A Major Neglected Problem: Anemia

By | 20 April 2021

It is a protein called hemoglobin found in red blood cells that gives the blood its red color and carries oxygen to the tissues. The building block of this protein is iron. A healthy person has approximately 12-16.5 grams/deciliter of hemoglobin in their blood. According to the criteria of the World Health Organization, a hemoglobin level of less than 13 g / dL in men and 12 g / dL in women is called anemia.

İt is one of the most common health problems in the world. Approximately 30% of the world population suffers from anemia. The most common causes of anemia are iron and vitamin B12 deficiencies.

Anemia is never a disease. İt is a laboratory and disease finding that develops due to an underlying disease. To treat anemia, this cause must first be found. For example, anemia that occurs after the age of 40 can be a harbinger of cancer, or it can lead to anemia by lowering blood values ​​due to ulcers in the stomach, wound in the intestine, and polyps bleeding. Dozens of different causes and diseases cause anemia in both men and women. This problem should not be neglected as it affects both daily life and the working performance of people.


İt can be detected by an examination called complete blood count, which is done in almost every health institution. 2 cc (1 tube) of blood is sufficient for this. As a result of this examination, the level of hemoglobin can be obtained and the degree of anemia can be determined. In addition to anemia, it can also be checked whether the number of white cells (white blood cells), which are the fighting cells of the body and platelets (blood platelets), which are clotting cells, are normal.

If anemia is detected as a result of the examination, further investigations are started for the underlying cause.


İt can occur for many reasons. The most common cause of anemia in the whole society and especially in women is anemia due to iron deficiency. The most important reason for women of reproductive age is blood loss during the menstrual period. Except this; Iron deficiency can be seen either due to absorption defect from the gastrointestinal system or due to nutritional deficiency. Also, anemia may develop in the case of folic acid and vitamin B 12 deficiency due to absorption deficiency and nutritional deficiency. Apart from these, various rheumatic diseases, chronic inflammations related to the gastrointestinal system (colitis, etc.), chronic infectious diseases, some types of cancer, kidney failure, diabetes, hypothyroidism caused by low work of the thyroid gland, one-time or continuously used drugs, bone marrow laziness are the most common causes of anemia.


The person who applies to a doctor with an anemia problem must first have the disease that caused it. At this point, taking into account the age, gender, occupation, and place of residence of the patient, possible diseases that may cause anemia are evaluated. The physical examination of the patient is checked for any abnormality. After the examination findings are determined, laboratory tests are requested. With the patient’s history, physical examination, and laboratory tests, the cause of anemia is found and the treatment strategy is determined according to this reason. For example, if anemia due to iron deficiency is detected in a woman with excessive menstrual bleeding, it is first investigated whether this bleeding is abnormal. If the cause of abnormal bleeding is, it is examined whether the cause of the bleeding is due to gynecological diseases. If it is due to gynecological diseases (myoma, abnormal uterine bleeding, endometriosis, etc.), treatment is performed for this reason. If the study for women’s diseases is found to be normal, it is evaluated whether the patient has a tendency to bleeding (bleeding and coagulation disorders). If a bleeding problem is found, treatment, for this reason, is started. On the one hand, while investigating these reasons, iron therapy should also be initiated to reduce the patient’s complaints, relieve his fatigue and improve the quality of life.


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