Extreme fatigue. Weakness. Pale skin. Chest pain, fast heartbeat or shortness of breath.
You may also find that low iron causes weight gain. There are a couple of reasons for this; firstly, your energy levels are low and so your exercise levels reduce; secondly, iron is essential for thyroid function, and an underactive thyroid will lead to weight gain.
Severe iron-deficiency anemia may require a blood transfusion, iron injections, or intravenous (IV) iron therapy. Treatment may need to be done in a hospital.
Constant chills and fatigue may mean you are low on iron. “Causes of an iron deficiency can range from poor diet to a serious illness,” says family medicine physician David Brill, DO.
Iron-Rich Foods
Heme iron is found in meat, fish and poultry. It is the form of iron that is most readily absorbed by your body. You absorb up to 30 percent of the heme iron that you consume. Eating meat generally boosts your iron levels far more than eating non-heme iron.
Iron-rich drinks include apple juice, apricot nectar, beef broth, beet juice, cocoa using natural cocoa powder, “green” smoothies, orange juice, pea protein smoothies, prune juice, tomato juice, and spinach juice.
Common causes of iron deficiency include not getting enough iron in your diet, chronic blood loss, pregnancy and vigorous exercise. Some people become iron deficient if they are unable to absorb iron. Iron deficiency can be treated by adding iron-rich foods to the diet.
Some foods can make it harder for your body to absorb iron. These include coffee, tea, milk, egg whites, fiber, and soy protein. Try to avoid these foods if you have iron deficiency anemia.
Eye symptoms of low iron can include a pale coloring of the inside of the lower eyelids. In moderate or severe cases of iron deficiency anemia, the inside layer of the lower eyelid is very pale pink or yellow instead of red. Rather than low iron, one common cause of blurry vision is dry eye.
– It usually takes 2 to 3 weeks of taking regular iron supplements before your symptoms start to improve. – You may need to keep taking iron for several months to build up your iron reserves and keep your anemia from returning. Take your pills for as long as your doctor recommends, even if your symptoms have improved.
Call Your Doctor About Anemia If:
Persistent fatigue, breathlessness, rapid heart rate, pale skin, or any other symptoms of anemia; seek emergency care for any trouble breathing or change in your heart beat.
The range of normal ferritin in most laboratories is 30 ng/mL to 300 ng/mL, and the mean is 49 ng/mL in women. The National Health and Nutrition Examination Survey describes iron deficiency in women as a low concentration of ferritin (<12 ng/mL). Diagnosis prompts consideration of the cause of IDA (usually, bleeding).
The last stage is iron deficiency anemia. It is characterized by a low hemoglobin concentration with small (microcytic), pale (hypochromic) RBCs. Symptoms include fatigue upon exertion, weakness, headaches, apathy, pallor, poor resistance to cold temperatures, low physical work capacity, and poor immune function.
Weight gain related to iron therapy is a common problem in female patients with iron deficiency anemia. Patients under iron therapy should be counseled in terms of weight gain complication and benefits of diet and followed up serum ferritin and Hgb levels to prevent prolonged iron therapy.
Most people feel better after taking ferrous fumarate for 1 week, but it may take up to 4 weeks to work fully.
Some signs that iron pills are working for iron deficiency anemia include increased energy, less weakness, and less shortness of breath or dizziness. However, since iron deficiency anemia does not always cause symptoms, people may not display any clear signs that iron pills are or are not working.
Inhibitors of iron absorption include phytate, which is a compound found in plant-based diets that demonstrate a dose-dependent effect on iron absorption. Polyphenols are found in black and herbal tea, coffee, wine, legumes, cereals, fruit, and vegetables and have been demonstrated to inhibit iron absorption.
Malabsorption is when your body can't absorb iron from food, and is another possible cause of iron deficiency anaemia. This may happen if you have coeliac disease, a common digestive condition where a person has an adverse reaction to gluten, or surgery to remove all or part of your stomach (gastrectomy).
The diet is not balanced with nutrition Our diet does not add enough iron and vitamins. B12 and folate will lead to the risk of anemia. Intestinal metabolic disorders When the small intestine cannot smoothly absorb the nutrients the body takes in, there is an increased risk of anemia.
Undiagnosed or untreated iron-deficiency anemia may cause serious complications such as fatigue, headaches, restless legs syndrome, heart problems, pregnancy complications, and developmental delays in children. Iron-deficiency anemia can also make other chronic conditions worse or cause their treatments to work poorly.
"Iron deficiency often causes only mild symptoms, but — left undiagnosed and untreated — it can affect a person's quality of life and, while rare, even be a sign of a serious health issue."