Surgery may be necessary to treat anemia caused by excessive loss of blood. Transfusions of red blood cells may be used to accelerate production of red blood cells.
Medication or surgery may also be necessary to control heavy menstrual flow, repair a bleeding ulcer, or remove polyps (growths or nodules) from the bowels.
Patients with thalassemia usually do not require treatment. However people with a severe form may require periodic hospitalization for blood transfusions and/or bone marrow transplantation.
It usually takes three to six weeks to correct folic acid or iron deficiency anemia. Patients should continue taking supplements for another six months to replenish iron reserves and should have periodic blood tests to make sure the bleeding has stopped and the anemia has not recurred.
Although pernicious anemia is considered incurable, regular B12 shots will alleviate symptoms and reverse complications. Some symptoms will disappear almost as soon as treatment begins.
People with mild thalassemia (alpha thalassemia trait or beta thalassemia minor) lead normal lives and do not require treatment. Those with severe thalassemia may require bone marrow transplantation. Genetic therapy is being investigated and may soon be available.
Inherited anemia cannot be prevented. Genetic counseling can help parents cope with questions and concerns about passing on disease-causing genes to their children.
Avoiding excessive use of alcohol, eating a balanced diet that contains plenty of iron-rich foods, and taking a daily multivitamin can help prevent anemia.
Methods of preventing specific types of anemia include:
Fauci, Anthony S. et al., eds. Harrison's Principles of Internal Medicine. New York: McGraw-Hill, 1998.
Tierney, Lawrence M., Jr. Current Medical Diagnosis & Treatment, 1998. Stamford, Conn.: Appleton & Lange, 1998.
Paula Ford-Martin
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Author Info: Paula Ford-Martin, The Gale Group Inc., Gale, Detroit, Gale Encyclopedia of Alternative Medicine, 2005 |