Your body goes through drastic changes when you are pregnant. Your body makes more blood during pregnancy; for instance, prior to pregnancy, your body made approximately 5 litres of blood, but now it produces 7 to 8 litres of it.
Producing excess red blood cells requires haemoglobin, which in turn requires plenty of folate, iron and vitamin B12. If there is a deficiency in any of these requirements, you might develop anaemia.
Anaemia is a condition, which is characterized by a lack of red blood cells in the body. The risks of becoming anaemic during pregnancy include:
1. Being extremely fatigued
2. Miscarriages, premature birth, or low birth-weight
3. The baby can inherit anaemia from the mother
4. The child can have certain developmental delays
5. Postpartum depression (post-childbirth depression)

How it can be prevented?
To prevent such risks, it is important to implement the proper diet. Here are some dietary tips to prevent anaemia during pregnancy: 
1. Consume iron-rich foods: Foods that provide you with the best source of iron are 
i. Poultry and eggs
ii. Dark green and leafy vegetables (for example: spinach, broccoli and kale)
iii. Seeds and nuts
iv. Beans and lentils
v. Tofu
vi. Beetroot
vii. Ripe bananas

2. Don't forget the supplements: Foods are great sources of the nutrients you require, but they may be lacking at times. Ask your doctor for supplements like vitamin, folic acid and iron supplements mostly. Consuming supplements before pregnancy can go a long way in preventing anaemia.

3. Folic acid is important: Folic acid is very important for pregnant women. You must consume 400 milligrams of it to prevent anaemia and birth defects in babies. Foods that are rich in folic acid include:
i. Beans
ii. Muesli
iii. Broccoli
iv. Brussel sprouts
v. Asparagus

4. Vitamins are crucial: Vitamin C helps in iron absorption which boosts haemoglobin production. Some foods rich in vitamin C include
i. Citrus fruits
ii. Strawberries
iii. Kiwis
iv. Tomatoes
v. Bell peppers

5. Be vigilant while cooking: Sometimes while cooking foods, the wrong method can strip them of their iron content. So be careful not to fry, boil or stew such foods too much. Certain foods are best consumed raw; read the labels properly if in doubt.

6. Abstain from certain habits: Alcohol, tea, cigarette and coffee hinder iron absorption. So stop consuming them if you are trying to conceive or have conceived.

Dietary Tips to Prevent Anaemia in Pregnant Women

Anemia is a disease which occurs due to the lack of red blood cells or hemoglobin in your body. The body transports oxygen and the nutrition you get from food, to various body parts through hemoglobin, and a deficiency can cause lower supply of these important elements to the body. Which is why, the patient may feel a lack of energy, dizziness and even exhaustion. Most people don't realize its existence, so it's important that you know the symptoms, causes and cures of this blood disease. And, the foods one should eat to avoid anemia.

Lack of iron: There are various forms of this illness, and one of it is iron deficiency anemia. The red blood cells in the blood contain hemoglobin, which requires iron for formation. If the diet is not adequately loaded with iron, the person can have iron deficiency anemia. This is the most ordinary one that occurs to people, but with adequate care through food, exercise, and medicines, you can tackle it.
The root cause: Faulty production of red cells (hereditary conditions like sickle cell anemia, bone marrow disorders, etc. is the common cause of anemia. Excessive destruction of red blood cells, which is not compensated by normal production (spleen disorders, thalassemia, etc.) can be another reason. People with blood loss conditions (ulcers, gastritis, internal bleeding, excessive menstruation, childbirth, etc. and the ones who consume a poor diet can also get this blood disease.
Know the symptoms: There are essentially nonspecific symptoms of anemia, but overall fatigue with very low energy levels as the body does not receive enough nutrition to perform various functions can be one of them. Reduced heart rate, fainting, and pallor of skin and whites of the eye are common indicators of this illness. Check with your doctor if you face any of these issues.
Foods for prevention: If you follow a healthy diet that is full of nutrients like iron, you can keep anemia at bay. Remember, weight is not an issue here. If you have a good diet intake, you need not worry about being slim. Often, women who are thin get labeled as anemic, which is far from truth. When it comes to nutrients, iron-rich foods should be eaten along with vitamin C to improve its absorption. Vitamin B12 also plays a significant role in absorption. Meat including red meat, lamb, pork, chicken, beet, ham, turkey, and seafood including salmon or tuna can be included in your diet. Other foods like legumes, soybeans, veggies (dark green leafy vegetables, spinach, peas, broccoli), dried fruits and nuts, tofu, pumpkin and eggs are rich sources of iron that can be consumed by vegetarians. Cereals like red rice, brown rice or fortified cereals with a good source of iron can also be included in the diet.
Don't miss out on iron, ladies! Women are likely to be anemic (with symptoms like fatigue and paleness) and hence they should constantly monitor for iron levels and shift to a diet rich in iron. Furthermore, iron supplements can be consumed in the form of tablets, syrup, or tablets with the guidance of a doctor. In severe cases, where there is a significant blood loss, especially with childbirth or internal bleeding, the sufferer may require transfusion. All in all, anemia is definitely manageable with planning of diet, especially during times the like menstruation and pregnancy. So, taking care on time is a vital step.

