How Dr. Rishi Chadha Diagnoses Iron Deficiency Anemia
Step-by-Step Diagnostic Approach:
Medical History & Physical Exam
Dr. Chadha reviews your symptoms�fatigue, weakness, pica (cravings for ice or clay), menstrual history, diet and any GI bleeding risks. A hands-on exam looks for pale skin, brittle or spoon-shaped nails, and other signs of anemia.
Blood Tests
Key labs include a complete blood count (CBC) to assess hemoglobin and red blood cell indices, serum ferritin to gauge iron stores, serum iron and total iron-binding capacity (TIBC). Together these pinpoint iron deficiency and its severity.
Stool Occult Blood Test
A non-invasive test that checks for hidden blood in the stool, helping identify GI blood loss as a potential cause.
Endoscopy & Colonoscopy (When Indicated)
- Upper Endoscopy (EGD): Visualizes the esophagus, stomach and duodenum to detect ulcers, celiac disease or other bleeding lesions.
- Colonoscopy: Examines the large intestine for polyps, diverticular bleeding or other sources of chronic blood loss.
Capsule Endoscopy (If Needed)
A swallowable camera capsule may be used to inspect the small bowel for obscure bleeding sources not reached by traditional scopes.
Through every step, Dr. Chadha explains findings and next steps in clear, patient-friendly language so you feel informed and confident in your care plan.
Frequently Asked Questions
What is the ICD-10 code for iron deficiency anemia?
D50.9 is the general code for iron deficiency anemia, unspecified. Other codes (D50.0�D50.8) specify particular causes.
How long does it take to fix iron deficiency?
Most people feel improvement in 4�8 weeks of treatment. Full recovery of iron stores can take 3�6 months.
Can sugar cause low iron?
Eating too much sugar can interfere with iron absorption, but it is not the only factor in iron deficiency.
Are there side effects from iron pills?
Some patients experience nausea or constipation. Taking supplements with food or switching formulations may help.
When is IV iron needed?
IV iron is recommended when oral supplements are not tolerated or fail to raise iron levels adequately.
How can I prevent iron deficiency anemia?
Maintain a diet rich in iron (meat, leafy greens, beans), pair it with vitamin C, and have regular blood tests.
What foods lower iron absorption?
Beverages and foods like tea, coffee, dairy products, and sugary snacks can inhibit iron uptake when consumed with meals.
Can anemia affect my nails?
Yes. Iron deficiency may cause brittle, ridged, or 'spoon-shaped� nails (koilonychia).
Can children have iron deficiency anemia?
Yes. Growing children can develop anemia from inadequate dietary intake or rapid growth spurts.
How do I schedule a visit with Dr. Chadha?
Call GastroDoxs in Houston to book your first appointment with Dr. Rishi Chadha.