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MoonDragon's ObGyn Information
SICKLE CELL ANEMIA


"For Informational Use Only"
For more detailed information contact your health care provider
about options that may be available for your specific situation.




BASIC INFORMATION


DESCRIPTION

normal and sickle cell red blood cells


Sickle cell disease is a long-term (chronic) blood disorder that causes the bone marrow to produce red blood cells with defective hemoglobin (hemoglobin S). Normally, red blood cells are round; hemoglobin S causes red blood cells to become curved, or sickle-shaped, when they lose oxygen.

Sickled red blood cells are destroyed by the body faster than normal red blood cells. When large numbers of red blood cells are rapidly destroyed by the body, a condition called hemolytic anemia results.

Sickled red blood cells are also likely to get trapped in blood vessels throughout the body, blocking blood flow. Reduced blood flow can damage the body's organs, muscles, and bones, sometimes leading to life-threatening conditions. Areas where blood vessels are blocked can become extremely painful. These painful events (vaso-occlusive events) are one of the most common and difficult problems caused by sickle cell disease.

The defective gene that causes sickle cell disease is passed to children by their parents (inherited).
  • A child born with sickle cell trait has inherited one defective gene from one parent, and a normal gene from the other parent.


  • A child born with sickle cell disease has inherited two defective genes, one from each parent.


  • When a child with sickle cell disease is first born, it is not possible to predict which symptoms, if any, will develop, when they will start, nor how severe they will be.

The best possible medical care for a person with sickle cell disease requires a partnership between the affected family and a team of expert health care providers. Successful treatment of sickle cell disease requires:
  • Early diagnosis using infant screening (shortly after birth).
  • Preventive antibiotic treatment and immunizations starting at 3 to 4 months of age.
  • An aggressive pain treatment plan.
  • Consultation with health care providers skilled in the care of patients of sickle cell disease. In severe cases, health care providers may recommend regular blood transfusions, drug treatment with hydroxyurea, or (rarely) bone marrow transplant.
  • Because life-threatening complications can develop rapidly, families affected by sickle cell disease must know what symptoms to look for and how to respond to them.

WHO IS AFFECTED?

People whose ancestors were from Africa, India, the Middle East, the Mediterranean (Turkey, Italy, Greece), and Latin America (Cuba, South America, Central America) are more likely to inherit the gene that can cause sickle cell disease. In the United States, the disease mainly affects African Americans (1 in 600) and Latin Americans (1 in 1,000 to 1,400), Of black Americans, 8 percent carry the sickle cell trait.

Some people inherit one sickle cell gene and one defective hemoglobin gene of another type. This results in similar sickle cell disorders ranging from mild to severe. As a group, these disorders occur as frequently as does sickle cell disease in the U.S.





FREQUENT SIGNS & SYMPTOMS

The most common symptoms of sickle cell disease are either related to long-term (chronic) anemia or blood vessels blocked by sickled cells.

Pain symptoms related to blocked blood vessels in bones, organs, other tissues:
  • Mild to moderate daily pain.


  • Days to weeks of extreme pain (painful events), sometimes requiring hospitalization. In a given year, approximately 60 percent of people with sickle cell disease experience at least one painful event. Whereas some rarely have a painful event, others have them frequently; three or more per year is considered severe.


  • Episodes of extreme pain in the hands and/or feet (hand-foot syndrome) between the ages of 6 months and 3 years.

Symptoms related to chronic anemia:

Normal red blood cells have a 120-day life span, but sickled blood cells usually live no more than 20 days. When bone marrow production of red blood cells can't keep up with sickled blood cell loss, symptoms of anemia develop. Most people who have sickle cell disease have at least mild symptoms of chronic anemia, which may include:
  • Weakness.
  • Tiredness (fatigue).
  • Pale appearance.
  • Yellowing of the skin and the whites of the eyes (jaundice).
  • Shortness of breath, especially with exertion.

It can be difficult to predict what symptoms a person with sickle cell disease will develop, when they will start, or how severe they will be. However, recent research suggests that an infant younger than 1 year of age who develops severe anemia or hand-foot syndrome, or both, is most likely to have severe sickle cell disease symptoms throughout life.





CAUSES

  • Sickle cell disease is an inherited disorder.


  • Normally, a person inherits two genes that tell the body to produce normal hemoglobin A. One gene comes from each parent. People who inherit one defective hemoglobin S gene and one normal hemoglobin A gene have sickle cell trait. These people do not have symptoms of sickle cell disease, nor do their bodies make sickled blood cells. However, they can pass the defective hemoglobin S gene to their children. Sickle cell disease occurs when a person inherits one defective hemoglobin S gene from each parent. Similar sickle cell disorders occur when a person inherits a hemoglobin S gene from one parent and another type of defective hemoglobin gene from the other parent.





    RISK INCREASES WITH

    RISK OF INHERITING SICKLE CELL DISEASE

    Sickle cell disease is an inherited blood disorder, passed from parent to child. In order for a child to be born with sickle cell disease, he or she must inherit two defective hemoglobin S genes, one from each parent.

    People who inherit one defective hemoglobin S gene and one normal hemoglobin A gene have sickle cell trait. They do not have symptoms of sickle cell disease, nor do their bodies make sickled blood cells. However, they have a 50 percent chance of passing the defective hemoglobin S gene to each of their children.

    If both parents have sickle cell trait, each of their children will have a 1-in-4 (25 percent) chance of having sickle cell disease.

    If one parent has sickle cell disease (has two genes for making hemoglobin S) and the other has sickle cell trait (has one hemoglobin S gene and one normal hemoglobin A gene), each of their children will have a 1-in-2 (50 percent) chance of having sickle cell disease and a 50% chance of having sickle cell trait.

    If one parent has sickle cell disease (two hemoglobin S genes) and the other has two normal hemoglobin A genes, each of their children will have sickle cell trait.

    RISK OF PAINFUL EVENTS & COMPLICATIONS CAUSED BY SICKLING

    If you have sickle cell disease, the following factors can increase the chance that your red blood cells will sickle.

  • Lack of oxygen due to:
    • Cigarette smoke. Both smoking and inhaling smoke from other people's cigarettes (secondhand smoke) can damage the lungs and lower oxygen levels in the blood. Children and adults who have sickle cell disease should not be exposed to cigarette smoke.


    • High altitude (locations at higher than 7000 feet. There is less oxygen in the air at high altitudes.


    • Air travel. Because there is less oxygen at high altitudes, flying in an unpressurized airplane can cause cells to sickle. Although large passenger airplanes are pressurized, a person with sickle cell disease may have a sickling problem even when flying in a normal, pressurized airplane. Most people won't have problems if they are only flying for a short time (less than 4 to 6 hours) and drink plenty of fluids during the flight.

  • Cold temperatures. Exposure to cold air and water may cause a painful event by triggering red blood cell sickling in exposed areas of the body.


  • Loss of fluid (dehydration). Dehydration may slow blood flow in the body, which increases a person's chance of having a painful event.


  • Infection. Painful events are commonly triggered by infection in people who have sickle cell disease.


  • Stress. Increased stress may bring on painful events.


  • Strenuous exercise. Dehydration and lower oxygen levels in a person's blood can result from strenuous exercise and may cause red blood cells to sickle. Many people with sickle cell disease can tolerate moderate exercise if they rest when they feel tired and drink plenty of fluids.





  • PREVENTIVE MEASURES

    Because sickle cell disease can become life-threatening, home prevention measures are very important. You can do the following to help prevent some of the problems caused by sickle cell disease.

  • Make sure that your child takes regular doses of a prescribed antibiotic until age 5.


  • Prevent severe childhood infection with daily antibiotics and possible routine immunizations (be sure to research vaccinations for pros and cons before using them).


  • Make sure you research out and then consider whether your child should receive all standard immunizations on schedule (including H. influenzae type B (Hib) and hepatitis B), plus pneumococcal and yearly influenza vaccines.


  • Avoid dehydration to prevent sickling.


  • Drink a lot of water and other fluids. Drink extra fluids during and after exertion and when in the heat. Adults with sickle cell disease need about 1 gallon (3.8 L) of fluid a day. Children should keep a water bottle with them during school, play, and outings.


  • Avoid alcohol. Alcohol use can lead to dehydration.


  • MoonDragon's Health & Wellness: Dehydration

  • Avoid conditions that lower the oxygen levels in your blood.


  • Avoid high altitudes. The air at high altitudes (as in an unpressurized airplane or in the mountains at altitudes greater than 7000 feet has less oxygen than at sea level. Most people will not have problems if they are only flying for a short time (less than 4 to 6 hours) on a commercial flight.


  • Avoid cigarette smoke. Smoking and secondhand smoke reduce the amount of oxygen in your bloodstream.


