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Anemia

Anemia can sap your energy and affect daily life. At GastroDoxs in Houston, board-certified gastroenterologist Dr. Scott provides comprehensive anemia care-from accurate diagnosis and tailored dietary guidance to advanced treatments. Discover personalized solutions to restore your health and vitality today.

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Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Common Causes and Risk Factors

  • Blood loss (heavy menstrual periods or gastrointestinal ulcers)
  • Poor iron absorption (celiac disease, past stomach surgery)
  • Chronic illnesses (kidney disease, cancer)
  • Vitamin B12 or folate deficiency
  • Inherited blood disorders in the family history

Signs and Symptoms

  • Persistent tiredness or weakness
  • Pale skin, lips, or gums
  • Dizziness or lightheadedness
  • Shortness of breath with activity
  • Cold hands and feet
  • Fast or irregular heartbeat

How Dr. Scott Diagnoses This Condition?

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

Medical History and Physical Exam

He discusses your epigastric pain onset, location, quality, duration, aggravating or relieving factors, as well as your diet, medications, alcohol use and any associated symptoms such as nausea, vomiting, heartburn or weight loss.

Laboratory Tests

We check a complete blood count (CBC) to look for anemia, liver function tests, pancreatic enzymes (amylase/lipase), and non-invasive H. pylori testing if an ulcer is suspected.

Imaging and Endoscopy

  • Upper endoscopy (EGD) to directly visualize the esophagus, stomach and duodenum for gastritis, ulcers, reflux‐related changes or masses.
  • Abdominal ultrasound to assess gallbladder disease, biliary tract issues or pancreatic abnormalities.

Advanced Testing (if needed)

When initial tests are inconclusive, Dr. Scott may order a CT scan of the abdomen, gastric emptying study for gastroparesis or capsule endoscopy to evaluate the small intestine for obscure sources of pain or bleeding.

Dr. Scott
Treatment

Our Team offers a full range of care for anemia.

1. Lifestyle and Diet Modifications

  • Lean meats, poultry, and seafood to boost heme iron
  • Iron-rich plant foods like beans, lentils, and dark leafy greens
  • Iron-fortified cereals and whole grains
  • Pairing iron sources with vitamin C (citrus fruits, bell peppers) for better absorption
  • Avoiding tea or coffee at meals, which can inhibit iron uptake

2. Medications

  • Oral iron supplements (e.g., ferrous sulfate, ferrous gluconate) per national guidelines
  • Vitamin B12 therapy via tablets or injections for deficiency
  • Folic acid supplements to correct folate deficiency

3. Minimally Invasive or Advanced Procedures

  • Blood transfusion for rapid correction in severe cases
  • Endoscopy to locate and treat gastrointestinal bleeding (ulcers, polyps)
  • Capsule endoscopy to identify bleeding in the small intestine
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

What is the ICD-10 code for iron deficiency anemia?

The ICD-10 code for iron deficiency anemia is D50.9.

Can I treat anemia with diet alone?

Mild anemia may improve with diet and supplements, but it's important to rule out bleeding or absorption issues before relying on diet alone.

How fast do iron pills work?

Many patients feel more energetic within two to four weeks, though full recovery of iron stores often takes two to three months.

When is a blood transfusion needed?

Transfusions are reserved for severe anemia when hemoglobin is very low or symptoms (like extreme weakness or shortness of breath) are life-threatening.

What tests confirm normocytic anemia?

A complete blood count (CBC) shows normal-sized red blood cells but low numbers; additional tests help identify the underlying cause.

Do I need a referral to see Dr. Scott?

No referral is required. You can call GastroDoxs directly to schedule an appointment with Dr. Scott.

Are there side effects with iron pills?

Some patients experience stomach upset or constipation. Dr. Scott will adjust your dose or suggest alternatives to minimize side effects.

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