What is good to eat for iron deficiency anemia?

Written by He Li Fang
Hematology
Updated on February 26, 2025
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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 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 He Li Fang
Hematology
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Causes of Iron Deficiency Anemia

There are many reasons for iron deficiency anemia, which we can categorize into several aspects. The first aspect is a decrease in iron intake, including diet, meaning insufficient dietary intake. The second aspect is decreased absorption, such as the absence of a target organ for absorption or the lack of stomach acid affecting its absorption efficacy. The second aspect refers to excessive loss, most commonly chronic gastrointestinal bleeding, such as in patients with tumors, duodenal ulcers, gastric ulcers, gastritis, ulcerative colitis, a parasitic infection with hookworms, as well as hemorrhoids, and arteriovenous malformations, all of which can cause gastrointestinal bleeding leading to increased iron loss. Excessive menstrual flow in female patients, multiple blood donations, and multiple pregnancies can all lead to iron deficiency. These are the various causes related to iron deficiency.

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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 Zhang Xiao Le
Hematology
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Hazards of Iron Deficiency Anemia in Women

The harm of iron deficiency anemia in women is related to the severity of the anemia. Mild anemia generally has no obvious clinical symptoms; moderate anemia often presents with fatigue, palpitations and shortness of breath after activity, dizziness, tinnitus, insomnia, frequent dreams, reduced appetite, and poor digestive function; severe anemia can affect the quality of life, with symptoms of palpitations and shortness of breath even with slight activity, and can severely impact the quality of life. The most common cause of iron deficiency anemia in women is due to increased menstrual flow. Additional examinations, such as gynecological ultrasound, are necessary to clarify the presence of conditions like uterine fibroids or adenomyosis, and to provide targeted treatment.

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Written by Zhang Xiao Le
Hematology
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What to do about vomiting from iron deficiency anemia?

Patients with iron deficiency anemia experiencing vomiting might have the following possible causes: Firstly, iron deficiency can lead to systemic hypoxia, including in the gastrointestinal tract, manifesting as reduced appetite and poor digestion. Severe cases may present with nausea and vomiting. This situation can be addressed by transfusing red blood cells and implementing aggressive iron supplementation to correct the anemia. Once the anemia is corrected, symptoms of nausea and vomiting should disappear. Concurrently, temporary use of anti-emetic medications such as metoclopramide can be considered to help control the vomiting. Secondly, some patients with iron deficiency anemia may have underlying gastric diseases that cause chronic bleeding, including gastric ulcers, gastric mucosal erosion, or even gastric cancer. These gastric diseases themselves can also lead to vomiting, necessitating further investigations like gastroscopy to establish a clear diagnosis and provide targeted treatment.