Mediterranean anemia (also known as thalassemia)
I had a health check-up in my first year of high school and was diagnosed with anemia.
I would like to know what effects it might have.
Here are my lab results:
- White blood cells: 6.8 (normal range: 4-10)
- Red blood cells: 4.90 (normal range: 3.5-6.0)
- Hemoglobin: 11.2 (normal range: 12-18)
- Hematocrit: 34.4 (normal range: 36-54)
- Mean corpuscular volume (MCV): 70.204 (normal range: 80-110)
- Mean corpuscular hemoglobin (MCH): 22.857 (normal range: 25-35)
- Mean corpuscular hemoglobin concentration (MCHC): 32.558 (normal range: 30-36)
- Platelets: 213 (normal range: 140-520)
Is this level of anemia considered severe? Can I take iron supplements to improve it?
Gao Er Sheng, 10~19 year old female. Ask Date: 2016/11/13
Dr. He Dongjin reply Cardiology
Hello, very mild anemia can be treated with iron supplements to improve the condition, so there's no need to worry.
Changhua Hospital cares about you.
Reply Date: 2016/11/13
More Info
Mediterranean anemia, also known as thalassemia, is a genetic blood disorder characterized by the reduced production of hemoglobin, which is essential for transporting oxygen in the blood. This condition can lead to various health impacts, particularly anemia, which is a deficiency in the number or quality of red blood cells. Based on your health check results, it appears that you have mild anemia, as indicated by your hemoglobin level of 11.2 g/dL, which is below the normal range for adult males (12-18 g/dL) and females (12-16 g/dL).
Impacts of Anemia
1. Fatigue and Weakness: One of the most common symptoms of anemia is fatigue. With lower hemoglobin levels, your body may not receive enough oxygen, leading to feelings of tiredness and weakness.
2. Pale Skin: Anemia can cause your skin to appear paler than usual due to reduced blood flow and lower red blood cell counts.
3. Shortness of Breath: You may experience shortness of breath during physical activities, as your body struggles to get enough oxygen.
4. Dizziness or Lightheadedness: Low hemoglobin levels can affect blood flow to the brain, potentially causing dizziness or lightheadedness, especially when standing up quickly.
5. Increased Heart Rate: Your heart may work harder to pump blood, which can lead to an increased heart rate or palpitations.
Severity of Your Anemia
Based on the values you provided, your anemia appears to be mild. The hemoglobin level of 11.2 g/dL is below the normal range, and your mean corpuscular volume (MCV) of 70.204 fL indicates microcytic anemia, which is often associated with iron deficiency or thalassemia. However, the severity of anemia can vary, and it is essential to consult with a healthcare provider for a comprehensive evaluation.
Treatment Options
1. Iron Supplements: If your anemia is due to iron deficiency, taking iron supplements can help improve your hemoglobin levels. However, it is crucial to have your iron levels checked (including serum ferritin and total iron-binding capacity) before starting supplements, as excessive iron can lead to toxicity.
2. Dietary Changes: Incorporating iron-rich foods into your diet can also help. Foods such as red meat, poultry, fish, lentils, beans, and fortified cereals are excellent sources of iron. Additionally, consuming vitamin C-rich foods (like oranges, strawberries, and bell peppers) can enhance iron absorption.
3. Folic Acid and Vitamin B12: These vitamins are essential for red blood cell production. If your anemia is related to deficiencies in these vitamins, supplementation may be necessary.
4. Regular Monitoring: Regular follow-ups with your healthcare provider to monitor your blood counts and adjust treatment as necessary are essential.
5. Further Evaluation: If your anemia does not improve with dietary changes or supplements, further evaluation may be needed to rule out other underlying conditions, such as chronic diseases or bone marrow disorders.
Conclusion
In summary, while your anemia is currently mild, it is essential to address it to prevent potential complications. Consulting with a healthcare provider for a tailored treatment plan, including dietary adjustments and possibly iron supplementation, is advisable. Regular monitoring of your blood counts will help ensure that your anemia is managed effectively. If you experience any worsening symptoms or new concerns, do not hesitate to seek medical attention.
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