Patient's question:
Hemoglobin was only 90 during the physical examination, and the doctor said it was iron deficiency anemia.Doctor's answer:
Analysis of the condition:Anemia is a common symptom or syndrome in childhood. Based on peripheral hemoglobin or red blood cell count, anemia can be classified into four degrees: mild, moderate, severe, and very severe.
Diagnostic criteria for anemia:
Newborns: Less than 145 g/L;
Children under 6 years old: Less than 110 g/L;
Children over 6 years old: Less than 120 g/L—these can be diagnosed as anemia.
Children with anemia may exhibit symptoms such as rapid heartbeat, accelerated breathing, reduced appetite, nausea, abdominal distension, fatigue, poor concentration, and irritability. Children with prolonged illness may also experience easy fatigue, dry hair, poor nutrition, and delayed physical development. Blood tests and bone marrow smear tests can aid in diagnosis.
Suggestions for management:
First, you should compare your test results to determine if you truly have anemia and its severity. If anemia is confirmed, the following methods can be used for treatment:
Nutritional anemia in children can be divided into two types:
1. Microcytic anemia caused by a lack of iron in the diet;
2. Macrocytic anemia caused by a deficiency of folic acid or vitamin B1 in the body.
During the first 4–6 months of breastfeeding, the baby can utilize iron from the mother's body to produce blood. However, after 4–6 months, iron deficiency may occur, so it is important to start adding iron-rich foods around 3–4 months of age. For example, egg yolks are rich in iron and should be added to the diet. Animal liver also contains high levels of iron. Other options include fish, beans, and bean products, which can be gradually introduced to the child. Fresh green leafy vegetables and fruits are also good sources of iron and can be consumed simultaneously.
In cases of severe anemia, it is necessary to take iron supplements and vitamin C, E, etc., under the guidance of a doctor. When taking these medications, it is important not to consume them with tea, coffee, or other substances that may interfere with their absorption.