Iron Deficiency Anemia, Oral and Intravenous Iron Therapy, Dose and Recommendations: Dr. Adil Ramzan
Iron deficiency anaemia is not an uncommon disorder. A large number of population is of developing countries such as Pakistan is affected by iron deficiency anaemia. Women are more affected as compared to men due to obvious reason such as menorrhagia, polymenorrhagia, Postpartum bleeding etc. Signs on Physical Examination The physical examination can show: Tachycardia Smooth tongue Brittle nails Koilonychia Pallor PICA Oesophagal webs. Stages of Iron Deficiency Iron deficiency anaemia is divided into three stages, Stage 1 is called negative iron balance, More iron is used than intake, but there will be no anaemia, no change in RBC morphology, but iron stores will be low. Stage 2 is called iron-deficient erythropoiesis. Iron stores are depleted, the hypochromic picture may appear in the RBC morphology Stage 3 is the iron deficiency anaemia Haemoglobin decreases with hypochromic and microcytic RBC morphology. Diagnosis of Iron Deficiency Anemia Diagn