  • MoonDragon's ObGyn Health Information: Smoking

    MoonDragon's Health Therapy: Smoking Cessation & Weight Gain

    MoonDragon's Health Therapy: Smoking Cessation & Weight Gain - The Facts

    MoonDragon's Health Therapy: Smoking Cessation & Weight Gain - Smoking VS Weight Gain

  • Manage and avoid stress. See the topic Stress Management for helpful information.


  • MoonDragon's ObGyn Health Information: Stress

    MoonDragon's Health Therapy: Stress Links

  • Get plenty of sleep. Avoid fatigue.


  • MoonDragon's Health & Wellness: Fatigue

  • Avoid cold temperatures. Avoid cold air and water. Dress in layers for cold weather to avoid sudden temperature change. Cold temperatures can increase sickling and trigger a painful event.


  • Get an eye exam every year to prevent eye damage or blindness. Adults and children older than the age of 10 who have hemoglobin SC disease require regular eye exams so vision problems can be detected and treated early. A health care provider who specializes in eye disease (ophthalmologist) should do this exam. An optometrist may not always perform the type of detailed eye exam required for people with sickle cell disease.


  • MoonDragon's Health & Wellness: Loss of Eyesight

  • Educate yourself.


  • Learn to recognize serious symptoms. See the section When to call a health care provider for more information about serious warning signs. Partner with your health care provider, using your experience of the disease and your health care provider's expertise. Make a plan for how to treat pain at home and when to seek medical care for severe pain and symptoms.


  • Learn about proper diet and dietary supplements (see below more about dietary recommendations for treating general anemia).


  • A healthy diet helps keep the body's immune system strong. Your health care provider or a nutritionist may be a good source of information about proper diet.


  • Folic acid supplements are sometimes prescribed to aid the bone marrow's production of red blood cells.


  • Learn skills for pain management. Read up on skills such as distraction, guided imagery, deep breathing, relaxation, and self-talk. Consult with a pain treatment specialist in a pain clinic. Teach these skills to your child and family members, and practice them yourself to prevent family anxiety and reduce pain.

    MoonDragon's Health Therapy: Pain Control





    EXPECTED OUTCOME

    With good medical treatment, the average person with sickle cell anemia lives to be 40 to 50 years old. Some people with sickle cell disease live past the age of 70.




    POSSIBLE COMPLICATIONS

    When a child is born with sickle cell disease, it is impossible to predict which problems, if any, will develop, when they will start, or how severe they will be. During the first 6 months of life, infants have a high level of fetal hemoglobin (HbF) in their blood, which protects them from red blood cell sickling. However, life-threatening complications of sickle cell disease may quickly develop between the ages of 6 months and 5 years, once levels of fetal hemoglobin decrease.

    Older children and adults with sickle cell disease may experience few problems or have a pattern of ongoing complications that shorten their lives.

    Complications related to blocked blood vessels (vaso-occlusion by sickled red blood cells) include:
    • Painful events.


    • Bone and joint damage (osteonecrosis), including hand-foot syndrome between ages 6 months and 3 years.


    • Blocked blood flow to the brain, causing:
      • A sudden stroke. Approximately 5 to 10 percent of children with sickle cell disease experience a stroke after 1 year of age. Infants identified as high risk for stroke may be treated with blood transfusions to prevent a stroke.


      • Cognitive impairment with or without signs of a stroke, affecting approximately 20 percent of children with sickle cell disorders.


      • MoonDragon's Health & Wellness: Stroke

    • Acute chest syndrome, which is caused by a combination of factors not fully understood. This condition is most frequent in children, yet more severe in adults, and can be fatal.


    • Damage to organs and other tissues, including the liver and kidneys, that are deprived of blood circulation and oxygen. Damage can occur rapidly during a painful event or slowly over time. Life-threatening conditions may develop because of organ failure.


    • Sudden trapping of sickled red blood cells in the spleen (splenic sequestration), most commonly in children aged 6 months to 2 years. Without emergency medical care, splenic sequestration can cause death in a matter of hours.


    • Prolonged, painful erection of the penis (priapism) in both children and adults.

    Complications relating to hemolytic anemia include:
    • Aplastic crisis. During an aplastic crisis, the red blood cell count suddenly drops. An aplastic crisis requires immediate medical care. Some aplastic crises can lead to heart failure and death if not quickly treated with blood transfusions.


    • MoonDragon's Health & Wellness: Heart Attack

    • Folic acid deficiency. Folic acid is needed to make red blood cells. Low levels of folic acid can worsen anemia. Some doctors recommend folic acid supplements for people who have sickle cell disease.


    • MoonDragon's ObGyn Health Information: Anemia - Folic Acid Deficiency

    • Gallstones. Rapid breakdown of red blood cells increases the risk of forming gallstones. More than half of all adults with sickle cell disease have gallstones. Of affected children aged 2 to 4 years, 12 percent develop gallstones.


    • MoonDragon's Health & Wellness: Gallbladder Disease

    Other complications of sickle cell disease include:




    TREATMENT


    GENERAL MEASURES

    EXAMS AND TESTS

    Prenatal testing:

    Sickle cell disease can be diagnosed before a child is born (prenatally). A couple who is at risk of transmitting sickle cell disease to their offspring may choose prenatal testing.

    During pregnancy, your midwife or health care provider may use amniocentesis or chorionic villus sampling (CVS) to see whether the fetus has sickle cell disease. Some couples choose to end a pregnancy if the fetus is found to have sickle cell disease.

    Infant screening:

    Sickle cell disease can be diagnosed at birth. Most states in the United States screen all children for sickle cell disease, along with other common disorders, when they are born. A few states only test children who are in high-risk groups.

    Soon after birth, a sample of blood is taken from the infant's heel and sent to a lab, where it is screened for the presence of sickle cell hemoglobin (hemoglobin S).

    Adult screening:

    If one member of a couple has sickle cell disease or sickle cell trait, the other member should be tested for purposes of family planning. This test requires a blood sample, which is screened for the presence of hemoglobin S, hemoglobin C, or beta-thalassemia.

    If one or both members of a couple carry a hemoglobin S gene, the couple may want to meet with a genetic counselor before becoming pregnant to learn more about their chances of having a child with sickle cell disease. For more information, ask your health care provider about genetic counseling.

    Early Detection:

    Sickle cell disease can be detected before birth and in newborns. Most states in the United States screen all children for sickle cell disease after birth. Some states test only those who belong to high-risk groups.

    TREATMENT OVERVIEW

    Successful treatment of sickle cell disease requires:

    The latest prevention, treatment, and home care information for families who are affected by sickle cell disease.

    A partnership between the affected family and a health care provider experienced in sickle cell disease treatment.

    Diagnosis at birth, to ensure that an infant with sickle cell disease can begin life-saving treatment to prevent infections, including possible routine childhood immunizations and vaccines and daily antibiotics from 3 or 4 months to 5 years of age.

    Regular health care provider visits to check for signs of organ damage.

    An aggressive pain treatment plan, using pain medication, pain management skills, and hospitalization when necessary.

    Immediate treatment for sudden, serious problems and complications.

    For severe cases of sickle cell anemia, drug treatment with hydroxyurea, bone marrow transplants, or blood transfusions may be used. (See the Medications and Other Treatment sections in this topic for more information.)

    WHAT TO THINK ABOUT

    Pregnant women who have sickle cell disease require specialized medical care. This disorder is usually considered a contraindication for a home birth.

    People with sickle cell disease, and their families, face ongoing stress. Painful events and serious complications of the disease can develop suddenly and unpredictably and can become life-threatening. The bouts of severe pain can last for days to weeks, are difficult to treat, and are exhausting for caretakers as well as for the person in pain. Having a community of support (such as medical professionals, extended family, friends, church, and counselors) can help ease stress and worry.

    HOME TREATMENT

    Treatment of pain at home is a way of life for most people with sickle cell disease. Sickle cell pain varies from person to person, from mild to severe, and from occasional to constant. Some people experience numerous painful events a year, while others experience none.

    In many cases, mild to severe sickle cell pain can be treated at home. However, painful events can become severe and last for days to weeks. Such extreme pain requires aggressive pain medication that must be monitored in the hospital. If pain is increasing and is not relieved by treatment at home, call your health care provider and seek emergency medical care.

    Mild to moderate body pain, some painful events, and some cases of priapism can be treated at home by doing the following.

