Doctor insights on:
Baby Iron Deficiency
Yes: Give iron supplement (feosol drops or ferrous sulfate syrup) when a child mostly weans off formula and switches to regular homogenized milk (this occurs t about 10 to 12 months of age). Particularly if a child routinely consumes 24 oz or more of regular milk, iron supplement is a must. Poly-vi-sol with iron is not good, it does not contain enough iron. ...Read more
Not long.: Iron deficiency corrects pretty quickly with iron treatment. If the level of anemia was severe it may take longer. I would say that the pallor should be gone when the hemoglobin is around 9 g/dl. It takes about a week to increase the hemoglobin by 1. For babies, I would expect to have the pallor resolved by 1 month's time certainly. If not, things should be re-evaluated. Good luck. ...Read more
Especially in 6-24: Month-olds, iron deficiency &/or iron-deficiency anemia can cause developmental delays that may persist & impaired immune systems. Most common dietary cause is excessive milk & milk-product intake when switched to whole milk at 1 year. Maximum recommended dairy is 16-21 oz./day, with milk from open-mouth cups with meals. The AAP recommends weaning from bottle to cup as close to 1year as possible ...Read more
Baby has iron deficiency anemia and has fever for 3 days now. Lab results show normal platelet count, low hemoglobin, high wbc. Is this an emergency?
Doesn't sound like: It, if your child truly is 1yo. A few days of fever, due to a viral illness for example, is not uncommon. I'd give you a different answer for a 2-3mo child. If your child is staying well hydrated despite the insensible losses, he will probably be fine. If you're uncertain, go see your pediatrician. The blood counts by themselves are not that concerning, provided anemia is being treated. ...Read more
Lab work: Babies at high risk for iron deficiency include those born prematurely and babies who aren't eating any solids (like rice cereal) after 6 months old. For toddlers, those who drink more than 24 oz of cow's milk a day or follow a vegetarian diet are at highest risk. Because children can have iron deficiency without symptoms a lab test is needed for diagnosis (screening is usually done at 12 mo). ...Read more
Which baby's more prone to iron deficiency anemia on breast feeding or formula (cow's milk) and why?
Cow's milk ingestion: Is associated with a higher incidence of iron deficiency. Neither C or Breast M contain iron, but iron in the diet is absorbed more readily with BM than with CM :https://www. Ncbi. Nlm. Nih. Gov/pubmed/577504. Also, a small number of infants develop sensitivity to CM protein, which causes trace blood loss from the intestine. Low iron causes long term affects on learning and focus so prevent and Rx ...Read more
General fatigue. Weakness. Pale skin. shortness of breath. dizziness.
strange cravings for non-food items, such as dirt, ice, and clay. tingling or a crawling feeling in the legs.
swelling or soreness in the tongue. Severe iron-deficiency anemia can lead to heart problems, infections, problems with growth and development I ...Read more
Variable Sx: Babies are born with a pool of iron in their body & hemaglobin that they begin growing out of as the double/triple their weight. Deficiency leads to gradual drop in blood oxygen carrying capacity and associated decreased aleartness, activity and growth. Subtile drop in infant development (iq) has been noted with small deficiencies. Greater deficiencies can place baby in heart falure from anemia. ...Read more
Fussy, pale, weak: Young babies often are a bit deficient in iron because they grow so fast, and new growth (new muscle cells, new blood cells, etc...) requires iron. Breastmilk or iron-fortified formula supply needed iron for a baby's growth (a baby can double his weight in the first 5 months). A baby who gets too iron-deficient and quite anemic can be fussy, not eat well, seem pale or weak, and have a rapid pulse. ...Read more
Tests/observations: Pallor of the inside of the lower eyelid, lethargy, disinterest in play and irritability are common signs of anemia. If you bend the fingers back the palm creases should become red, if not anemia is likely. Testing toward the end of the rapid growth @ 1yr & again in later childhood & teens will pick up most silent cases. Slow growth periods 2-10 are not often marked by anemia. If concerned, get a test. ...Read more
Several: Although iron deficiency is the most common, there are several other causes. Chronic blood loss is one, lead poisoning another, conditions that impair red cell production (genetic or malignancy). Docs often just do a trial at adding iron to see if the kid responds before putting the kid trough extensive tests. ...Read more
Would a child with an iron deficiency be more likely to contract the serious anemias like aplastic anemia?
Yes: All red blood cells carry hemoglobin, a chemical that carries oxygen throughout the body. Without oxygen, we die. The hemoblobin is composed of iron and a carrier protein named globulin. So without the iron, the hemoglobin will be low, the cells won't be able to carry oxygen and the body has no energy and starts to lose its function. Also, snce we do not normally lose iron, look for bleeding. ...Read more
Blood work if needed: The obvious question is, "why would you have iron deficiency? " this is pretty unusual in 36 year old males. They don't become iron deficient unless their diet contains minimal iron (vegans who don't like vegetables), they have trouble absorbing iron (removal of some of their intestine) or they have ongoing bleeding. If one of these apply, there are blood tests that can measure iron stores. ...Read more
Iron?: If you have iron deficiency anemia (ida). I would ask these questions -- 1) what is the cause -- and then fix it if possible - eg stomach ulcers, colon cancer, etc. 2) how severe is the ida (by hgb, ferritin, etc). Then if the gut is working can try oral iron. If not can use IV iron. Iron supplements are relatively cheap and measurable vs. Foods. ...Read more
Irondeficient anemia: Iron deficiency anemia is the medical term, meaning your body doesn't have enough iron. Iron is important because red cells need iron to make hemoglobin: needed to for oxygen exchange. If you are deficient in iron, commonly caused by bleeding, poor intake, low absorption or marrow defect, then your red cells become small, pale, & ineffective and you may feel weak, sluggish, pale& short of breath. ...Read more
Various: Many things can cause iron deficiency & most fall into 2 main categories--blood loss & decreased iron intake. Ex's of the former include GI (intestine) bleeding & women's menstrual cycles (though many women are not iron deficient). Ex's of the latter include poor diet & impaired absorption. A healthy diet & limiting causes of GI bleeding (alcohol, nsaids like ibuprofen, naproxen) can help prevent. ...Read more
Iron deficiency: Iron deficiency causes anemia, fatigue, weak or malformed nails, and pica. Pica is when you crave strange non-food items. Typically, affected individuals munch ice but I've had patients eat wallboard, chalk, dirt, starch, and mattress stuffing. You need to see a doctor and get a cbc, iron, tibc, and ferritin. You may also need tests to rule out serious conditions such as ulcers and cancer. ...Read more
Probably not: Postural tachycardia syndrome is complex overlapping syndrome of unknown causes. Cfs/fm are a part of this array. You and your doc should be able to correct you iron levels, once stable if the pots goes away, that is a 1 to 1 relationship. If when the iron is correct and you still having pots, you need to balance yourself and get a 2nd opinion. Begin a self-care w a wellness program. See my page. ...Read more
Lack of iron: Iron loss through bleeding, or iron deficiency through poor nutrition or poor absorption may lead to iron deficiency anemia. The diagnosis is relatively simple to make and the treatment is inexpensive and effective. In spite of this, it is the most common form of qnemia in the us. See your doctor if you suspect you have anemia. ...Read more