Feeling tired? Dr Dulcy can help

IT’S ABOUT BLOOD CELLS: WHEN YOU HAVEN’T GOT ENOUGH YOU MAY FEEL WEAK

There are different types, each with its own solution of diet and supplements.

Your body makes three types of blood cells — white blood cells to fight infection, platelets to help your blood clot and red blood cells to carry oxygen throughout your body.

Red blood cells contain haemoglobin — an iron-rich protein that gives blood its red colour. Haemoglobin enables red blood cells to carry oxygen from your lungs to all parts of your body and to carry carbon dioxide to your lungs so that it can be exhaled.

Most blood cells, including red blood cells, are produced regularly in your bone marrow — a spongy material found within the cavities of your large bones. To produce haemoglobin and red blood cells, your body needs iron, Vitamin B12, folate and other nutrients from the foods you eat.

Anaemia is a condition in which a person does not have enough healthy red blood cells to carry oxygen to the body’s tissues, which may make you feel weak. There are many forms of anaemia, each with its own cause.

It can be temporary or long term, and can range from mild to severe. Treatments range from taking supplements to undergoing medical procedures. You may be able to prevent anaemia by eating a healthy, varied diet.

Please make sure you see your doctor if you are feeling very tired for unexplained reasons. Some anaemias, such as iron deficiency anaemia or vitamin B12 deficiency, are common. Fatigue has many causes besides anaemia, so don’t assume that if you’re tired you must be anaemic. Some people learn that their haemoglobin is low, which indicates anaemia, when they go to donate blood.

SYMPTOMS

At first anaemia can be so mild that it goes unnoticed. But symptoms worsen as anaemia worsens. Signs and symptoms vary depending on the cause of your anaemia. They may include:

Fatigue Weakness Pale or yellowish skin Irregular heartbeats Shortness of breath Dizziness or lightheadedness Chest pain Cold hands and feet Headache

CAUSES

Anything that causes your body to not have enough red blood cells will cause anaemia. It can be because:

Your body doesn’t make enough red blood cells

Bleeding causes you to lose red blood cells more quickly than they can be replaced

Your body destroys red blood cells DIFFERENT TYPES OF ANAEMIA AND THEIR CAUSES:

Iron deficiency anaemia. This is the most common type of anaemia. It is caused by a shortage of iron in your body. Your bone marrow needs iron to make haemoglobin. Without adequate iron, your body can’t produce enough haemoglobin for red blood cells. Without iron supplementation, this type of anaemia occurs in many pregnant women. It is also caused by blood loss, such as from heavy menstrual bleeding, an ulcer, cancer and regular use of some over-the-counter pain relievers, especially aspirin.

Vitamin deficiency anaemia. In addition to iron, your body needs folate and vitamin B12 to produce enough healthy red blood cells. A diet lacking in these and other key nutrients can cause decreased red blood cell production. Additionally, some people may consume enough B12 but their bodies aren’t able to process the vitamin. This can lead to vitamin deficiency anaemia, also known as pernicious anemia.

Anaemia of chronic disease. Certain diseases, such as cancer, tuberculosis, HIV/Aids, rheumatoid arthritis, kidney disease, Crohn’s disease and other chronic inflammatory diseases – can interfere with the production of red blood cells.

Aplastic anaemia. This rare, life-threatening anaemia occurs when your body doesn’t produce enough red blood cells. Causes of aplastic anemia include infections, certain medicines, autoimmune diseases and exposure to toxic chemicals.

Anaemias associated with bone marrow disease. A variety of diseases, such as leukaemia and myelofibrosis, can cause anaemia by affecting blood production in your bone marrow. The effects of these types of cancer and cancer-like disorders vary from mild to life-threatening.

Haemolytic anaemias. This group of anaemias develops when red blood cells are destroyed faster than bone marrow can replace them. Certain blood diseases increase red blood cell destruction. You can inherit a haemolytic anaemia, or you can develop it later in life.

Sickle-cell anaemia. This inherited and sometimes serious condition is an inherited haemolytic anaemia. It’s caused by a defective form of haemoglobin that forces red blood cells to assume an abnormal crescent (sickle) shape. These irregular blood cells die prematurely, resulting in a chronic shortage of red blood cells.

RISK FACTORS

A diet lacking in certain vitamins Having a diet that is consistently low in iron, vitamin B12 and folate increases your risk of anaemia.

Intestinal disorders Having an intestinal disorder that affects the absorption of nutrients in your small intestine such as Crohn’s disease puts you at risk of anaemia.