    For Pain:
    • Drink a lot of water and other fluids.
    • Get plenty of bed rest.
    • Keep warm. Cold temperatures worsen pain.
    • Practice pain management skills, such as distraction, guided imagery, deep breathing, relaxation, and self-talk. These skills can help you and/or your child focus away from the pain. A pain specialist can teach you pain management skills.
    • Treat the pain with medication.
    • For mild pain, use ibuprofen (such as Advil) and/or acetaminophen (such as Tylenol).
    • Children and teens under age 20 should not be given aspirin, which can cause Reye's syndrome.
    • For more severe pain, take regular doses of pain medication prescribed by your health care provider.
    • Use the pain management plan you have developed with your health care provider to help decide what type of pain medication to use. You are probably the best judge of when it is necessary to use a stronger prescription pain killer.

    For Priapism (Follow these home treatment tips as soon as priapism develops):
    • Urinate often to avoid feeling the need to urinate. Do not wait until you feel the need to urinate.
    • Take a warm bath.
    • Drink as much water and other fluids as you can.
    • If the pain is especially severe or the problem does not go away within 2 to 3 hours, seek emergency treatment.

    Special Needs of people living with sickle cell disease:

    Children and teenagers may have special needs when at school and play. Special care is necessary to avoid dehydration, fatigue, and exposure to rapid temperature change, which are triggers for complications of sickle cell disease.

    SURGERY

    There is no surgical cure for sickle cell disease.

    The following surgeries may be done to treat problems caused by sickle cell disease:
    • Removal of the spleen (splenectomy) to prevent trapping of too many red blood cells in the spleen (splenic sequestration).


    • Removal of the gallbladder (cholecystectomy) to prevent problems that can be caused by gallstones.


    • Surgery may be required to drain fluid from the penis in cases of severe priapism.

    OTHER TREATMENT

    Blood transfusions can treat some complications of sickle cell disease and prevent others. Blood transfusions may be used on an emergency basis, or regularly in severe cases, to prevent further complications.

    Bone marrow transplants are an experimental treatment for sickle cell disease. They require a suitable donor and carry a high degree of risk. One in every 10 people does not survive a bone marrow transplant.

    Other Treatment Choices:

    Blood transfusions (regular or emergency).
    Bone marrow transplant.

    What to Think About:

    Regular blood transfusions can cause iron buildup in the body, which requires daily treatment (iron chelation) and close monitoring.

    Bone marrow transplants are seldom used to treat sickle cell disease due to the high risk of complications, the low availability of matched bone marrow donors, and the experimental nature of the procedure.

    PLACES TO OBTAIN HELP & INFORMATION

    March of Dimes Birth Defects Foundation
    1275 Mamaroneck Avenue
    White Plains, NY 10605
    Phone: (914) 428-7100
    Phone: 1-888-MODIMES (1-888-663-4637)
    Fax: (914) 997-4763
    TDD: (914) 997-4764
    E-mail: resourcecenter@modimes.org
    Web Address: http://www.modimes.org

    This organization is dedicated to the prevention of birth defects and infant mortality by providing service and support to the public and the scientific community. The March of Dimes Birth Defects Foundation can provide you with free literature and a listing of support groups in your area. Staff members at the resource center are available to answer your questions over the phone.

    Sickle Cell Disease Association of America (SCDAA)
    200 Corporate Point
    Suite 495
    Culver City, CA 90230-8727
    Phone: 1-800-421-8453
    Phone: (310) 216-6363
    Fax: (310) 215-3722
    Web Address: http://SickleCellDisease.org

    The SCDAA offers fact sheets, visual aids, program manuals, books, a home study kit, films and slides, pamphlets, reprints of articles, and a sickle cell disease guide for health care providers.

    NIH National Heart, Lung and Blood Institute
    Division of Blood Diseases and Resources
    Two Rockledge Center
    Suite 10138
    Bethesda, MD 20892-7950
    Phone: (301) 435-0055 (NHLBI Sickle Cell Disease Scientific Research Branch)
    E-mail: NHLBIinfo@rover.nhlbi.nih.gov
    Web Address: http://www.nhlbi.nih.gov

    This organization answers questions and provides advice, references, literature searches, and copies. They also distribute information kits, lend films, and permit on-site use of the collection. These services are free and available to anyone.





    MEDICATION

    Medications used to treat sickle cell disease include hydroxyurea and various pain medications.

    Hydroxyurea is a drug that has been used to treat cancer and is also FDA-approved for treating sickle cell disease in adults. Hydroxyurea increases fetal hemoglobin production, which can lessen the severity of sickle cell disease. Recent research suggests that hydroxyurea is also an effective treatment for children. However, long-term studies are needed before hydroxyurea will be routinely recommended for children.

    Non-prescription, prescription, and hospital-administered pain medications are commonly used to treat sickle cell pain. Pain medication may work best when combined with pain management skills.

    Medication Choices:
    • Hydroxyurea
    • Pain medications

    What to Think About:

    Hydroxyurea does not cure sickle cell disease, but it can reduce the incidence of serious sickling complications. Health care providers only recommend hydroxyurea treatment for adults who have three or more painful events each year. Its use requires frequent blood tests and health care provider visits.

    Pain medications:

    Treatment for sickle cell disease pain varies, depending on the severity of pain and how long the pain lasts. Health professionals differ in their approaches to treating pain, as do people experiencing pain.
    • Sickle cell pain is often under treated.
    • Some health professionals underestimate the intensity of painful events.
    • Some parents, health professionals, and adults with sickle cell disease fear that use of opiate drugs (such as codeine and morphine) will lead to drug addiction. Research suggests that drug addiction is no greater among people with sickle cell disease than it is in the general population. It is important that these drugs be used under careful medical supervision.
    • An increasing number of health care providers and researchers recommend aggressive and continuous opiate pain medication for severe painful events.





    ACTIVITY

    Rest often until the anemia disappears.




    DIET

  • Eat well and take prescribed supplements. Increase fiber and fluid intake to prevent constipation. See more about diet and nutrition recommendations for general anemia further down on this page.

    MoonDragon's ObGyn Health Information: Constipation

    MoonDragon's Anemia Information - Holistic, Nutritional, & Herbal Recommendations




    NOTIFY YOUR MIDWIFE OR HEALTH CARE PRACTITIONER IF...

    Seek emergency care immediately if one or more of the following symptoms are present:
    • Fever greater than 101°F (38.33°C).
    • Severe cough.
    • Difficulty breathing or shortness of breath.
    • Chest pain.
    • Severe abdominal pain.
    • Repeated vomiting or persistent diarrhea.
    • A sudden increase in the size of your or your child's spleen (learn from your health care provider how to feel your child's spleen to monitor its size).
    • Increased paleness.
    • Lightheadedness.
    • Sudden onset of weakness.
    • Sudden onset of numbness or tingling in the hands, feet, fingers, or toes (even if it goes away on its own).
    • Sudden development of poor balance and poor coordination when walking (even if it goes away on its own).
    • Confusion (even if it goes away on its own).
    • Garbled speech or an inability to speak (even if it goes away on its own).
    • Sudden change in vision.
    • Severe headache.
    • Loss of consciousness.
    • Persistent erection of the penis (priapism) that lasts more than 2 to 3 hours or is extremely painful.
    • Severe pain that cannot be relieved with the usual prescription pain killing drugs or other pain-relief methods.

    Notify your health care provider if you or your child has any of the following. Your health care provider can help you determine when a visit to the health care provider is necessary.
    • A painful event.
    • An open sore (ulcer) on the leg.
    • More frequent urination than usual.
    • If you have not been diagnosed with sickle cell disease but you have symptoms that concern you, use the Search feature to find more information on what to do about your symptoms.

    Make a plan with your health care provider that includes where and when to get treatment in case of a sickle cell emergency.

    Watchful Waiting:

    There are some complications of sickle cell disease that may not need immediate medical attention from a health professional.
    • A painful event can sometimes be treated at home, depending on the duration and severity of the pain. If pain cannot be controlled with prescription medication and pain management skills, seek emergency medical treatment.


    • Persistent, painful erection of the penis (priapism) can sometimes be treated at home. If it does not go away with home treatment within 2 to 3 hours, seek emergency medical treatment.

    If a visit to a health professional is not needed immediately, see home care information.

    Who to See:

    Seek out a health care provider who has expert knowledge of sickle cell disease. Some medical centers and hospitals specialize in sickle cell disease treatment and support. If your local medical community does not offer such an option, look for a health care provider and a pain treatment specialist who have experience in treating sickle cell disease.

    The following types of health professionals can diagnose and help treat symptoms of sickle cell disease. For ongoing health care, choose a practitioner who you are comfortable with and you can partner with over the long term.
    • Family practice or primary care health care provider.
    • Children's health care provider (pediatrician).
    • Blood specialist (hematologist).

