Anaemias

If the hemoglobin level in the blood goes below the normal range that is appropriate for the age and sex, then it is called anaemia. A rapid onset of anaemia as seen in acute blood loss produces more profound symptoms than in gradually developing anaemia. 

Nutritional anaemia or iron deficiency anaemia is the most common type seen on the majority of the world population.

Iron deficiency anaemia occurs in situations where the requirement of iron exceeds the absorption.

Causes of iron deficiency anaemia.

• The most common cause is the blood loss. In men and in post-menopausal women, the cause is due to blood loss from the gastrointestinal tract.
• The worldwide accepted cause is hookworm and schistosomiasis. Here the blood loss is from the gut itself. Other diseases like gastritis, colorectal malignancy, ulceration of the gastrointestinal tract, in women of child-bearing age, menstrual blood loss, pregnancy, breast feeding, etc.is the contributing factors.
• Malabsorption of iron is also another cause. If it is due to malabsorption, the person should be screened for coeliac disease.
• Certain diseases like Rheumatoid arthritis, or resection of the stomach or small bowel leading to malabsorption of iron and or vitamin B12.
• Renal failure

The best method to confirm iron deficiency is the concentration of plasma ferritin level.

Iron deficiency, vitamin C deficiency, hypothyroidism all causes a low level of plasma ferritin.

Symptoms of nutritional anaemia.

• Pallor
• Tiredness
• Breathlessness on least exertion
• Weak memory
• Poor concentration
• Treatment
• Iron supplement is the treatment of choice, with vegetables and fruits.

Homeopathic treatment 

Homeopathic treatment is highly recommended for the nutritional anaemia along with iron supplementation. Homeopathy is effective in anaemia due to malabsorption or due to worm infestation. In pregnancy, homeopathic medicines can be prescribed with very good results. It improves the appetite and also controls the nausea, vomiting of pregnancy. 

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