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Internal Medicine

Anaemia: symptoms, causes & treatment

Also known as low blood count, low iron.

This page is general health information, not a diagnosis. Always consult a licensed clinician about your own health.

Overview

Anaemia means the blood has too few healthy red cells to carry oxygen, leaving you tired, weak and pale. The most common cause worldwide is iron deficiency — from a low-iron diet, heavy periods, pregnancy or slow bleeding from the gut — and other causes include vitamin deficiencies and chronic disease. Finding the cause matters as much as correcting the anaemia.

Symptoms

  • Tiredness and weakness
  • Paleness of palms, inner eyelids or tongue
  • Dizziness or light-headedness
  • Shortness of breath on exertion
  • Fast heartbeat or palpitations
  • Headaches
  • Cravings for non-food items like clay or ice (severe iron deficiency)

Causes & risk factors

  • Iron-poor diet or poor iron absorption
  • Blood loss from heavy periods, ulcers or gut bleeding
  • Vitamin B12 or folate deficiency
  • Pregnancy without supplementation
  • Chronic illness or inherited conditions such as sickle cell disease

Treatment & self-care

Treatment targets the cause — iron-rich foods and prescribed iron supplements for deficiency, replacing low vitamins, and managing heavy periods or any source of bleeding. Severe anaemia may need hospital care or transfusion. A simple blood test (full blood count) guides the plan; do not take supplements indefinitely without a diagnosis, as that can mask a serious cause.

See a doctor urgently if

  • Severe weakness, fainting or breathlessness at rest
  • Paleness with a racing heart
  • Anaemia symptoms in pregnancy
  • Black stools or any ongoing bleeding

Frequently asked questions

What are the first signs of Anaemia?
Early signs often include tiredness and weakness, paleness of palms, inner eyelids or tongue, dizziness or light-headedness. Symptoms vary from person to person, so a proper assessment by a doctor is the only way to be sure.
Can Anaemia be treated?
Treatment targets the cause — iron-rich foods and prescribed iron supplements for deficiency, replacing low vitamins, and managing heavy periods or any source of bleeding. Severe anaemia may need hospital care or transfusion. A simple blood test (full blood count) guides the plan; do not take supplements indefinitely without a diagnosis, as that can mask a serious cause.
When should I see a doctor about Anaemia?
See a doctor promptly if you notice: severe weakness, fainting or breathlessness at rest; paleness with a racing heart; anaemia symptoms in pregnancy; black stools or any ongoing bleeding.

Talk to the right specialist

Anaemia is usually handled by internal medicine. See an online internal medicine doctor in minutes on iHealix.

Related conditions

Lab tests that may help