    Other health professionals may become involved in treating you or your child. The following health professionals may provide specialized treatment or counseling.
    • Children's health care provider (pediatrician).
    • Blood specialist (hematologist).
    • Pain treatment specialist.
    • Lung specialist (pulmonologist).
    • Nerve and brain specialist (neurologist).
    • Eye specialist (ophthalmologist).
    • General surgeon.
    • Nurse.
    • Genetic counselor.
    • Medical social worker.
    • Psychologist, clinical social worker, counselor, or family therapist.
    • Other specialists as needed.

    MoonDragon's ObGyn Health Information: Sickle Cell Anemia

    MoonDragon's ObGyn Health Information: Sickle Cell Anemia - NeoNatal Screening

    MoonDragon's ObGyn Health Information: Sickle Cell Anemia - Pregnancy Contraception

    MoonDragon's ObGyn Health Information: Sickle Cell Anemia - Prenatal Diagnosis





    DIET & NUTRITIONAL SUPPLEMENTS FOR GENERAL ANEMIA


    These are nutritional suggestions for treating general anemia. Nutritional therapy will be dictated by the type of anemia you may have. The suggestions given here are basically for iron deficiency and folic acid anemia. Some of these suggestions may not be appropriate for your situation. Discuss your therapy options with your health care provider, midwife, or herbalist before beginning any self-help home therapy. Consult with your health care provider or nutritionist before beginning any nutritional supplement or dietary program. Your health care provider will be familiar with your particular situation and will help you design a lifestyle dietary program for you to follow.

    IRON REQUIREMENTS

    The average amount of iron in the average adult male is 4 grams and in the average adult female 2.5 grams. The normal North American diet contains approximately 15-20 mg of iron per day. Most is present in meat and green vegetables; approximately 1.0 mg is absorbed each day and just about an equal amount is lost in feces and sweat.

    To absorb the prescribed daily requirement of 1 mg daily of iron, you would need to ingest 10-15 times that amount. Menstruating women should take 18 mg of iron a day. Post-menopausal women should take 10 mg, and those with anemia should take 30 mg two times a day to restore sufficient iron levels.

    As a result, the average adult's iron intake is in delicate balance, but is of little consequence as there is slightly more iron absorbed than lost and a store of iron is gradually accumulated. If, for some reason, the rate of iron loss increases, these stores can be depleted and an absolute iron deficiency develops. Such a deficiency requires large doses of supplemental iron to resupply the body stores and sufficient monitoring to prevent iron overload.

    IMPROVING IRON ABSORPTION

    Iron absorption is increased by the presence of sufficient stomach acid, glucose, fructose, some amino acids and ascorbic acid (vitamin C). These substances aid in the absorption process by either reducing ferric iron to the ferrous state or by helping bind the iron to the mucosal cell receptor sites. The established benefit of vitamin C has resulted in many iron supplements being manufactured with this vitamin present. Heme iron (iron from meat myoglobin) is 10 times more easily absorbed than elemental iron, or iron from non-meat sources. Iron absorption is decreased by the presence of phosphate, bicarbonate or bile acids. Thyroid medication and iron supplements should be taken at different times of the day.

    You can help increase your body's absorption of iron by avoiding such foods as almonds, cashews and chocolate, and such drinks as coffee, tea, beer and sodas. In fact, omitting all sugar from your diet increases iron absorption. Even iron supplements can be undermined if you are also taking vitamin E, calcium, zinc or antacids. Vitamin C will also aid absorption: drinking 1 glass of orange juice each day may double the amount of iron absorbed.

    DAILY REQUIREMENTS

    The adult male requires approximately 1.0 mg per day, just enough to cover normal iron loss. The adult female requires approximately 2.0 mg per day, enough for daily loss and menstruation. Pregnant females require approximately 3.0 mg, enough for normal, ongoing loss and fetal requirements. Children require approximately 2.0 mg, enough for normal loss and extra to produce some residual iron stores and allow for increasing red cell mass.

    Normal Iron levels are 40-150 ug/dL (female) and 50-160 ug/dL (male). Normal values may vary from laboratory to laboratory.

    About 60 percent of iron in meat is poorly absorbed; this is a form called non-heme iron. Eggs, dairy products, and vegetables that contain iron only have the non-heme form. Such plants include dried beans and peas, iron-fortified cereals, bread, and pasta products, dark green leafy vegetables (chard, spinach, mustard greens, kale), dried fruits, nuts, and seeds. (One study reported that even though non-heme iron is normally less easily absorbed, people who were iron deficient absorbed 10 times the amount of non-heme iron as people with normal iron levels.)

    ALERT!: Be sure that you do, indeed, have an iron deficiency before taking supplements. Excess iron can damage the liver, pancreas, heart and immune-cell activity and has been linked to cancer. Use any iron supplements under the supervision of a health care provider.


    beans as a source of iron

    NUTRITIONAL SOURCES OF IRON

    Liver and lean red meats are the richest sources of iron available. These contain heme iron, the most readily absorbed form. Chicken and fish usually contain 1/3 to 1/2 the iron in red meat. Other iron rich foods are apples, apricots, asparagus, beans, bananas, leafy greens, peas, prunes, raisins, parsley, and corn. Blackstrap molasses is another excellent source of iron and essential B vitamins. Take 1 tablespoon twice daily. Also eat foods high in vitamin c to enhance absorption.






    Foods For Health - Despite its popularity as an iron-rich source, spinach won't help your iron levels much. It contains oxalates, substances that actually interfere with the absorption of the iron (3 mg in 4 ounces) that it does offer.

    Iron Supplements - While iron supplements are an excellent source of iron, certain iron preparations can cause nausea and constipation. If you experience these unpleasant symptoms, try eating organic liver or using liquid liver extracts. They are good alternatives that contain all the essential elements needed for red-blood-cell production.






    nettles


    HERBS

  • Alfalfa, Bilberry, Wild Cherry, Dandelion Root, Goldenseal, Grape Skins, Hawthorn Berry, Mullein, Nettle, Oregon Grape Root, Pau D'Arco, Red Raspberry, Shepherd's Purse, and Yellow Dock are good for anemia. Parsley, Amaranth Greens, and Kelp are high in iron and helpful for anemia.


  • An herbal mix for anemia includes: Comfrey, Nettle, Red Clover, Echinacea, Sage, Rue, Elecampane and Yarrow.

    Added to this are the Bach Flower Remedies Wild Rose, Pine, and Olive. You can help further by drinking Rosehips Tea and eating some meat and plenty of green vegetables. You should consult your Herbalist if, after a course of 3 to 6 months on the anemia mix and with better habits, the symptoms return after stopping the mix. There will be other issues which need specific attention.

    Herbal Remedies: Bach Flower Remedy / Essence Information & Use

    Herbal Remedies: Bach Products & Supplements

  • For pregnancy, I have my pregnant moms drink a Pregnancy Tea consisting of:

  • If a woman has problems with anemia, I increase the nettle and alfalfa to 2 parts each. This tea is very healthful in supplying the pregnant woman (and breast feeding woman after the birth) not only hormonal support through the Red Raspberry Leaf, but also supplies a large variety of nutrients, such as iron and calcium to her diet as well as adding digestive support with the use of the peppermint. Sometimes I have used Comfrey as an additional herb for its healthful medicinal properties. Brew as usual using hot water and steeping. It has a great flavor and can be consumed without sweetener or by using a touch of honey as a sweetening agent. It is a great basic tea that other herbs can be added to during pregnancy to help other dietary needs or as a medicinal base for tinctures. It can be frozen into ice pops for use during labor. This tea makes great sun tea and can be mixed and made up in a glass gallon jar (I use an old pickle jar, well cleaned) and steep it in the sun during the summer months. The loose dry herbs can be placed in a couple of 4X4 gauze pads, opened up, placing the herbal mixture in the middle of the gauze and tied with a string or a rubber band. It can also be made using a standard drip coffee maker and coffee filters or using a "tea ball". Hot or Cold, this is a great tea for women of all ages, regardless of pregnancy or not. At least a quart of tea should be consumed throughout the day.

    Be sure to obtain quality dried herb from a reliable source with rich color and aroma. Mountain Rose Herbs has a great line of bulk herbs at a reasonable cost. Shaman Shop also has a selection of hard-to-find herbal supplements and Herbal Remedies has a fine selection of products and supplements in capsules, tablets, liquids, powders and tinctures. See links further down on this page to visit these fine online stores.

    As always, I recommend you consult with your midwife before taking any supplement, herbal or otherwise, during pregnancy. If you have any problems with this tea or it simply does not agree with you for any reason, discontinue use. However, in 27 years of midwifery, I have never had problems with a pregnant mom using this tea formulation.

  • Pernicious Anemia and low blood oxygen levels effects health of red blood cells. Herbal approach to treating anemia are the use of Kelp, Ginseng, Nettle, Rosehips, Rue, Yarrow, Comfrey, Echinacea, Red Clover.


