Friday, April 1, 2011

Anemia

Anemia is a condition wherein there is a decrease in hemoglobin (red coloring and oxygen carrier of the blood) per unit volume of blood below the established normal level for a certain age and sex.


The World Health Organization description for anemia is below 12 gm Hb/dl of blood for women and below 14 gm Hb/dl for men; and a hematocrit below 34%


Probable Causes

  • Iron deficiency-nutritional anemia
  • Loss of blood-hemorrhagic anemia
  • Deficiency of Vitamin B12 or folic acid-pernicious anemia

Having greater risk of developing anemia are those with increased iron requirement such as:

    • Frequent blood donor
    • A woman having one pregnancy after another
    • A woman with heavy menstrual bleeding

    Note: Infections must be treated as these can easily depress blood formation.


    Probable Symptoms

    • Weakness
    • Easy fatigability
    • Pallor (Paleness)
    • Breathing difficulty on exertion
    • Palpitation
    • Headache
    • “Deadtired” feeling
    • Thin and brittle fingernails

    Note: The diagnosis of anemia is based on analysis of blood constituents.


    Iron Deficiency Symptoms

    • Effects on muscular work:
                    -reduced work productivity
                    -reduced work tolerance
                    -reduced voluntary work
    • Reduced physical fitness, weakness and fatigue
    • Reduced resistance to cold, inability to regulate body temperature
    • Reduced resistance to infection (lowered immunity)
    • Itchy skin
    • Pale nailbeds, eye membranes, palm creases, concave nails
    • Pica (clay eating, ice eating)
    • Lactose intolerance and possibly intolerance to other sugars
    • Impaired wound healing
    • Increased risk of lead and cadmium poisoning
    • Impaired cognitive function (children): reduced learning ability, impaired visual discrimination, increased distractibility (inability to pay attention)
    • Impaired reactivity and coordination (infants)


    Helpful Dietary Management

    • Provide supplementary foods which are iron-rich for infants as early as 4 to 6 months.



    Reference: Healing Wonders of Diet Effective Guide to Diet Therapy p.62-63 © 2003 Philippine Publishing House ISBN 971-581-013-6

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