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Page: Treatments for Anemia
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There are many different treatments for anemia and the treatment depends on severity and the cause.
Iron deficiency from nutritional causes is rare in non-menstruating adults (men and post-menopausal women). The diagnosis of iron deficiency mandates a search for potential sources of loss such as gastrointestinal bleeding from ulcers or colon cancer. Mild to moderate iron deficiency anemia is treated by iron supplementation with ferrous sulfate or ferrous gluconate. Vitamin C may aid in the body's ability to absorb iron.
Vitamin supplements given orally (folic acid) or subcutaneously vitamin b-12 will replace specific deficiencies.
In anemia of chronic disease, anemia associated with chemotherapy, or anemia associated with renal disease, some clinicians prescribe recombinant erythropoietin, epoetin alfa, to stimulate red cell production.
In severe cases of anemia, or with ongoing blood loss, a blood transfusion may be necessary.
Blood transfusions for anemia
Doctors attempt to avoid blood transfusion in general, but there are several instances where doctors are now more aggressive than in the past. For instance, the currently accepted Rivers protocol for early goal directed therapy for sepsis requires keeping the hematocrit above 30; this is based on evidence that even moderate anemia reduces survival . The presumed physiological principle is that the reduction in oxygen delivery associated with anemia is especially dangerous to people who are already at risk for organ damage from lack of perfusion. There is controversy about what hematocrit or hemoglobin levels should be used as "triggers" for transfusion in other settings. Anemia also may be especially risky for people with acute coronary syndromes, again because anemia hampers already impaired oxygen delivery to the heart. However, the point at which this danger emerges in other settings is controversial and awaits further study.
Finally, chronic anemia may result in behavioral disturbances in children as a direct result of impaired neurological development in infants, and reduced scholastic performance in children of school age. Behavioral disturbances may even surface as an attention deficit disorder.
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Important notice:
The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other
qualified health provider with any questions you may have regarding a medical condition.
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