Anemia is a condition in which the body does not have enough healthy red blood cells. Red blood cells provide oxygen to body tissues.
Other types of anemia include:
Anemia due to B12 deficiency Anemia due to folate deficiency Anemia due to iron deficiency Anemia of chronic disease Hemolytic anemia Idiopathic aplastic anemia
- Megaloblastic anemia
Sickle cell anemia Thalassemia
Causes, incidence, and risk factors
Although many parts of the body help make red blood cells, most of the work is done in the bone marrow. Bone marrow is the soft tissue in the center of bones that helps form all blood cells.
Most often healthy red blood cells last between 90 and 120 days. Parts of your body then remove old blood cells. A hormone called erythropoietin (epo) made in your kidneys signals your bone marrow to make more red blood cells.
Hemoglobin is the oxygen-carrying protein inside red blood cells. It gives red blood cells their red color. People with anemia do not have enough hemoglobin.
The body needs certain vitamins, minerals, and nutrients to make enough red blood cells. Iron, vitamin B12, and folic acid are three of the most important ones. The body may not have enough of these nutrients because:
- Changes in the lining of the stomach or intestines affect how well nutrients are absorbed (for example,
- Poor diet
- Slow blood loss (for example, from heavy menstrual periods or
- Surgery that removes part of the stomach or intestines
Possible causes of anemia include:
- Certain medications
Destruction of red blood cellsearlier than normal (which may be caused by immune system problems)
Long-term (chronic) diseases such as chronic kidney disease, cancer, ulcerative colitis, or rheumatoid arthritis
Some forms of anemia, such as
thalassemiaor sickle cell anemia, which can be inherited
Problems with bone marrow such as lymphoma, leukemia, multiple myeloma, or
You may have no symptoms if the anemia is mild. If the problem develops slowly, symptoms that may occur first include:
- Feeling grumpy
- Feeling weak or tired more often than usual, or with exercise
- Problems concentrating or thinking
If the anemia gets worse, symptoms may include:
- Blue color to the whites of the eyes
- Brittle nails
- Light-headedness when you stand up
- Pale skin color
Shortness of breath
- Sore tongue
Some types of anemia may have other symptoms.
Signs and tests
The doctor will perform a physical examination, and may find:
Low blood pressure, especially when you stand up
Rapid heart rate
Some types of anemia may cause other findings on a physical exam.
Blood tests used to diagnose some common types of anemia may include:
Blood levels of iron, vitamin B12, folic acid, and other vitamins and minerals
Red blood countand hemoglobin level
Other tests may be done to find medical problems that can cause anemia.
Treatment should be directed at the cause of the anemia, and may include:
Corticosteroids or other medicines that suppress the immune system
Erythropoietin, a medicine that helps your bone marrow make more blood cells
Supplements of iron, vitamin B12, folic acid, or other vitamins and minerals
Severe anemia can cause low oxygen levels in vital organs such as the heart, and can lead to a
Calling your health care provider
Call your health care provider if you have any symptoms of anemia, or any unusual bleeding.