Oral iron supplements are in the form of ferrous sulfate. The best absorption of iron is on an empty stomach, but many people are unable to tolerate this and may need to take it with food. Milk and antacids may interfere with absorption of iron and should not be taken at the same time as iron supplements. Vitamin C can increase absorption and is essential in the production of hemoglobin.

Supplemental iron is needed during pregnancy and lactation because normal dietary intake rarely supply the required amount.

The hematocrit should return to normal after 2 months of iron therapy, but the iron should be continued for another 6 to 12 months to replenish the body's iron stores, contained mostly in the bone marrow.

Intravenous or intra-muscular iron is available for patients when iron taken orally is not tolerated.

Iron-rich foods include raisins, meats (liver is the highest source), fish, poultry, eggs (yolk), legumes (peas and beans), and whole grain bread.

Prognosis

With treatment, the outcome is likely to be good. In most cases the blood counts will return to normal in 2 months.

Complications

There are usually no complications. However, iron deficiency anemia may recur, so regular follow-up is encouraged. Children with this disorder may have an increased susceptibility to infection.

Call Your Health Care Provider If:

Call for an appointment with the health care provider if symptoms develop.

Ency. home > Disease > I > Iron deficiency anemia

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