What Is Anemia?
Anemia means your body doesn't have enough red blood cells or hemoglobin to carry oxygen to your organs. Without enough, you may feel tired, weak, or short of breath.
Common Causes and Risk Factors
- Iron deficiency (ICD-10: D50.9)
- Chronic illnesses such as kidney disease or arthritis
- Blood loss from heavy menstrual periods or internal bleeding
- Poor diet low in iron-rich foods
- Family history of anemia
Signs and Symptoms
- Feeling tired or weak
- Pale skin or pale fingernails
- Fast heartbeat or trouble breathing
- Dizziness or lightheadedness
- Cold hands and feet
- Craving ice, dirt, or other non-food items (pica)
How Dr. Rishi Diagnoses Anemia?
Dr. Chadha uses a step-by-step approach:
Medical History and Physical Exam
He asks about your symptoms, diet, any recent bleeding and reviews your medical history. Then he examines your skin, nails and listens to your heartbeat.
Blood Tests
A complete blood count (CBC) measures red blood cell count and hemoglobin. Iron and ferritin levels are checked to assess your iron stores.
Stool Test
We screen your stool for hidden (occult) blood to detect internal bleeding that you might not notice.
Endoscopy or Colonoscopy
- Upper endoscopy examines your esophagus, stomach and small intestine to find ulcers, inflammation or tumors.
- Colonoscopy inspects the colon and rectum to identify polyps, sources of bleeding or other abnormalities.
Frequently Asked Questions
What's the difference between iron deficiency anemia and anemia of chronic disease?
Iron deficiency anemia occurs when you lack sufficient iron. Anemia of chronic disease happens when long-term illnesses interfere with iron use, even if your iron stores are normal.
What is the ICD-10 code for iron deficiency anemia?
The ICD-10 code for iron deficiency anemia is D50.9.
Can I have low iron without anemia?
Yes. Iron stores can be depleted before hemoglobin levels fall enough to show anemia on a CBC (complete blood count).
How long does it take to feel better after starting treatment?
Mild anemia often improves within 4-6 weeks of iron therapy. More severe cases may require 3-6 months of treatment.
Will I need a blood transfusion?
Transfusions are reserved for severe anemia or acute blood loss. Most patients respond well to oral or intravenous iron.
Are iron pills safe?
Yes. However, they can cause stomach upset, constipation, or dark stools. Taking them with food or switching to a liquid form may help.
Can diet alone correct anemia?
Dietary changes'such as eating red meat, beans, spinach, and vitamin C-rich foods'support treatment, but many patients still need supplements or infusions.
Will I need an endoscopy or colonoscopy?
If gastrointestinal bleeding is suspected, Dr. Chadha may recommend endoscopy or colonoscopy to locate and treat the source.
How is anemia of chronic disease treated?
Treatment focuses on managing the underlying condition, plus iron supplements, vitamin B12/folate, or medications that stimulate red blood cell production.
What happens during an iron infusion?
After blood tests confirm your needs, iron is infused intravenously over 30-60 minutes. You can typically resume normal activities immediately afterward.