Concerns About Iron Supplements and Iodine Exposure in Toddlers

Iron supplement issues?

Hello Doctor, my daughter is currently 2 years old and has been taking iron supplements for a year, approximately 6 drops of iron drops twice a day.
Her previous blood test showed a level of about 22.
Does she still need to continue taking the iron supplements? We still have a bottle of iron supplements at home.
Can iron supplements be taken long-term? Additionally, I recently noticed that there is a bottle of iodinated contrast next to the iron supplements, and I am concerned because they have a similar color.
What would happen if she accidentally ingested the iodinated contrast?

lin, 30~39 year old female. Ask Date: 2017/12/01

Dr. Xiao Kaiwen reply Pediatrics

Iron supplements for iron deficiency anemia should be taken until blood hemoglobin levels normalize, and regular monitoring of hemoglobin and serum iron levels is necessary to assess progress.
Typically, supplementation should continue for an additional two to three months after hemoglobin levels return to normal, so long-term use is acceptable, but regular follow-up at a healthcare facility is required.
Povidone-iodine is a non-edible chemical substance, and accidental ingestion can be very irritating to the oral cavity and gastrointestinal tract.
If ingested, immediate discomfort may occur, such as severe vomiting and agitation.

Reply Date: 2017/12/01

More Info

When it comes to the use of iron supplements in toddlers, there are several important considerations to keep in mind. Iron is an essential nutrient that plays a crucial role in the development of young children, particularly in the formation of hemoglobin, which is necessary for transporting oxygen in the blood. However, excessive iron intake can lead to toxicity, especially in young children.

In your case, your daughter has been taking an iron supplement for a year, with a daily dosage of approximately 6 drops twice a day. It's important to note that the recommended dietary allowance (RDA) for iron varies by age. For toddlers aged 1-3 years, the RDA is about 7 mg per day. If her blood test showed an iron level of 22 (assuming this is in µg/dL), it is essential to consult with her pediatrician to determine whether she still requires supplementation. Continuous supplementation without monitoring can lead to iron overload, which can cause serious health issues, including liver damage and gastrointestinal problems.

Regarding the long-term use of iron supplements, it is generally not recommended to administer iron supplements for extended periods without medical supervision. Regular blood tests should be conducted to monitor iron levels and ensure that they remain within a safe range. If her levels are adequate, it may be appropriate to discontinue the iron supplement or adjust the dosage.

As for the concern about iodine exposure, if your daughter accidentally ingested a small amount of iodine (found in supplements like "Youodine"), it is crucial to understand the potential effects. Iodine is an essential nutrient for thyroid function, but excessive intake can lead to thyroid dysfunction, including hyperthyroidism or hypothyroidism. Symptoms of iodine overdose can include nausea, vomiting, diarrhea, and abdominal pain. In severe cases, it may lead to more serious complications.

If you suspect that your daughter has ingested iodine, it is advisable to contact a healthcare professional immediately for guidance. They may recommend monitoring her for any symptoms or conducting tests to assess her thyroid function if necessary.

In summary, while iron is vital for your daughter's growth and development, it is crucial to regularly evaluate her need for supplementation through blood tests and consultations with her pediatrician. Additionally, be cautious about the potential risks associated with accidental ingestion of other supplements, such as iodine. Always store medications and supplements out of reach of children to prevent accidental ingestion. If you have any concerns about her health or supplement intake, do not hesitate to reach out to her healthcare provider for personalized advice.

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