Iron Deficiency Anemia
Iron is needed to build healthy RBCs. This type of anemia is caused by low levels of iron in the body. Low iron levels may be caused by one or more of the following:
- Problems passing iron from the stomach or intestines into the blood—may be due to diseases of the intestine or surgery
- Chronic bleeding
- Not enough iron in the diet—common cause in infants, children, and pregnant women
Things that may increase the chance of this anemia are:
- Rapid growth cycles—may happen in infant or children and teens
- Heavy menstrual bleeding
- Health issues that cause bleeding in gastrointestinal (GI) tract
- Breastfed infants who have not started on solid food after 6 months of age
- Babies who are given cow’s milk before 12 months
- Alcohol use disorder
- Diets that don't have enough iron—rare in the US
Mild anemia may not cause problems. Those that do have problems may have:
- Pale skin
- Fingernail changes
- Decreased work capacity
- Heart palpitations
- Craving to eat things that are not food such as ice or clay
- Hair loss
- Shortness of breath during or after physical activity
- Restless legs at night
Iron levels will need to be brought back to normal. The body will then be able to increase RBC levels and cure the anemia. Treatment choices may include:
- Treat related problems. Steps may include:
- Slowing or stopping blood loss. This will stop the loss of iron and allow iron levels to recover.
- Treating health issues of the intestines. It may improve absorption of iron.
- Iron supplement may be needed. They can increase the volume of iron that gets into the blood. May be given as a pill or through injections.
- Iron-fortified foods may help. A fortified cereal may be recommended for babies.
If you are at risk for anemia:
- Eat a diet rich in iron. Include iron-rich foods such as oysters, meat, poultry, or fish.
- Avoid foods that can block or slow iron absorption. Black tea is one common iron blocker.
- Follow treatment plan for related health problems.
Talk to your doctor about your baby’s diet. General guidelines include:
- Breastfed infants need an iron supplement starting at 4 months of age. Once they are older, they can get iron from other sources, like cereal or fortified formula.
- Bottle-fed infants should get a formula that is fortified with iron.
- Premature infants may need extra iron by 1 month of age.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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a (Reduced Iron in Blood)
Healthy Children—American Academy of Pediatrics https://healthychildren.org
The American Congress of Obstetricians and Gynecologists https://www.acog.org
Dietitians of Canada http://www.dietitians.ca
Health Canada https://www.canada.ca
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