Patient's question:
Problem Description: During a hospital check-up, the hemoglobin level was found to be 89, and the doctor said it was moderate anemia.Doctor's answer:
Pediatric nutritional anemia is a disease caused by the deficiency of hematopoietic substances such as iron, folic acid, and vitamin B12 in the body. The lack of these hematopoietic substances can be attributed to insufficient intake or poor absorption, such as long-term diarrhea, vomiting, enteritis, reduced appetite during acute and chronic infections, etc. Additionally, chronic blood loss and certain metabolic disorders in the body can also be causes of the deficiency of hematopoietic substances.Treatment recommendations For infants and young children with iron-deficiency anemia, fortified iron-rich diets should be added. The child can take ferrous fumarate orally at a dose of 20 mg/kg per day, or ferrous sulfate at a dose of 30 mg/kg per day, taken between meals. Vitamin C should be taken concurrently to enhance iron absorption. After the hemoglobin returns to normal, iron supplements should still be continued for 2 months to facilitate iron storage.
For children who do not absorb oral iron, have severe diarrhea, extremely low red blood cell counts, or acute infections, as well as those with megaloblastic anemia caused by vitamin B12 deficiency, medical treatment is necessary.
Precautions Increase the intake of iron-rich foods in the diet, such as laver, kelp, fish, jujubes, various fresh vegetables, and fruits. Animal organs like lean pork, pork liver, and fish are rich in B12, while leafy greens and various fruits and vegetables are rich in folic acid. Therefore, a balanced diet is essential, and picky eating should be avoided.
Moderately control the activity level. Children with anemia have weakened immune systems, so parents should pay attention to room temperature, promptly adjust clothing and bedding, prevent colds, and avoid secondary infections that could worsen the condition.