  • Bach Flower remedies include Wild Rose, Sclerantthus, Gorse and Pine.

  • Yellow Dock root is a easily assimilated source of iron. Yellow dock contains only a small amount of this important mineral, yet herbalists consider it one of the most effective herbs for raising your iron level. Although the way that this herb increases iron remains a mystery, the proof is in the results. Many women with anemia and their health care providers have been amazed when yellow dock brought their iron count up to normal in only a few weeks. For some of these women, yellow dock brought up their iron levels permanently and they were able to discontinue using the herb. Others found that they needed to continue taking it to maintain their iron count at a healthy level.


  • Even if your anemia is so stubborn that it does not respond to yellow dock, a few additional herbs will usually do the trick. Studies conducted around the world have shown that the roots of Burdock, Sarsaparilla, Dandelion, cooked Chinese Rehmannia and Chinese Wild Yam increase the assimilation of iron, as do carrots and most green vegetables. (Although Chinese herbs like Rehmannia and wild yam were once restricted to the realm of Chinese medicine, they are now available in most natural food stores or bulk herbal suppliers.) German researchers were so impressed with how Anise, Caraway, Cumin, Peppermint and Linden Flowers improved iron absorption that they suggested that anyone with an iron deficiency drink tea made with at least one of these herbs. Iron-rich herbs include parsley, watercress and the seaweed dulse.

    If these herbs seem like the ingredients for the start of a delicious soup or stew base, you're right! Throw in a few beet roots to add even more iron, and dine on this soup at least twice a week. The Chinese traditionally prescribe soups made from healing herbs like Rehmannia, wild yam and burdock. When you wish to incorporate medicinal herb roots into your meals, all you need to do is finely chop or grate them, then treat them like carrots. Caraway and cumin can also be used to spice up beans and vegetables.
      IRON TEA

      2 teaspoons Yellow Dock Root
      1/2 teaspoon Nettle Leaves
      1/2 teaspoon Dandelion Root
      1/2 teaspoon Beet Root
      1/2 teaspoon Licorice Root
      1/2 teaspoon cooked Rehmannia Root (if available)
      3 cups water

      Bring herbs and water to a boil, then turn down heat and simmer for 5 minutes. turn off heat and let steep for 20 minutes. Strain out herbs. Drink 2 cups a day. This formula can also be taken as a tincture or in pill form. To take yellow dock by itself, you will want to use a tincture since the taste is so bitter.

    For preventing anemia, take 1 tablespoon of yellow dock decoction or 25-40 drops of tincture daily. For treating anemia, use the same dosage as above but three times a day.

    Caution: Do not take goldenseal or Oregon grape root during pregnancy. Do not take goldenseal for more than one week at a time, and use it only under a health care provider's supervision if you have a history of cardiovascular disease, diabetes, or glaucoma.

    ALFALFA PRODUCTS

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    BILBERRY PRODUCTS

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    DANDELION PRODUCTS

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    GOLDENSEAL PRODUCTS

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    MULLEIN PRODUCTS

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    NETTLE PRODUCTS

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    OREGON GRAPE ROOT PRODUCTS

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    PAU D'ARCO PRODUCTS

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    RED RASPBERRY PRODUCTS

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    SHEPHERD'S PURSE PRODUCTS

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    YELLOW DOCK PRODUCTS

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    HERBS TO AVOID

  • People who have anemia should avoid damiana, fennel, grapeseed extract, and rooibos. Herbs containing high concentrations of tannins interfere with the absorption of iron supplements. Avoid taking iron supplements within 2 to 3 hours of using agrimony, chebula, gambir, green tea, uva ursi, white willow bark, or any form of St. John's wort other than hypericin-standardized capsules or tablets.


  • TCM (TRADITIONAL CHINESE MEDICINE) FORMULAS

  • Four-Substance Decoction: A traditional Chinese herbal formula that treats all forms of anemia.

    Si Wu Tang
    [Four-Substance Decoction; Soup of Four Things; Tangkuei Four Decoction]

    Class: Tonify
    Subclass: Tonify the Blood
    Source/Author: Tai Ping Hui Min He Ji Ju Fang (Imperial Grace Formulary of the Tai Ping Era)
    Recipe:
      Shu Di Huang (Radix Rehmanniae Glutinosae Praeparata) 35.70%
      Bai Shao Yao (Radix Paeoniae Lactiflorae) 28.60%
      Dang Gui (Radix Angelicae Sinensis) 25.00%
      Chuan Xiong (Radix Ligustici Wallichii) 10.70%
    Actions: Harmonizes the Liver. Moves Blood. Nourishes Blood.
    Indications: Blood Deficiency, primarily of the Liver.
    Symptoms: Amenorrhea; Anemia; Blurred vision; Dizziness; Dysmenorrhea; Irregular menstruation; Pain of the lower abdomen; Periumbilical pain; Postpartum weakness; Threatened miscarriage; Agalactia; Brittle nails; Dry nails; Dull complexion; Generalized muscle tension; Headache; Lochiometra; Pale complexion; Restless fetus disorder; Urticaria; Pale tongue; Fine-Choppy pulse (Xi Se); Fine-Wiry pulse (Xi Xian)
    Preparation: DECOCTION: 40-50 g/liter until 40 cl remain.
    Administration/Dosage schedule: DECOCTION: Take 3-4 times daily, before meals.
    Contraindications: Acute and severe Blood loss (following hemorrhage, for example).





    HOLISTIC RECOMMENDATIONS

  • Include the following in your diet: apples, apricots, asparagus, bananas, broccoli, egg yolks, kelp, leafy greens, okra, parsley, peas, plums, prunes, purple grapes, raisins, rice bran, squash, turnip greens, whole grains, and yams. Also eat foods and drink juices high in vitamin C to enhance iron absorption.


  • Increasing intake of vitamin-C rich foods can enhance absorption of non-heme iron during a single meal, although regular intake of vitamin C does not appear to have any significant effect on iron stores. In any case, vitamin-C rich foods are healthful and include broccoli, cabbage, citrus fruits, melon, tomatoes, and strawberries. One orange or six ounces of orange juice can double the amount of iron your body absorbs from plant foods.


  • To combat anemia, it's important to increase your consumption of iron-rich foods and supplement with B vitamins and minerals like copper. Foods containing riboflavin (vitamin B-2-) may help enhance the response of hemoglobin to iron. Sources include liver, dried fortified cereals, and yogurt. The only natural dietary sources of B-12 are animal products, such as meats, dairy products, eggs, and fish (clams and oily fish are very high in B-12-); like other B vitamins, however, B-12 is added to commercial dried cereals. The recommended daily allowance (RDA) is 2.4 mcg a day. Deficiencies are rare in young people, although the elderly may have trouble absorbing natural vitamin B-12 and require synthetic forms from supplements and fortified foods.


  • Folate is best found in avocado, bananas, orange juice, cold cereal, asparagus, fruits, green, leafy vegetables, dried beans and peas, and yeast. The synthetic form, folic acid, is now added to commercial grain products. Vitamins are usually made from folic acid, which is about twice as potent as folate. Many experts now recommend that adults have 400 mcg of folic acid daily, which is considerably higher than standard recommendations of 400 mcg of folate, which does not take into consideration the possible benefits of folate on the heart. Low levels of folate during pregnancy are common without supplements; deficiencies at that time increase the risk of neural tube defects in newborns. Women who are planning to get pregnant should take 400 mcg of folic acid before conception as well as when they are pregnant or breast feeding.


  • Grape juice with no sugar or preservatives added is a wonderful source of iron. Drink 8 ounces every day.


  • Obtaining a juicer and making healthy juice drinks is a great way of getting unsweetened, pure, healthful fruit and vegetable juices. See MoonDragon's Therapeutic Liquids for more juicing recommendations.


  • MoonDragon's Nutrition Therapy: Juicing

  • Soak 10 currants overnight. Remove seeds and have for 3-4 weeks and have first thing in the morning.


  • Eat raw spinach salads often. Be sure to wash the spinach thoroughly. Combine any of the following in your spinach salad-water­cress, radish, kohlrabi, garlic, chives, leek and onion. They are all high in iron.


  • Daily intake of 3-4 pieces of dry figs helps in curing anemia.


  • Every morning after breakfast and every evening after dinner, eat two dried apricots. Snack on raisins.


  • Beet juice is the best anemia remedy. You can easily make this using a juicer. Carrots and other vegetables can be added for a raw veggie drink. Throw a few beet roots into your soup a few times a week.


  • Try to cook in cast iron pots and skillets. It is proven that doing it can significantly increases the amount of iron in your foods.


  • Honey is very good for an anemic person because it helps increase the hemoglobin in the blood. It is rich in iron, copper and manganese. Caution: Do not give raw honey to babies or very young children.


