News Articles - Anemia

An anemic person appears pale and pants for breadth. Anemia is a condition where the physical body do not have sufficient healthy red blood cells to transport oxygen to the body tissues. Hence, the heavy breathing.

 

Our blood consists of cells and plasma. Within the plasma, are 3 types of blood cells:

  • White blood cells which fight infections;

     

  • Platelets which help blood to clot after a cut; and

     

  • Red blood cells which transport oxygen from the lungs to the brain and other organs.

Red blood cells contain hemoglobin which enables red blood cells to transport oxygen from the lungs to all parts of the body.

 

Most blood cells, including red ones, are produced in the bone marrow. To produce hemoglobin and red blood cells, the body needs iron, minerals, protein and vitamins from our daily food intake.

 

There are many types of anemia and it can be temporary or long term, and can range from mild to severe.

 

 

Signs and Symptoms of an Anemic Person

  • Pale appearance and conjunctiva;

     

  • Tiredness with poor concentration;

     

  • Lethargic;

     

  • Headache;

     

  • Chest pain;

     

  • Irregular heartbeat; and

     

  • Shortness of breadth.

     

Types and Causes of Anemia

  • Iron-deficiency Anemia:

     

    Lack of iron in the body affect the production of hemoglobin for red blood cells which lead to this anemic condition.

     

    It can be due to consuming food which is poor in iron content. Consume green leafy vegetables, nuts, beans, apricots and red meat which contain iron.

     

    In females, iron-deficiency anemia can be caused by heavy menstrual flow, pregnancy and abnormal growth in uterus. Thus it is recommended that teenage girls take an iron supplement containing Vitamin C to aid absorption.

     

    Chronic blood loss from a bleeding ulcer or tumor of the gastrointestinal tract can cause iron-deficiency anemia.

     

  • Vitamin-deficiency Anemia:

     

    Lack of vitamins, especially Vitamin B12 and Folate, affect the production of healthy red blood cells.

     

  • Chronic Anemia due Chronic diseases:

     

    Chronic diseases such as cancer, rheumatoid arthritis, and kidney failure can affect the production of red blood cells, resulting in chronic anemia.

     

  • Aplastic Anemia:

     

    This is very rare but life-threatening. This occurs when the bone marrow is unable to produce all the 3 types of blood cells.

     

  • Hemolytic Anemia:

     

    The rate of red blood cells being destroyed faster than normal, causes hemolytic anemia.

     

    Certain medications can also cause this condition.

     

  • Thalassaemia:

     

    Thalassaemia is an inherited blood disorder characterized by low hemoglobin and red blood cells count.

     

Diagnosis of Anemia

  • Blood Tests:

     

    Blood tests which include a complete blood count to determine cell component of the blood, their numbers, size, shape and color. For example, in Iron-deficiency Anemia, red blood cells are smaller and paler in color than normal. In Vitamin-deficiency Anemia, red blood cells are enlarged and fewer in numbers.

     

    Upon confirming an Anemic case, further tests need to be carried out to determine the cause. For example, Iron-deficiency Anemia can be due to bleeding of the stomach or colon.

     

  • Physical Examination:

     

    • Upper Endoscopy to examine the stomach;

       

    • Colonoscopy to examine the large intestine;

       

    • Ultrasound to study the body structures; and

       

    • Perform Biopsy on the Bone Marrow.

 

Treatment of Anemia

Avoidable Anemia

  • Iron-deficiency Anemia - Iron supplements and dietary management; and

     

  • Vitamin-deficiency Anemia - Vitamin supplements and replacements.

Unavoidable Anemia

  • If it is a heavy than normal menstrual bleed, see a Gynecologist to check the cause;

     

  • Immediately see a doctor if there is any blood discharge;

     

  • If it is caused by a chronic disease or diseases, deal with the underlying medical problem first; and

     

  • Other types of anemia may need frequent blood transfusion, medications and even bone marrow transplant.

     

Medical Advice

 

Seek medical advice immediately if there are signs and symptoms of anemia. Effective treatment can only be facilitated if the underlying causes can be detected and the types of anemia identified.

 

 

Back to News Articles