiency anemia is one of the most common types of anemia clinically. The principle of treating iron deficiency anemia involves etiological treatment and symptomatic treatment. Etiological treatment means treating according to different causes, while symptomatic treatment involves correcting anemia and supplementing the raw materials for blood formation. The most common causes of iron deficiency anemia include gastrointestinal bleeding, internal hemorrhoids bleeding, hookworm and roundworm infections, malnutrition, and, notably in women, excessive menstrual bleeding and excessive bleeding during pregnancy and childbirth. These are common causes of iron deficiency anemia seen clinically. With the cause of iron deficiency anemia identified, the treatment often has a relatively high cure rate.

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Written by He Li Fang
Hematology
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Prevention and treatment of iron deficiency anemia

Some cases of iron deficiency anemia are preventable, which highlights the importance of education on nutritional knowledge and maternal and child healthcare. This includes improving infant feeding practices, advocating for breastfeeding, and timely introduction of complementary foods. Women who are pregnant or breastfeeding should appropriately supplement with iron. In areas where hookworm is prevalent, large-scale parasite prevention and control measures should be implemented, and timely treatment of various chronic gastrointestinal bleeding disorders should be carried out to reduce iron loss. Additionally, increasing iron intake can help prevent and control iron deficiency anemia. Also, high-risk groups, including infants, preterm babies, twins, pregnant women, individuals who have undergone gastrectomy, and those who frequently donate blood, should prevent and supplement with oral iron supplements for treatment.

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Written by He Li Fang
Hematology
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Iron deficiency anemia lacks iron.

Iron deficiency anemia is an anemia caused by the lack of stored iron in the body, affecting the synthesis of hemoglobin. It is characterized by a lack of stainable iron in the bone marrow, liver, spleen, and other organ tissues, as well as decreased serum iron concentration, transferrin saturation, and ferritin levels, typically presenting as microcytic hypochromic anemia. Thus, iron deficiency anemia refers to a deficiency of iron. Iron is an essential trace element in the human body, involved in cellular functions and metabolic processes. The body has a strict regulatory mechanism for iron metabolism to ensure that iron levels are always maintained at a normal level, referred to as iron homeostasis. Iron homeostasis relies crucially on the balance between intestinal iron absorption and the body's iron requirements. Once this balance is disrupted, problems in iron distribution, absorption, transport, and storage may occur, leading to iron deficiency anemia.

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Written by He Li Fang
Hematology
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What are the symptoms of iron deficiency anemia?

Iron deficiency anemia is a type of anemia that exhibits common symptoms found in all anemia patients. It is characterized by a range of clinical symptoms caused by oxygen deficiency in tissue organs due to a lack of blood in the body. Common symptoms include dizziness, headaches, fatigue, shortness of breath and palpitations after activity, easy fatigability, difficulty concentrating, and decreased memory. Some patients may also experience blurred vision, ringing in the ears, and in severe cases, fainting, transient darkening of vision, and even arrhythmias. Because iron deficiency anemia is also accompanied by iron deficiency, it presents a range of clinical symptoms specific to iron deficiency, including pica, angular cheilitis, glossitis, unusual tongue conditions, decreased appetite, and even constipation among other symptoms.