Iron Deficiency Anemia
Located in Mason, OH and Serving Greater Cincinnati
513-507-9677
Located in Mason, OH and Serving Greater Cincinnati
Call Us Today Request An Appointment
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        Located in Mason, OH and Serving Greater Cincinnati | 513-507-9677

 Iron deficiency anemia

Iron Deficiency Anemia 

Iron deficiency anemia is twice as prevalent among Black women and Hispanic women compared with White women.

It can be caused by either decreased iron availability or increased iron requirements after blood loss from the gastrointestinal (GI) or genitourinary tract such as heavy menstrual bleeding. 

Adults with iron deficiency anemia (IDA) in asymptomatic postmenopausal women and men, the American Gastroenterological Association (AGA) recommends bidirectional endoscopy.

JAMA. 2021;326(16):1624-1625. doi:10.1001/jama.2021.11604

 

JAMA. 2020;323(4):376-377. doi:10.1001/jama.2019.19127



Evidence suggests that greater than 70% of patients to whom oral iron is prescribed report significant gastrointestinal toxicity.


PLoS One. 2015;10(2):e0117383. doi:10. 1371/journal.pone.0117383



Reference ranges


( Ferritin: 13-126 ng/mL)    (Iron: 37-145 μg/dL ) (Hemoglobin: 12.0-16.0, g/dL)


  • (Hematocrit: 37.0-47.0 %) (Mean corpuscular volume: 81.0-99.0: fL )



Intravenous Iron drip 

In premenopausal women, menstrual blood loss is leading cause of Iron deficiency anemia.


Very small risk of missing a gastrointestinal malignancy.


Reasonable to select an initial course of iron replacement therapy and no initial bidirectional endoscopy.


Patients who undergo gastric bypass have an obligate need for intravenous, not oral, iron.


Recently ferritin cutoff increased to less than 45 ng/mL to diagnose Iron deficiency anemia.

 

 

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