Iron deficiency anemia treatment

The first step in the treatment of iron deficiency anemia is the identification and elimination of any source of excess blood loss, wherever possible.

If iron stores are mildly lowered (serum ferritin less than 20 mcg per liter) or depleted, (less than 15 mcg per liter) increasing the levels of iron and vitamin C in the diet, and avoiding excess tea, coffee and compounds in whole grains which can reduce iron absorption will help to boost iron levels. If these lifestyle measures are difficult, it is advisable to take iron supplements.

In cases of iron deficiency anemia (serum ferritin less than 10 to 12 mcg per liter) supplements are necessary and should correct anemia within two months. However, they may need to be taken for at least six months until iron stores are replenished. Hemoglobin levels need to be monitored continuously, and if improvements are not seen, it is important to check for continued hemorrhage, underlying infection or malignancy, insufficient iron intake or, very rarely, inadequate absorption of oral iron.

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