Expert Treatment for Iron Deficiency by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptoms (fatigue, epigastric discomfort), diet, menstrual history, past GI issues and any risk factors for bleeding.
Laboratory Studies
He orders:
- CBC (hemoglobin, hematocrit, MCV) to assess anemia
- Serum ferritin, iron, TIBC and transferrin saturation to confirm iron deficiency
Stool Testing
Fecal occult blood test (FOBT) or fecal immunochemical test (FIT) to detect hidden GI bleeding.
Endoscopic Evaluation
- Upper endoscopy (EGD) to inspect esophagus, stomach and duodenum for ulcers or gastritis causing epigastric pain and bleeding
- Colonoscopy if lower-GI bleeding is suspected
Advanced Small-Bowel Assessment (if needed)
Capsule endoscopy or enterography to locate bleeding sources in the small intestine when initial scopes are inconclusive.
Frequently Asked Questions
What is the ICD-10 code for iron deficiency anemia?
The ICD-10 code is D50.9 -Iron deficiency anemia, unspecified.
Can I be low on iron without being anemic?
Yes. Many people have low ferritin stores and feel fatigued even if their hemoglobin remains within the normal range.
What are the 3 stages of iron deficiency?
1. Low iron stores (no symptoms yet)
2. Reduced red blood cell production
3. Full iron deficiency anemia with noticeable fatigue and other symptoms
How long does recovery take?
Most patients feel better within 2-4 weeks of treatment. Complete replenishment of iron stores typically takes 3-6 months.
Do I need a specialist?
If dietary changes or oral supplements don't raise your iron levels-or if there's concern for bleeding-a gastroenterology specialist can identify and treat the underlying cause.
Is IV iron safe?
Yes. Modern IV iron preparations are well tolerated with a low risk of serious side effects and are administered under careful monitoring.
Where can I learn more?
Visit the Mayo Clinic's Iron Deficiency Anemia page or consult Dr. Pothuri's GastroDoxs resources for trusted information.