Anemia - What Diet Should You Follow?

A healthy kidney produces a hormone known as the erythropoietin. The latter assists the bone marrow to produce an adequate amount of RBC that carries oxygen to every nook and corner of the body. A damaged kidney results in less RBC production, thereby, creating a condition known as anemia. The hemoglobin count in the blood reduces significantly in this condition.

Anemia is characterized by shortness of breath, weakness and tiredness. It can affect sleep and a loss of appetite. A patient suffering from anemia reports of frequent headaches and a faster heart rate. These symptoms also surface when a person suffers from chronic kidney diseases (CKD). The condition gets worse as the disease progresses.

Treating anemia:
A patient suffering from anemia should be treated on time as there are many pitfalls of a lower hemoglobin level. The treatment will give instant relief from other symptoms that might have arrived with CKD. Doctors frequently prescribe Erythropoiesis Stimulating Agent (ESA) for patients suffering from CKD and suffering from anemia due to the shortage of erythropoietin. ESAs can be injected through an injection or intravenously. These injections stimulate the bone marrow to produce more RBCs. However, studies have revealed that ESAs increase the chance of strokes, heart attacks and blood clots. Furthermore, they aggravate tumor growth and shorten life expectancy for cancer patients. People undergoing ESA treatment should have periodic check-ups to ensure that the hemoglobin count is normal and under control.

Iron
Iron count in the body has an important role in treating patients suffering from anemia and CKD. In case the level of iron is too low in the body, ESAs fail to improve the condition of an anemic patient. The ferritin count of a patient should be in the range of 100-800 mcg/L. One more test known as TSAT reveals the number of iron required to produce RBCs in the body. In case the iron count is less, doctors often suggest iron pills to bring the count to a more accepted level.

Other causes
There could be other reasons for anemia as well. A doctor might further investigate the level of B12 and folic acid present in the body. Even an inflammatory condition can lead to anemia. A decreased count of any of the above-mentioned ingredients can cause anemia to a patient suffering from EKD.

Food items necessary to improve the condition
A healthy diet helps in improving the condition of an anemic patient. Iron deficiency is best addressed by fish and beef. Food rich in vitamin C helps the body to absorb more iron in the body. Certain food items that block the entry of iron in the body include tea, milk, albumen (egg white) etc. Therefore, you should be strictly avoid these items from your diet.

Kidney Disease - How It Is Related With Anaemia?

Anemia makes you go low on energy. It is usually because your Haemoglobin is lower than normal. Normal range for females is 12- 14 gm & for males 13 - 15 gm. This technically means that the count of your red blood cells is abnormally low, so it can't carry enough oxygen to all parts of your body. This causes paleness and symptoms like generalized weakness, fatigue, low concentration, giddiness, and palpitations .
 
Follow these 7 home remedies to beat Anemia- 

1) Remember the ‘Apple a day’quote - it is more true for an Anemic than for anyone else.
2) Not just Apple, consume a ripe banana with 1 tbsp of honey twice a day. Honey helps in increasing the haemoglobin in blood. It is rich in iron, copper and manganese.
3) Soak handful of currants (munakka) for 4 hours. Remove seeds and have it every morning.
4) Mix a cup of beetroot juice, a cup of apple juice with honey and have it once a day. 
5) Have lots of green, leafy vegetables like spinach and cabbage. Tomatoes are very good too.
6) Consume fruits rich in iron such as watermelons, raisins, grapefruits, tomatoes, apples, bananas, oranges, strawberries and avocados.
7) Non vegetarian sources are rich in vitamin B12, which also increases HB. Have egg yolk, meat, seafood like tuna, clams, catfish, salmon, oysters and sardine.

