Patient: Description of the condition (time of onset, main symptoms, hospital visits, etc.): A 47-year-old female patient. Initially felt unwell in July 2010. The main symptoms were general weakness, chest tightness, shortness of breath. It was not known until the end of May 2011 that it was iron-deficiency anemia and the hemoglobin was only more than thirty. The doctor asked me to eat red dates and red beans, and I felt better, but it was still not ideal. What other methods are there and what are the precautions?
Zhao Mingfeng, Department of Hematology, Tianjin First Central Hospital:
Iron deficiency anemia is the most common nutritional anemia. It is easy to diagnose and treat. However, many patients often do not heal, the key is the lack of sufficient understanding of the disease. Pay attention to two key points: 1. Iron supplement treatment: It is divided into food supplement and medicine supplement. Food supplements are mainly animal protein, such as egg yolk, lean meat, fish and shrimp, blood tofu, liver, etc.; medicine supplements are divided into oral iron supplementation and intravenous iron supplementation. Oral iron supplementation is blessed Naide, Lifeneng, etc., Lifeneng is recommended because this medicine is less irritating to the stomach. However, oral iron supplementation should be taken with vitamin C to promote absorption. In addition, do not drink tea or eat with milk , Because it can affect iron absorption. Intravenous iron supplementation is fast and suitable for patients with poor oral iron supplementation; 2. Remove the cause. This point is very important. The main causes are gastric disease, hemorrhoids, gastrointestinal tumors, menorrhagia in women, and vegetarian diet. Only by finding the cause and removing the cause can we ensure that there is no recurrence.
You have severe anemia, and the simple food supplement is too slow. It is recommended to take medicine to supplement, and try it first. If the blood does not grow in 2 to 3 weeks, you need intravenous iron supplement. In addition, the cause must be found and removed. You can check the previous search. Another point is that if oral iron supplementation is effective, after the hemoglobin is normal, you still need to continue oral administration for about 3 months to make up.