Consequences of untreated iron deficiency anemia

Written by Zhang Xiao Le
Hematology
Updated on January 16, 2025
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Any anemia, if not treated, will only get worse over time, including iron-deficiency anemia. Prolonged anemia can impact various organ systems throughout the body. In the nervous system, it can cause headaches, dizziness, insomnia, frequent dreams, and memory decline. In children, iron-deficiency anemia can even affect intellectual development. In the respiratory system, it can lead to deeper and faster breathing, and increase the risk of respiratory infections. In the circulatory system, it can manifest as low blood volume, and long-term severe anemia can lead to anemic heart disease, causing arrhythmias and heart failure. In the digestive system, it can manifest as reduced appetite, and in severe cases, it can cause constipation, diarrhea, etc.

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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 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.

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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 should see which department?

Anemia is a condition characterized by a reduction in the total volume of red blood cells in the circulating blood to below normal levels. Iron deficiency anemia is a type of anemia caused by a lack of raw materials for blood production. Iron deficiency anemia occurs when the body's stored iron is depleted and cannot meet the needs for normal red blood cell production. Iron deficiency anemia is a common type of red blood cell disease and falls within the category of hematology. Therefore, patients with iron deficiency anemia should seek treatment in the department of hematology.

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Written by Li Fang Fang
Hematology
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Can iron deficiency anemia be cured?

Iron deficiency anemia is treatable, but it is essential to identify the cause of the iron deficiency. The treatment of iron deficiency anemia is divided into two main parts. The first part involves iron supplementation, which can be administered orally or intravenously, with intravenous supplementation generally being more effective and faster. The second part is crucial: identifying the cause of the iron deficiency. For example, common causes in women of childbearing age include heavy menstrual periods, while older patients often suffer from gastrointestinal tumors or ulcers, and in children, the common cause is usually nutritional deficiency. It is vital to treat the underlying cause.