Geriatrician Questions Hematologist

What causes anemia?

I was diagnosed with anemia. What causes anemia?

1 Answer

Anemia is a condition characterized by a deficiency in the number or quality of red blood cells or hemoglobin in the blood, leading to reduced oxygen transport to the body's tissues. There are several causes of anemia, which can be broadly classified into three main categories:

1. Decreased Red Blood Cell Production:
- Nutritional deficiencies: Lack of iron, vitamin B12, folate, and other nutrients can impair red blood cell production.
- Bone marrow and stem cell problems: Conditions such as aplastic anemia, myelodysplastic syndromes, leukemia, or other bone marrow disorders can affect blood cell production.
- Chronic diseases: Chronic kidney disease, cancer, rheumatoid arthritis, and other chronic conditions can interfere with the production of red blood cells.

2. Increased Red Blood Cell Destruction:
- Hemolytic anemias: Conditions such as sickle cell anemia, thalassemia, and autoimmune diseases can lead to the premature destruction of red blood cells.
- Enzyme deficiencies: Glucose-6-phosphate dehydrogenase (G6PD) deficiency can result in red blood cell destruction under certain conditions.

3. Blood Loss:
- Acute blood loss: This can be due to surgery, trauma, or bleeding from the gastrointestinal tract (e.g., ulcers, cancer, hemorrhoids).
- Chronic blood loss: This might be caused by conditions like peptic ulcer disease, colorectal cancer, menstrual bleeding, or other chronic bleeding issues.

Each type of anemia has its own specific causes and risk factors. The diagnosis and treatment of anemia depend on identifying the underlying cause.
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