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Iron Deficiency

Iron deficiency can leave you struggling, but Dr. Rishi Chadha at GastroDoxs in Houston offers expert diagnosis and tailored treatment plans. Learn about common causes, unusual symptoms, essential testing, and comprehensive care options-from personalized diet and supplements to advanced procedures.

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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Iron Deficiency?

Iron deficiency happens when your body doesn-t have enough iron. Iron helps make red blood cells, which carry oxygen. Without it, you may feel tired, weak, or dizzy. In Houston, Dr. Rishi Chadha and the team at GastroDoxs offer answers, support, and treatment.

Common Causes and Risk Factors

  • Not eating enough iron-rich foods (like in vegetarian diets)
  • Blood loss (from heavy periods or stomach ulcers)
  • Bleeding in the gut (like from hemorrhoids or gastritis)
  • Needing more iron (if you're pregnant, a child, or an athlete)
  • Trouble absorbing iron (like with celiac disease or after surgery)
  • Family history of iron deficiency

Signs and Symptoms

  • Brittle or spoon-shaped nails
  • Restless legs at night
  • Craving ice (pagophagia)
  • Hair falling out more than normal
  • Sores or cracks around the mouth
  • Pale skin
  • Feeling cold often
  • Shortness of breath
  • Headaches
  • Feeling very tired, especially during pregnancy

How Dr. Rishi Diagnoses Iron Deficiency?

Dr. Chadha uses a step-by-step approach:

Medical History & Physical Exam

He reviews your full health history, dietary habits, menstrual or GI bleeding risks, and performs a targeted physical exam.

Blood Tests

He orders labs to measure hemoglobin, hematocrit and ferritin levels to confirm iron deficiency.

ICD-10 Coding

He applies the appropriate code (eg, D50.9) to accurately document your diagnosis and guide treatment.

Diagnostic Procedures (if needed)

  • Upper endoscopy to look for ulcers or bleeding in the stomach.
  • Colonoscopy to evaluate the colon for sources of blood loss.
  • Capsule endoscopy to inspect the small intestine for hidden bleeding.
Dr. Rishi Chadha
Treatment

Treatment Options for Iron Deficiency

1. Diet and Lifestyle

  • Eat iron-rich foods: red meat, poultry, fish, beans, tofu, spinach
  • Pair iron sources with vitamin C (oranges, bell peppers) to boost absorption
  • Avoid tea, coffee, and calcium-rich foods at mealtimes-they can inhibit iron uptake
  • Work with our diet team to create a tailored meal plan and track your progress

2. Medications and Supplements

  • Oral iron supplements: tablets or liquid formulas taken daily
  • Vitamin C co-supplementation to enhance iron absorption
  • Intravenous (IV) iron therapy for severe deficiency or poor oral tolerance

3. Special Tests and Procedures (If Needed)

  • Upper endoscopy: evaluates the upper digestive tract for ulcers or bleeding
  • Colonoscopy: inspects the colon for sources of blood loss (polyps, lesions)
  • Capsule endoscopy: identifies bleeding in the small intestine
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What's the ICD-10 code for iron deficiency anemia?

D50.9 is the general code. Other codes (D50.0-D50.8) specify particular causes like nutritional deficiency or chronic blood loss.

How fast do iron supplements work?

Many patients begin to feel better within 2 to 4 weeks. Achieving full iron stores and symptom resolution can take several months of consistent therapy.

Can food fix low iron?

A diet rich in heme iron (meats) and non-heme iron (beans, spinach) plus vitamin C may correct mild deficiencies. More severe cases often require supplemental iron.

Do iron pills have side effects?

Yes. Common issues include stomach upset and constipation. Taking supplements with food or switching formulations can improve tolerability.

What are some odd signs of low iron?

Besides fatigue and pallor, watch for brittle or spoon-shaped nails, restless legs at night, ice cravings (pagophagia), hair loss, and mouth cracks.

Do pregnant women need more iron?

Absolutely. Pregnancy increases iron demands. Untreated deficiency can worsen fatigue, dizziness, and shortness of breath and affect both mother and baby.

How is iron deficiency diagnosed?

Diagnosis relies on blood tests measuring hemoglobin, hematocrit, serum ferritin, and sometimes transferrin saturation to confirm low iron stores.

When is IV iron needed?

IV iron is recommended if oral supplements are poorly tolerated, absorption is impaired, or levels are critically low requiring rapid correction.

Should I avoid some foods?

Avoid tea, coffee, and calcium-rich foods during iron-rich meals, as they can inhibit iron absorption. Pair iron foods with vitamin C sources instead.

Does Houston's heat affect iron levels?

Heat itself doesn-t lower iron, but high temperatures can exacerbate fatigue in iron-deficient individuals, making symptoms feel worse.

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