  • Iron rich meats may include salmon, mackerel, clams, oysters, mussels, sardines, anchovies, shellfish, organ meats such as liver, heart, tongue, beef, pork, lamb, poultry, and other fish.


  • Consume at least 1 tablespoon of Blackstrap molasses twice daily (for a child, use 1 teaspoon in a glass of milk or formula twice daily). Blackstrap molasses is a good source of iron, calcium, and essential B vitamins.


  • Eat foods containing oxalic acid in moderation or omit them from the diet. Oxalic acid interferes with iron absorption. Foods high in oxalic acid include almonds, cashews, chocolate, cocoa, kale, rhubarb, soda, sorrel, spinach, Swiss chard, and most nuts and beans.


  • Avoid beer and other alcoholic beverages, candy bars, dairy products, ice cream, and soft drinks such as cola. Additives in these foods interfere with iron absorption. For the same reason, avoid coffee (which contains polyphenols) and black tea (which contains tannins). Avoid excessive bran since it contains phytic acid. Seeds also contain phytic acid that can impede the body's absorption of dietary iron.


  • Avoid alkalinizers and phosphates. They inhibit absorption.


  • Avoid or minimize your exposure to lead and other toxic metals such as aluminum, cadmium and mercury. Do not use aluminum cookware.


  • Have a complete blood test to determine if you have an iron deficiency before taking iron supplements. Excess iron can damage the liver, heart, pancreas, and immune cell activity and has been linked to cancer. Use iron supplements only under the supervision of a health care provider.


  • Because iron is removed through the stool, do not eat foods high in iron and/or iron supplements at the same time as fiber. Avoid using bran as a source of fiber.


  • If you are a strict vegetarian, watch your diet closely. Taking supplemental vitamin B-12 is advised.


  • Do not smoke. Avoid second hand smoke.


  • Take a daily Multivitamin. Do not take any iron supplement without consulting with your health care provider.


  • Do not take calcium, vitamin E, zinc, or antacids at the same time as iron supplements. These can interfere with iron absorption.





  • HOMEOPATHIC TREATMENT & MEDICATIONS FOR ANEMIA

    This information was obtained from: Hpathy.com. See their website for more helpful information regarding Homeopathic Treatments.

  • Ferrum metallicum [Ferr]: Iron is the great allopathic remedy for anemia from almost any cause. It is also a great homeopathic remedy, but it will not cure every case of anemia; careful individualization is necessary. When the patient has an appearance of full bloodedness or plethora, which is followed by paleness or earthiness of the face and puffiness of the extremities, then Ferrum will benefit. It is not the remedy for the anemia resulting from loss of fluids; that is Cinchona, or perhaps Natrum muriaticum. When Ferrum is indicated the mucous membranes are pale, more so than with Cinchona, and there is apt to be an anemia murmur in the veins of the neck. The patient is easily exhausted. Vomiting of food after eating may occur. The patient is constantly chilly and perhaps has an afternoon or evening fever simulating hectic fever. In very stubborn cases sometimes Ferrum phosphoricum may serve better than Ferrum metallicum. Schuessler recommends first Calcarea phosphorica, then Ferrum phosphoricum. In simple, uncomplicated chlorosis Ferrum is one of our best remedies. Hughes recommends Ferrum redactum 1x or 2X. Ludlam praises Ferrum et strychnia citrate 3X, Dr. Jousset, Ferrum aceticum or the Ferrum protoxalate, and Dr. Holcombe of New Orleans, used Ferrum phosphoricum. All these preparations of Iron may benefit cases of anemia and chlorosis; if so, it is by virtue of their similarity to the symptoms of the case, and not because one or the other preparation of Iron is a tonic in the allopathic sense. By giving the indicated preparation of Iron it removes the underlying dyscrasia giving rise to the anemic or chlorotic conditions and cures the trouble.


  • Herbal Remedies: Ionic Iron Supplement, With Concentrace, Trace Minerals, 2 oz.



  • Pulsatilla [Puls]: Pulsatilla is the great antidote to Iron, and hence is indicated in the anemic condition produced by large or continued doses of it. The system is relaxed and worn out; the patient is chilly and suffers from gastric and menstrual derangements. Thus the symptoms resemble closely those calling for Ferrum. The cause of the anemia must be sought for, and if the case comes from allopathic hands it is safe to infer that much Iron has been given and Pulsatilla will surely be the remedy. The Pulsatilla patient feels better in the open air. Dizziness on rising, absence of thirst, and the peculiar disposition will lead to the remedy. Cyclamen, which is similar in many respects, differ from Pulsatilla in dreading the fresh air. Cinchona is the chief remedy for anemia resulting from loss of fluids, as in lactation or hemorrhage, or from all exhausting discharges, such as menstrual flow, long-lasting diarrhea, and sexual excesses and loss of semen. The quality of the blood is actually poorer in cases calling for Cinchona. Special symptoms are heaviness of the head, loss of sight, fainting and ringing in the ears, pale sallow complexion, sour belching, poor digestion and bloated abdomen. The patient is sensitive to draughts of air yet wants to be fanned. Dr. George Royal thinks many physicians err in giving Cinchona too low in symptomatic anemia when much time has elapsed since the drain was made on the system. He finds the 30th productive of better results than the lower preparations. Natrum muriaticum is also a remedy for anemic and debilitated conditions due to loss of fluids, especially in women who suffer from menstrual disorders and in chronic cases with a dead, dirty-looking skin. Chininum arsenicosum is sometimes prescribed for anemia, not, however, on the totality of the symptoms, but because it is said to be "good for it." It has been found curative in certain cases of pernicious anemia. Acetic acid suits anemic nursing women, with waxy skin, and thirst.




  • Calcarea carbonica [Calc]: Almost any of the deeper acting constitutional remedies may be of use in anemic and debilitated conditions, and especially are the Calcareas useful. Thus we have Calcarea phosphorica as the remedy for the "green sickness," chlorosis of young girls, with a complexion like wax, alabaster lips and ears, a bright eye, and when they smile or laugh it is a sickly one. The face sometimes has a true greenish hue or a sallow one. In such cases the menses are apt to be too early and then calcarea phosphorica is well indicated for this condition. Calcarea carbonica is indicated by the psoric, scrofulous or tubercular diathesis and the general symptoms of the drug, by disgust for meat, craving for sour and indigestible things, swelling of abdomen, vertigo and palpitation on going upstairs. The patient is in a state of worry. Constantly imagining calamities. Alumina is also a remedy for chlorosis due to the scrofulous diathesis and from improper nourishment, such as occurs in some children brought up on artificial foods. Nux vomica, too, may be indicated in anaemic conditions when due to gastro-intestinal derangements. Plumbum has been recommended for inveterate chlorosis with obstinate constipation. Alumina also, being an antipsoric, is the remedy for anemic conditions about puberty, with abnormal craving for indigestible substances, such as slate pencils, chalk, etc.




  • Arsenicum [Ars]: This being a direct poison to the red blood corpuscles takes first rank in cases of pernicious anemia or in anemia due to a malarial of toxic influence. Dr. Blackley, of England, reported four cases of pernicious anemia cured with small doses of the remedy. It does not correspond to simple anemia so well. Its indications are excessive prostration considerable edema, violent and irregular palpitation, marked appetite for acids and brandy, extreme anxiety and rapid emaciation. There is irritable stomach and intense thirst. When the allopathic school uses Arsenic as a blood tonic, and Dr. Bartholow says, "it is one of the most valuable remedies in the treatment of chlorosis and anemia," it does so on strictly Homeopathic principles. Picric acid. The extreme prostration of pernicious anemia, with a heavy tired feeling all over the body, burning pains along the spine and aggravation from excitement indicate this remedy.




  • Helonias [Helon]: An excellent remedy in anemia and chlorosis. It suits especially anemia from prolonged hemorrhage in women enervated by indolence and luxury, or such as are worn out with hard work; they are too tired to sleep and the strained muscles burn and ache A characteristic modality is that the patient is better when the attention is engaged, hence better when the doctor comes. This anemia is associated with disturbances in the urinary and sexual organs. Tired, anemic, backachey females need Helonias, "It is one of the best blood makers that we have." (E. G. Jones.)




  • Aletris [Alet]: Chlorosis. "The China of the uterine organs." (Hale.) Tired dull, heavy, confused. Debility of females from protracted illness; no organic disease. Power and energy of mind and body are weakened.




  • Secale [Sec]: This remedy produces a progressives general anemia. It is shown by the peculiar cachexia of anemia, pale, bloodless, jaundiced color. By its effect on the blood corpuscles it produces a general anemia, threatening not only the life of a part, but vitiating the whole life of the bodily economy. It is a sort of a mechanical anemia.




