What department should I go to for iron deficiency anemia?

Written by He Li Fang
Hematology
Updated on March 13, 2025
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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 He Li Fang
Hematology
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What to eat for dietary supplementation in iron deficiency anemia

The dietary plan for patients with iron-deficiency anemia first involves increasing the intake of iron-rich foods, such as animal liver, blood, soybeans, black fungus, sesame paste, brown sugar, lean meat, egg yolks, pork and lamb kidneys, and dried fruits. Second, it is recommended to appropriately supplement with vitamin C, as taking iron supplements and vitamin C together can increase iron absorption, thereby achieving better iron supplementation effects. Thirdly, patients are advised to change their dietary habits to increase the intake and bioavailability of nutrients like vitamin A, vitamin B2, folic acid, and vitamin B12, which are involved in the production of red blood cells. Supplementing these nutrients can also enhance the utilization of iron from food, thereby assisting in the treatment.

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Written by He Li Fang
Hematology
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Iron deficiency anemia clinical symptoms

The clinical manifestations of iron deficiency anemia include symptoms caused by ischemia-induced tissue and organ hypoxia, as well as specific clinical signs associated with iron deficiency. Common clinical manifestations of iron deficiency anemia often include dizziness, headache, fatigue, easy tiring, memory decline, shortness of breath and palpitations after activities, and even symptoms such as tinnitus and blurred vision. Specific signs of iron deficiency include stomatitis, glossitis, atrophic gastritis, dry skin, brittle and falling hair, flat or spoon-shaped nails that are thin and prone to cracking. Some patients may also experience pica and difficulty swallowing, all of which are clinical manifestations of iron deficiency anemia.

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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
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Treatment of Iron Deficiency Anemia

The treatment principles for iron deficiency anemia mainly involve two aspects. One is to identify the cause of the iron deficiency anemia. Once the cause is confirmed, fundamental treatment of the cause should be conducted to restore the body's normal iron stores. The second aspect is iron supplementation, which is recommended to be administered orally. The daily supplemental iron dose is approximately 150 to 200 milligrams, typically using ferrous preparations such as ferrous succinate, ferrous fumarate, ferrous gluconate, and iron dextran. It is suggested that iron supplements be taken with meals or after meals to reduce gastrointestinal irritation caused by the medication. Additionally, it is advised to avoid consuming tea, coffee, and other substances that could interfere with iron absorption during the treatment period.

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Written by He Li Fang
Hematology
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The key to curing iron deficiency anemia

Iron deficiency anemia, a common and frequently occurring disease in the department of hematology, is not difficult to diagnose and treat. The key to treatment lies in addressing the cause of the iron deficiency, and it is essential to eliminate the underlying causes as much as possible. Using iron supplements alone can only restore blood counts; neglecting the primary disease will not lead to a complete cure of the anemia and can easily lead to recurrence. Treatment consists of two phases: first, the supplementation with iron supplements. After taking iron supplements for three to four days, an increase in reticulocytes will occur, reaching a peak around seven days, and hemoglobin will significantly rise after two weeks of medication, returning to normal levels after one to two months. However, after hemoglobin levels normalize, some patients may stop taking the medication. It is important to note that continuing to take iron supplements for three months is necessary to replenish the body's iron stores completely.