Diagnostik und Therapie der Anämie in der Praxis

Abstract

Anemia is a common problem in family medicine and therefore frequently investigated in general practice. Anemias are classified according to mean corpuscular volume (MCV) and reticulocyte count. An algorithm for the evaluation of the cause contains patients history and laboratory analysis including reticulocyte count, serum ferritin and CRP, serum vitamin B12, serum or erythrocyte folate and serum creatinine. Therewith most anemias in general practice can be explained. The most important types of anemia, e.g. iron deficiency anemia, are discussed as well as aspects of diagnosis and therapy. Iron deficiency anemia is often diagnosed together with other types of anemia, such as e.g. anemia of chronic disease. Particular aspects of anemia in the elderly as well as renal anemia are discussed.

Mechanism of Iron Ion Homeostasis in Intestinal Immunity and Gut Microbiota Remodeling

“…The imbalance of iron metabolism-related proteins in the body leads to iron metabolism disorders, which can be divided into two categories: iron deficiency diseases, such as iron deficiency anemia [43], which causes fatigue and hair loss; and iron overload diseases, such as hereditary hemochromatosis [44]. Recent studies have also linked systemic or local iron metabolic disorders to the development of chronic diseases, such as chronic anemia [45], renal anemia [46], cardiovascular disease, neurodegenerative disease [47], alcoholic liver disease [48], etc. Therefore, restoring iron homeostasis in the body is essential for the treatment of these diseases.…”

Anemia and its homoeopathic management

“…Anemia symptoms vary from mild to severe [13] . Patients who are having mild anemia may not experience any symptoms and those who have intense anemia include [5] Changed stool color [14] --Central nervous system Fatigue, Dizziness Fainting Blood Vessels Low blood pressure [15] --Heart Palpitations, Rapid heart rate Chest pain, Angina, Heart attack Spleen Enlargement --Diagnosis [5] Initially anemia can be diagnosed through physical examination by the physician as well as blood tests to identify the specific type of anemia. ▪ Blood test to know the levels of iron, vitamin B12, folic acid and vitamins and minerals [16] .…”

Investigation pratique de l'anémie

“…Une mini-revue précédemment publiée donne un aperçu pratique de différentes formes d'anémie pertinentes pour la pratique, avec investigations à réaliser et traitement [4]. Une situation fréquente dans la pratique est la recherche d'une carence en substrats (fer, vitamine B12 ou acide folique) comme cause d'une anémie.…”