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Anaemia

Anaemia · Chudokrevnost (anémie)

What it is

Not enough haemoglobin to carry oxygen — a sign, never a diagnosis in itself.

Symptoms & signs

  • Fatigue
  • breathlessness
  • pale skin and conjunctivae
  • palpitations
  • dizziness
  • headache
  • cold hands

🚩 Get help if…

  • call 112 / 911 now Chest pain, fainting or breathlessness at rest
  • call 112 / 911 now Vomiting blood or passing black, tarry stools
  • see a doctor soon Heavy bleeding from the bowel, womb or anywhere else
  • see a doctor soon Pale and tired with weight loss or a change in bowel habit

Where it strikes

Medical treatment

  • Find and treat the cause
  • iron, B12 or folate replacement
  • transfusion if severe
  • EPO in kidney disease
  • oral ferric maltol (Feraccru, Accrufer) — approved (EMA 2016, FDA 2019) for iron deficiency in adults

Natural & lifestyle

  • Iron-rich foods with vitamin C
  • treat heavy periods
  • coeliac screening
  • avoid tea with meals

Emerging & experimental

  • Hepcidin modulators
  • patient blood-management programmes

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Moringa and spirulina — small studies of modest haemoglobin rises early / small studies
  • Beetroot juice — little iron the body can absorb anecdotal / traditional

ICD codes