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TAKING PRIMARY HEALTH
CARE TO THE HIGHEST
POSSIBLE STANDARDS.

Understanding Iron Deficiency Without Anaemia(IDWA): Causes, Symptoms, and Solutions

Introduction

As a practice, we have had a significant number of patients with a problem of symptomatic iron deficiency without anaemia( meaning their haemoglobin/ Hb is normal ). According to our patients profile, this is more common in adolescents and young females.
Iron deficiency is a common health issue, but many people don’t realize that it can occur without anaemia. The absence of anaemia may prevent patients with significant symptoms to have their iron studies done. In this post, we’ll explore the causes, symptoms, and ways to manage iron deficiency before it progresses to anaemia.  

What is Iron Deficiency Without Anaemia?
Iron is a crucial mineral that helps the body produce haemoglobin, a protein in red blood cells that carries oxygen. When there is iron deficiency but not yet anaemia, the iron levels are low, but they haven’t dropped to the point of causing a reduction in red blood cell production. This stage can be tricky because symptoms of anaemia may be present despite the blood tests showing normal haemoglobin level.  

Causes of Iron Deficiency Without Anaemia

Iron deficiency can occur for several reasons, even if it hasn’t yet caused anaemia. Common causes include:
Inadequate Diet: Not consuming enough iron-rich foods can lead to a deficiency, especially in people who follow restrictive diets.  

Increased Iron Needs: Certain life stages, such as pregnancy or growth periods in children, can increase your body’s iron demands. 

Blood Loss: Chronic blood loss due to menstruation, stomach and intestine issues, or other conditions can deplete iron stores.

Impaired Iron Absorption: Conditions like celiac disease or inflammatory bowel disease can reduce the body’s ability to absorb iron properly. 


Symptoms of Iron Deficiency Without Anaemia

The symptoms are very similar to those of iron deficiency anaemia and may include : 

• Fatigue or tiredness 
• Pale skin 
• Difficulty concentrating 
• Shortness of breath during physical activity 
• Cold hands and feet 
• Brittle nails or hair 
• Light-headedness or dizziness  
• Palpitations  

Diagnosing Iron Deficiency Without Anaemia

Taking the symptoms into consideration your doctor will do blood tests. Doctors will check levels of ferritin (a protein that stores iron) and other iron markers to assess whether iron levels are low before anaemia sets in.

How to Treat and Prevent Iron Deficiency Without Anaemia? 

Treatment generally involves addressing the underlying cause and replenishing iron stores. Your doctor will probably consult other healthcare professionals such as a dietician, general surgeon , gynaecologist etc.

Dietary Changes: Incorporating iron-rich foods like leafy greens, red meat, beans, and fortified cereals into your diet can help. 

Iron Supplements: Your healthcare provider may recommend iron supplements if dietary changes are insufficient. 

Addressing Underlying Conditions: Treating any conditions that cause malabsorption or blood loss is vital to preventing ongoing deficiencies. 

Conclusion 

Iron deficiency without anaemia might not immediately affect your red blood cell count, but it can still have significant impacts on your health. Recognizing the signs early and addressing the causes can prevent more serious complications, including the development of anaemia. If you suspect you might have an iron deficiency, it’s important to consult with a healthcare provider for proper diagnosis and management.


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