Anemia

Medically reviewed by John Sammis, D.O. on March 29, 2024
11 min read

Anemia is a condition in which the body does not have enough healthy red blood cells to carry oxygen to the body's tissues. It is a common condition, affecting millions of people worldwide. Anemia can be caused by a variety of factors, including nutritional deficiencies, chronic diseases, and inherited disorders.

Types of Anemia

Anemia can be classified into three main types: iron deficiency anemia, vitamin deficiency anemia, and anemia of chronic disease. Iron deficiency anemia is the most common type of anemia, and is caused by a lack of iron in the diet. Vitamin deficiency anemia is caused by a lack of certain vitamins, such as folate or vitamin B12. Anemia of chronic disease is caused by chronic illnesses, such as kidney disease or cancer.

Complications of Anemia

Anemia can lead to a variety of complications, including fatigue, shortness of breath, dizziness, and an increased risk of infection. Anemia can also cause complications during pregnancy, such as preterm labor and low birth weight. In severe cases, anemia can lead to heart failure and death.

Diagnosis of Anemia

Anemia is typically diagnosed through a physical exam and a blood test. The blood test measures the number of red blood cells, hemoglobin, and hematocrit. Additional tests may be needed to determine the cause of the anemia.

Symptoms

Fatigue

One of the most common symptoms of anemia is fatigue. People with anemia may feel tired and weak, even after getting a good night’s sleep. This fatigue can be so severe that it interferes with daily activities.

Pale Skin

People with anemia may also have pale skin. This is because the body does not have enough red blood cells to carry oxygen to the skin, which can cause it to appear pale or even grayish in color.

Shortness of Breath

Shortness of breath is another common symptom of anemia. This is because the body does not have enough red blood cells to carry oxygen to the lungs, which can cause difficulty breathing.

Dizziness

Dizziness is another symptom of anemia. This is because the body does not have enough red blood cells to carry oxygen to the brain, which can cause lightheadedness and dizziness.

Headaches

Headaches are another symptom of anemia. This is because the body does not have enough red blood cells to carry oxygen to the brain, which can cause headaches.

Other Symptoms

Other symptoms of anemia can include cold hands and feet, chest pain, rapid heartbeat, and difficulty concentrating. If you experience any of these symptoms, it is important to see a doctor for a diagnosis.

Take the Anemia Assessment

Causes

Iron Deficiency

Iron deficiency is the most common cause of anemia. Iron is an essential mineral that helps the body produce hemoglobin, a protein in red blood cells that carries oxygen to the body’s tissues. When the body does not get enough iron, it cannot produce enough hemoglobin, leading to anemia. Iron deficiency anemia is most common in women of childbearing age, pregnant women, and young children.

Blood Loss

Blood loss is another common cause of anemia. Blood loss can occur due to injury, surgery, or a medical condition such as ulcers or cancer. Blood loss can also occur due to heavy menstrual bleeding or internal bleeding from the digestive tract.

Certain Medications

Certain medications can also cause anemia. These medications include chemotherapy drugs, nonsteroidal anti-inflammatory drugs (NSAIDs), and certain antibiotics. These medications can interfere with the body’s ability to produce red blood cells.

Certain Medical Conditions

Certain medical conditions can also cause anemia. These conditions include kidney disease, thyroid disease, and certain autoimmune diseases. These conditions can interfere with the body’s ability to produce red blood cells.

Getting a Diagnosis

Physical Exam

During a physical exam, a doctor will look for signs of anemia, such as pale skin, fatigue, and rapid heartbeat. The doctor may also check for signs of underlying conditions that can cause anemia, such as an enlarged spleen or liver.

Medical History

The doctor will ask about any medications the patient is taking, as some medications can cause anemia. The doctor will also ask about any family history of anemia, as some types of anemia are inherited.

Laboratory Tests

Laboratory tests are used to confirm a diagnosis of anemia. These tests measure the number of red blood cells, the amount of hemoglobin in the blood, and the size of the red blood cells. The doctor may also order tests to check for underlying conditions that can cause anemia, such as iron deficiency or vitamin B12 deficiency.

Conclusion

Diagnosis of anemia typically involves a physical exam, a review of medical history, and laboratory tests. These tests can help the doctor determine the cause of the anemia and develop a treatment plan.

Questions for Your Doctor

Symptoms

Be sure to tell your doctor about any symptoms you are experiencing. Common symptoms of anemia include fatigue, shortness of breath, pale skin, dizziness, and headaches. Other symptoms may include chest pain, cold hands and feet, and an irregular heartbeat.

Medical History

Your doctor will want to know about your medical history, including any chronic illnesses or conditions you have, any medications you are taking, and any family history of anemia. This information can help your doctor determine the cause of your anemia and the best treatment plan.

Lifestyle Habits

Your doctor may also ask about your lifestyle habits, such as your diet, exercise routine, and alcohol and tobacco use. These factors can all affect your risk of developing anemia.

Treatment Options

Your doctor will discuss treatment options with you based on the cause of your anemia. Treatment may include lifestyle changes, such as eating a balanced diet and exercising regularly, as well as medications or supplements. Your doctor may also recommend blood transfusions or other treatments.