  • Natrum muriaticum [Nat-m]: This is one of our best remedies in anemic conditions. There is paleness, and, in spite of the fact that the patient eats well, there is emaciation. There are attacks of throbbing headache and dyspnea, especially on going up stairs, constipation and depression of spirits, and consolation aggravates. With these symptoms there is much palpitation, fluttering and intermittent action of the heart. The hypochondriasis in these cases is marked. Scanty menstruation is frequently an indicating symptom. Kali carbonicum is one of the most important remedies in anemia, weak heart, sweats, backache, especially with female complaints.







  • AYURVEDA &ANEMIA

    This information was obtained from www.ayurvedahc.com. Please visit their website for more in depth information about Ayurvedic Treatment of ailments.

    Anemia is a deficiency in the quality or quantity of one's blood. It is generally a pitta (fire) derangement. Generally the liver is involved, as bile enters the blood and thins it out. The refined eye of Ayurveda also notes that anemia, like most imbalances, can be caused by any of the three doshas. Vayu anemia is due to deficiency and/or malnourishment; Kapha anemia is caused partly by excess weight, congestion and edema. You can determine whether you have anemia by several factors, pale or lifelessness, low energy, low grade fever or burning sensation, irregular elimination or yellowish and scanty urine, indigestion, vertigo, fainting, fatigue, and women may notice a pale or scanty menstrual flow, or no flow at all., the inner part of the lower eyelid will have no redness to it and if you squeeze your hand into a fist for a few seconds and release, the blood will take a long time to return to the palm.

    There are many causes for anemia, both dietary and lifestyle. Excess hot, sour and salty foods, and alcohol derange the blood. Malnutrition is another cause. A traumatic injury, pregnancy, excess menstruation or bleeding condition, febrile diseases, liver disorders and excess sexual indulgence can derange the kidneys, blood and ojas or life sap creating an anemic situation. For women, immediately after a menstrual cycle, blood building herbs are recommended.

    GENERAL BLOOD BUILDERS: Organic milk from free range cows & boiled, black sesame seeds, pomegranate or black grape juice, molasses, sucanat (whole cane sugar) are all good foods. Iron supplements, vitamin A & E are useful only if taken with ginger or cinnamon to help assimilate the mineral. Chyavan prash, 2-3 tsp. twice daily with the warm milk, turmeric and ghee are all useful suggestions. A mild laxative is suggested to regulate the bowls, helping drain the excess bile from the liver; aloe vera gel and triphala are the gentlest treatments.

    GENERAL HERBAL THERAPY: In addition to aloe and triphala, saffron, shatavari, manjishtha and punarnava are the main treatments.

    GENERAL GEM THERAPY: Red coral (or any red stones like garnet or ruby) improve blood circulation, particularly for Vayu and Kapha doshas. Pearl or moonstone are good for Vayu and Pitta constitutions.

    SPECIFIC TREATMENTS: Each constitution or dosha is suggested to follow their food guidelines.

    MEAT: Ayurveda suggests using meat only as a medicine since meat does not actually rebuild and regenerate the cells and tissues. In the case of extreme weakness, such as advanced cases of anemia, red meat (or its substitutes like liver pills) and bone soups are useful to take until the anemia is treated.





    OTHER CONSIDERATIONS

  • Eating fish at the same time as vegetables containing iron increases iron absorption. Omitting all sugar from the diet increases iron absorption as well.


  • Iron-deficiency anemia should disappear when the underlying cause is corrected.


  • Health care providers can sometimes detect vitamin B-12 deficiency by measuring serum B-12 levels, taking a complete blood cell count, and doing a blood test called the Shilling test, which evaluates B-12 absorption. Persons with pernicious anemia must take vitamin B-12 sublingually (dissolved under the tongue), by retention enema, or by injection. This treatment must be maintained for life, unless the underlying cause of the deficiency can be corrected.


  • Hydroxyuria (Droxia), a cancer drug, may be prescribed for people with sickle cell anemia who are over the age of 18 and have experienced 3 or more crises in a one-year period. The drug eases symptoms, but is not a cure for the disease.


  • Over 75 percent of people undergoing chemotherapy experience some degree of debilitating fatigue, and over 60 percent list fatigue as their number one problem. Usually, this fatigue results from a form of anemia known as thrombocytopenia, in which red blood cell counts are greatly reduced, a common side effect of cancer treatment.

  • The American Academy of Pediatrics (AAP) recommends that children under one year old not drink cow's milk. Milk can cause anemia by interfering with iron absorption and possibly causing internal bleeding. The AAP published the results of a University of Iowa study that found the blood content in the stool of infants fed cow's milk was 5 times higher than children fed infant formula. Researchers concluded the amount of iron lost was "nutritionally important". MoonDragon recommends babies under the age of 1 year should be breastfed if at all possible rather than using baby formula. BREAST IS BEST! However there are situations in which breastmilk is not available or a mother is unable to breastfeed her baby due to an illness or medication she may need to take. If your baby must be fed a baby formula, research the brands and find one best suited for your baby. Don't be afraid to shop around and compare brands. Not all formulas are created equally.




    NUTRIENTS
    Supplement Suggested Dosage Comments
    Essential
    Raw Liver Extract 500 mg twice daily. Contains all the elements needed for red blood cell production. Use liver from organically raised beef. Consider injections (under a health care provider's supervision).
    Very Important
    Blackstrap Molasses Adults: 1 tablespoon twice daily.
    Children: 1 teaspoon twice daily.
    An excellent source of iron and other important nutrients. See above under Holistic Recommendations.
    Folic Acid 800 mcg twice daily. Needed for red blood cell formation.
    Folic Acid (Vitamin B-9), 100% Natural, Nature's Way, 800 mcg, 100 Caps
    Plus
    Biotin
    300 mcg daily. Needed for red blood cell formation.
    Biotin Coenzyme, 100% Natural, Nature's Way, 1000 mcg, 100 Sublingual Lozenges.
    Iron As prescribed by a health care provider. Take with 100 mg vitamin C for better absorption. To restore iron. Use ferrous gluconate form. Caution: Do not take iron unless anemia is diagnosed.
    Iron Ionic Mineral Supplement, Fully Absorbable, 20 +/- ppm, 16 fl. oz.,
    Ionic Iron Supplement With ConcenTrace, Trace Minerals, 2 oz.,
    Iron Gluconate, Nature's Way, 18 mg, 100 Caps
    Or
    Floradix Iron Plus Herbs
    2 teaspoons daily. Contains a readily absorbable form of iron that is non-toxic and from a natural source.
    Vitamin B-12
    (Injections)
    2 cc once weekly or as prescribed by health care provider. Essential in red blood cell production and to break down and prepare protein for cellular use. Injections (under health care providers supervision) are best. If injections are not available, use lozenge or sublingual form for best absorption.
    Vitamin B-12 Complex Liquid, Now Foods, 2 fl. oz.
    Or
    Vitamin B-12
    2,000 mcg 3 times daily Essential in red blood cell production and to break down and prepare protein for cellular use. Injections (under health care providers supervision) are best. If injections are not available, use lozenge or sublingual form for best absorption.
    Vitamin B-12 Complex Liquid, Now Foods, 2 fl. oz.
    Important
    Vitamin B Complex 50 mg 3 times daily. B vitamins work best when taken together. A sublingual form is recommended.
    Ultimate B (Vitamin B Complex), Nature's Secret, 60 Tabs,
    Vitamin B-100 Complex, w/ Coenzyme B-2, Nature's Way, 631 mg, 100 Caps
    Pantothenic Acid (Vitamin B-5) 50 mg 3 times daily. Important in red blood cell production.
    Vitamin B-5 (Pantothenic Acid), 100% Natural, Nature's Way, 250 mg, 100 Caps
    Vitamin B-6 (Pyridoxine) 100 mg daily. Involved in cellular reproduction. Aids absorption of vitamin B-12.
    Vitamin B-6 (Pyridoxine), 100 mg, 100 Caps
    Vitamin C 3,000-10,000 mg daily. Important in iron absorption.
    Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.,
    Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
    Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps,
    The Right C, Nature's Way, 1000 mg, 120 Tabs
    Helpful
    Brewer's Yeast As directed on label. Rich in basic nutrients and a good source of B vitamins.
    Brewer's Yeast, Debittered, NOW Foods, 1 lb.,
    Brewer's Yeast, NOW Foods, 650 mg, 200 Tabs
    Coenzyme A
    Coenzyme A Technologies
    As directed on label. Supports the immune system's detoxification of many dangerous substances.
    Pantethine (Coenzyme A Precursor), Highly Active Form of Vitamin B-5, NOW Foods, 300 mg, 60 Softgels,
    Copper 2 mg daily. Needed in red blood cell production. Note: If more zinc is used, increase copper proportionately.
    Copper Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.
    Zinc 30 mg daily. Do not exceed this amount. Needed to balance with copper.
    Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
    Colloidal Silver & Zinc Lozenges, Silva Solution, 90 Lozenges,
    Zinc Lozenges W/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges,
    Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 Caps
    Raw Spleen Glandular As directed on label. See Glandular Therapy for more information.
    SAM-e (S-Adenosylmethionine) As directed on label. Helps reduce stress and depression. Caution: Do not use if you have manic-depressive disorder or take prescription antidepressants.
    SAM-e, Enteric Coated, NOW Foods, 100 mg, 30 Tabs
    Vitamin A 10,000 IU daily. Important antioxidant.
    Vitamin A, 10,000 IU, 100% Natural, Nature's Way, 100 Softgels
    Plus Natural Beta-Carotene 15,000 IU daily. Important antioxidant.
    Beta Carotene (Natural Dunaliella Salina), Nature's Way, 100% Natural, 25,000 IU, 100 Softgels,
    Multi-Carotene Antioxidant, Nature's Way, 60 Softgels
    Or Carotenoid Complex (Betatene) As directed on label. Important antioxidant.
    Beta Carotene (Natural Dunaliella Salina), Nature's Way, 100% Natural, 25,000 IU, 100 Softgels,
    Multi-Carotene Antioxidant, Nature's Way, 60 Softgels
    Vitamin E 200-600 IU daily. Take separately from iron supplements. Important for red blood cell survival; prolongs the life span of these cells. Use emulsion form for better assimilation. Use d-alpha-tocopherol form, if available.
    Vitamin E, D-Alpha-Tocopherol, Nature's Way, 400 IU, 100 Softgels,
    Vitamin E, Mixed Tocopherols, Unesterified, 400 IU NOW Foods, 250 Softgels,
    Vitamin E, DL-Alpha-Tocopherol, Hypoallergenic, Allergy Research Group, Nutricology, 400 IU, 120 Softgels





