Anemia is a low level of healthy red blood cells (RBCs). RBCs carry oxygen from the lungs to the rest of the body. When red blood cells are low, the body does not get enough oxygen.
There are several specific types of anemia, including:
- Anemia of chronic disease—chronic diseases can slow the production of RBCs
- Aplastic anemia—bone marrow is not able to produce enough RBCs
- Iron-deficiency anemia—iron is a building block of hemoglobin
- Macrocytic B12 deficient anemia and pernicious anemia—B12 is a building block of RBCs
- Sickle cell anemia—RBCs have an abnormal shape that causes destruction of RBCs and low levels of hemoglobin
|Red Blood Cells|
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The main causes of anemia are:
Blood loss, such as that caused by:
- Heavy menstrual periods
- Bleeding in the digestive tract
- Bleeding in the urinary tract
Abnormally low RBC production, due to:
- Kidney disease
- Radiation therapy
- Lead intoxication
Abnormally high RBC destruction, caused by inherited disorders such as:
- Sickle cell anemia
- Thalassemia—difficulty in manufacturing hemoglobin
- Enzyme deficiencies
Anemia is more common in:
- Women of childbearing age
- Women who are pregnant
- Older adults with other medical conditions
- Infants younger than 2 years of age
Factors that may increase your chances of anemia include:
- Poor diet low in iron, vitamins, and minerals
- Blood loss such as that due to surgery or injury
- Chronic or serious illness
- Chronic infections
- Family history of inherited anemia such as sickle cell anemia and thalassemia
Talk with your doctor about the best plan for you. Options include:
You may be told to make changes to your diet. The diet may include foods rich in iron, vitamin C, vitamin B12, and folate. Vitamins or iron supplements may be added.
To help treat your anemia or your symptoms, your doctor may prescribe:
- Antibiotics to treat a bacterial infection
- Hormone treatment
- Epoetin for anemia due to chronic kidney disease or cancer chemotherapy
- Medications that act on the immune system
- Chelation therapy for lead poisoning
A blood transfusion delivers blood cells from healthy donor blood.
Bone Marrow or Stem Cell Transplant
This procedure places healthy bone marrow or stem cells in the body. The goal is for the new tissue to produce healthy blood cells. This procedure carries risk. It is only done in severe cases of anemia.
Critical bleeding may be treated with surgery. In cases of very high RBC destruction, your spleen may need to be surgically removed.
Most inherited forms of anemia cannot be prevented. The following steps may be taken to prevent certain types of anemia:
- Eat a diet rich in iron and vitamins.
- Take iron or vitamin supplements, as advised by your doctor.
- Treat underlying causes of anemia.
- Report signs and symptoms, especially chronic fatigue, to your doctor.
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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Iron Disorders Institute http://www.irondisorders.org
National Heart, Lung, and Blood Institute https://www.nhlbi.nih.gov
Anemia—differential diagnosis. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T240897/Anemia-differential-diagnosis . Updated January 21, 2016. Accessed September 29, 2017.
Explore anemia. National Heart, Lung, and Blood Institute website. Available at: https://www.nhlbi.nih.gov/health/health-topics/topics/anemia. Updated May 18, 2012. Accessed September 29, 2017.
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