Follow-Up Care

Your doctor will likely recommend follow-up care to monitor your anemia and make sure your treatment plan is working. This may include regular blood tests and check-ups.

If you think you may have anemia, it is important to talk to your doctor about it. Be sure to discuss your symptoms, medical history, lifestyle habits, and treatment options. With the right treatment plan, you can manage your anemia and live a healthy life.

Treatment

Iron Supplements

Iron supplements are the most common treatment for anemia caused by iron deficiency. Iron supplements can be taken orally or intravenously. Oral iron supplements are usually taken in pill form, while intravenous iron supplements are given through a vein in the arm.

Vitamin B12 and Folic Acid

Vitamin B12 and folic acid are important for the production of red blood cells. Vitamin B12 and folic acid supplements can be taken orally or injected. Vitamin B12 injections are usually given once a month, while folic acid supplements are taken daily.

Blood Transfusions

Blood transfusions are sometimes used to treat anemia caused by severe blood loss or certain types of cancer. During a blood transfusion, healthy red blood cells are given to the patient to replace the missing or damaged cells.

Erythropoietin

Erythropoietin is a hormone that stimulates the production of red blood cells. It is usually given as an injection and can be used to treat anemia caused by chronic kidney disease or chemotherapy.

Dietary Changes

Making dietary changes can help treat anemia caused by a lack of iron, vitamin B12, or folic acid. Eating foods that are rich in these nutrients, such as lean meats, leafy green vegetables, and fortified cereals, can help increase the body’s levels of these nutrients.

Drugs & Medications

Iron Supplements

Iron supplements are the most common treatment for anemia caused by iron deficiency. Iron is an essential mineral that helps the body produce red blood cells. Iron supplements come in many forms, including tablets, capsules, and liquid. It is important to take iron supplements as directed by your doctor.

Vitamin B12 and Folic Acid

Vitamin B12 and folic acid are two vitamins that help the body produce red blood cells. Vitamin B12 is found in animal products, such as meat, fish, eggs, and dairy. Folic acid is found in leafy green vegetables, legumes, and fortified cereals. Vitamin B12 and folic acid supplements are available in tablet, capsule, and liquid forms.

Erythropoietin

Erythropoietin is a hormone that helps the body produce red blood cells. It is used to treat anemia caused by chronic kidney disease, chemotherapy, or HIV/AIDS. Erythropoietin is available as an injection or an intravenous infusion.

Blood Transfusions

Blood transfusions are used to treat severe anemia. During a blood transfusion, red blood cells from a donor are given to the patient. Blood transfusions are used to treat anemia caused by cancer, chronic diseases, or blood loss.

Conclusion

Anemia is a condition in which the body does not have enough healthy red blood cells to carry oxygen to the body’s tissues. Treatment for anemia depends on the cause and may include lifestyle changes, medications, or supplements. Iron supplements, vitamin B12 and folic acid, erythropoietin, and blood transfusions are some of the drugs used to treat anemia.

Diet

Foods to Eat

Including the following foods in your diet can help prevent and treat anemia:

  • Leafy green vegetables, such as spinach and kale
  • Beans and lentils
  • Nuts and seeds
  • Fortified cereals and grains
  • Red meat, poultry, and seafood
  • Eggs
  • Dried fruits, such as raisins and apricots
  • Fortified milk and yogurt

Foods to Avoid

Avoiding certain foods can also help prevent and treat anemia:

  • Caffeinated beverages, such as coffee and tea
  • Alcohol
  • Processed foods
  • Refined grains, such as white bread and white rice
  • Sugary snacks and drinks

Lifestyle

Eat a Balanced Diet

Eating a balanced diet is essential for managing anemia. Foods that are rich in iron, such as lean red meat, poultry, fish, beans, and dark leafy greens, are especially important. Vitamin C can also help the body absorb iron, so it is important to include foods like citrus fruits, bell peppers, and broccoli in your diet. Additionally, folate-rich foods like lentils, spinach, and asparagus can help the body produce new red blood cells.

Take Iron Supplements

If your doctor recommends it, taking iron supplements can help increase your iron levels and improve anemia symptoms. Iron supplements come in a variety of forms, including tablets, capsules, and liquid drops. It is important to follow your doctor’s instructions when taking iron supplements, as taking too much can cause side effects like nausea and constipation.

Exercise Regularly

Regular exercise can help improve anemia symptoms by increasing the body’s production of red blood cells. Aim for at least 30 minutes of moderate-intensity exercise, such as walking, jogging, or swimming, most days of the week. If you are new to exercise, start slowly and gradually increase the intensity and duration of your workouts.

Reduce Stress

Stress can worsen anemia symptoms, so it is important to find ways to reduce stress. Try activities like yoga, meditation, or deep breathing to help relax and manage stress. Additionally, make sure to get enough sleep each night and take time to do activities that you enjoy.

Talk to Your Doctor

If you are experiencing anemia symptoms, it is important to talk to your doctor. Your doctor can help diagnose the cause of your anemia and recommend the best treatment plan for you. With the right lifestyle changes and medical treatment, you can manage your anemia and improve your overall health.