Click on consult privately to ask me any questions that you might have on Anemia. Wishing you good health.

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Anemia - It's more common than you think it is.

What do we mean by the term Anemia?

It is described as a decrease in the total number of red blood cells, or hemoglobin in the blood, or a decreased oxygen-carrying capacity of blood.

How to know if an individual has Anemia?

An individual with anemia may show one or more of the following signs or symptoms:
Shortness of breath, chest pain, and headache are especially seen with exercise as the oxygen supply decreases
Difficulty in concentration which is mostly seen in children
Easy tiredness, fatigue, and loss of energy
Dizziness because of low blood volume leading to hypotension
Hair loss especially while combing, washing hair. Also, hair becomes brittle and dry due to anemiaInsomnia (lack of sleep)
Cramps in legs especially calf muscle 
Rapid heartbeat with exercise as the demand for oxygen increases during exercise, so your heart beats faster than usual
Craving for indigestible substances, such as pica, paper, mud, ice, dirt, etc.
Koilonychia (spoon-shaped nails or upward curvature of the nails)
Soreness and cracks at the corners of the mouth
Very heavy menstrual periods or irregular bleeding because of low hemoglobin count
Pale skin is especially seen over the palms of your hands and under your nail beds. Also, the conjunctiva looks pale
Anemia due to Deficiency of Vitamin B12 Dementia (loss of memory)
Tingling sensation in the hands or feet
Loss of the sense of touch
Difficulty in walking
Stiffness in the arms and legs
Delayed growth and development in children
Swelling of the hands and feet
Episodes of severe pain in the joints, abdomen, and limbs as the red blood cells obstruct capillaries
Anemia by Chronic Red Blood Cell Destruction/Hemolytic anemia

Jaundice (yellowish or greenish pigmentation of skin and sclera of the eyes)
Brown or red colored urine due to the destruction of red blood cells
Fever due to the destruction of red blood cells
Small bruises under the skin
Abdominal pain because of enlargement of the spleen and liver
Black stools due to the destruction of the red blood cells
Anemia Caused by Chronic Lead Poisoning
Level of lead in blood is higher than 50  g/dLA blue-black line is seen on the gums. It is also known as a lead line
Abdominal pain
Constipation
Vomiting
Investigations 

Complete blood count: This test will help an individual know the percentage of hemoglobin in blood as well as red blood cell count. Also, mean cell volume (MCV) is used to categorize anemia.
Serum Ferritin Test: Ferritin levels below 15 20 micrograms/L in a person confirms iron-deficiency anemia.
Total Iron-Binding Capacity: It measures the blood's capacity to bind iron with transferrin.

How Can Anaemia Be Diagnosed?

Thalassemia is a genetic (which is passed from parents to children through genes) blood disorder. People with Thalassemia disease are not able to make enough hemoglobin, which causes severe anemia. Hemoglobin is found in red blood cells and carries oxygen to all parts of the body. When there is not enough hemoglobin in the red blood cells, oxygen cannot get to all parts of the body. Organs then become starved for oxygen and are unable to function properly.

Symptoms

The symptoms depend on the type of thalassemia:

Thalassemia Minor: Thalassemia minor usually doesn t cause any symptoms. If it does, it causes minor anemia.
Beta-thalassemia: Beta-thalassemia comes in two serious types, which are thalassemia major, or Cooley s anemia, and thalassemia intermedia. The symptoms of thalassemia major generally appear before a child s second birthday. The severe anemia related to this condition can be life-threatening. Other signs and symptoms include:
fussiness
paleness
frequent infections
a poor appetite
failure to thrive
jaundice, which is a yellowing of the skin or the whites of the eyes
enlarged organs
This form of thalassemia is usually so severe that it requires regular blood transfusions.

Alpha-thalassemia: Alpha-thalassemia also has two serious types, which are hemoglobin H disease and hydrops fetalis. Hemoglobin H disease can cause bone issues. The cheeks, forehead, and jaw may all overgrow. Hemoglobin H disease can cause:
jaundice, which is a yellowing of the skin or the whites of the eyes
an extremely enlarged spleen
malnourishment
Hydrops fetalis is an extremely severe form of thalassemia. It occurs before birth. Most individuals with this condition are either stillborn or die shortly after being born.

Thalassemia - Symptoms Based on Types of Thalassemia 

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