    ANEMIA SUPPLEMENTS & PRODUCTS

    Information for help with anemia, a condition that occurs when either the number of red blood cells or the amount of hemoglobin in the blood is reduced.

    Alfalfa Leaf Root Powder (Medicago Sativa), Kosher, 4 oz. Bulk

    Alfalfa's (Medicago sativa) deep root system pulls valuable minerals from the soil. With the aid of sunlight, nutrients including beta carotene and chlorophyll are made available to the body in a usable form.
    Alfalfa Leaves, Nature's Way, 405 mg, 100 Caps

    Nature's Way Alfalfa Leaves are organically grown by Trout Lake Farm, Washington, and Certified Organically Processed in accordance with Oregon Tilth standards and the California Organic Foods Act of 1990.
    Alive! Whole Food Energizer Multi-Vitamin with Mineral, Nature's Way, 18 mg of Iron added, 90 Tabs

    Alive Whole Food Energizer Multi Vitamin with Mineral with Iron by Nature's Way is absorbed into your blood stream 5 times faster than other leading brands.
    Alive! Whole Food Energizer Ultra Multi-Vitamin Powder Shake Mix With Soy Protein, Vanilla, Nature's Way, 2.2 lb.

    Alive Ultra Shake multi vitamin is the ultimate source for nutritional energy. In addition to being a comprehensive whole food multivitamin it has the added benefit of Solae soy protein. There are more invigorating nutrients from more natural sources in each serving than are contained in any other supplement.
    Amalaki (Dhatri), 100% Natural, 450 mg, 120 VCaps

    Amalaki is an Ayurvedic effective against allergies, anemia, cold & flu, constipation, diabetes, digestive disorders, and liver problems.
    American Ginseng Root Candy, Prince of Peace, 5.3 oz.

    American Ginseng, an adaptogen with yin properties that has a sedative effect on the central nervous system.
    American Ginseng Whole Root (Panax Quinquefolium), 4 oz. Bulk

    Ginseng is considered to be the King of all Tonics; as it provides stimulation to the entire body for stress, fatigue, weakness, and deficiencies. It stimulates and improves the brain cells and is especially stimulating for mental fatigue.
    Anemia Tincture, 2 fl. oz.

    Used for anemia, sore throat, helps to cleanse and build the blood.
    Appetite Stimulant Formula Tincture, 100% Organic, 2 fl. oz.

    This herbal appetite stimulant has been designed by a Master Herbalist to stimulate the appetite. It combines herbs well known, and recommended by the German Commission E, for improving the appetite and eliminating symptoms of appetite loss.
    Barberry Tincture, 100% Organic, 2 fl. oz.

    Barberry is used for treating gallbladder disease, heartburn and indigestion and diarrhea. This herb can also be used to treat infections, parasites, psoriasis, and vaginitis.
    Beet Root, Nature's Way, 500 mg, 100 Caps

    Nature's Way use only selected Beet Root from prime North American sources.
    Beta Carotene, Natural Dunaliella Salina, 100% Natural, Nature's Way, 25,000 IU, 100 Softgels

    Nature's Way Beta Carotene is 100% all natural from Dunaliella salina.
    Bilberry Extract Tincture, 100% Organic, 2 fl. oz.

    Helpful with many different diseases of the eyes including vascular retinal disturbances, cataracts, diabetic-induced glaucoma, myopia, and all forms of eye strain.
    Biotin Coenzyme, 100% Natural, Nature's Way, 1000 mcg, 100 Sublingual Lozenges

    Biotin is an enzyme cofactor which assists in the release of energy from carbohydrates and in the production of fatty acids. It also assists in activating the energy transfer molecule ATP.
    Black Cherry Fruit Extract, NOW Foods, 750 mg, 90 VCaps

    Black Cherry extract or Black Cherry concentrate has been found to prevent attacks of gout. Black, sweet yellow, and red sour cherries have all shown to be effective.
    Blood Circulator, 100% Natural, Jingul Huayu, 450 mg, 60 Caps

    This time-honored formula is used in Chinese medicine to promote micro-circulation, increase blood flow to heart muscles, open and clear arteries, inhibit intestinal adhesion, soothe the liver, remove stasis and maintain healthy blood circulation and regular menses.
    Brewers Yeast, NOW Foods, 650 mg, 200 Tabs

    Brewer's Yeast has been shown to help people having difficulty sleeping, fatigued, and diarrhea caused by Clostridium difficile.
    Chlorofresh, Chlorophyll Supplement, Nature's Way, 50 mg, 90 Softgels

    Chlorofresh, Chlorophyll Supplement, is used chiefly as an aid to reduce odor from a colostomy or ileostomy and to reduce fecal odor due to incontinence.
    Chlorofresh Liquid Natural, Nature's Way, 16 fl. oz.

    Chlorofresh is a special liquid chlorophyll complex, derived from premium alfalfa leaves. Chlorofresh is used chiefly as an aid to reduce odor from a colostomy or ileostomy and to reduce fecal odor due to incontinence.
    Cobalt Ionic Mineral Supplement, Fully Absorbable, 30 +/- ppm, 16 fl. oz.

    WaterOz Ionic Cobalt is a pure liquid Cobalt supplement. Cobalt is an important agent of Vitamin B-12; it increases the body's ability to absorb it.
    Cocoa Powder, Certified Organic, 100% Natural

    From holiday desserts and everyday baking, to a steaming cup of hot cocoa on those cold winter days, NOW Organic Cocoa Powder offers a guilt-free way to satisfy your sweet tooth without the high amounts of sugar, fat and preservatives common to many commercially available mixes.
    Colon & Liver Cleanser, Truman's CAC Tea, Loose Leaf, 1/2 lb.

    Use of this cleansing tea has many additional benefits: improves overall digestion; strengthens the immunity; helps to prevent cancer; makes the skin more emollient and flexible: clears the eyes; and provides an overall tonic effect on the body.
    Comfrey Leaf Powder, 4 oz. Bulk

    One of the most well-known healing plants, especially for its ability to heal tissue and bone.
    Comfrey Leaf Tincture, 2 fl. oz.

    Comfrey contains allantoin, which promotes the growth of connective tissue, bone, cartilage, and is easily absorbed through the skin.
    Copper Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.

    WaterOz Ionic Copper is a pure liquid Copper supplement. Copper influences protein metabolism and general healing, improves vitamin C oxidation and is integral in the formation of RNA.
    Dandelion Root Powder (Taraxacum Officinale), 4 oz. Bulk

    Dandelion root is known as a Blood purifier used for liver and kidney disorders. Dandelion root also contains nutritive salts to build up the blood.
    Dandelion Root Tincture, 100% Organic, 2 fl. oz.

    Dandelion root is a natural diuretic and improves appetite and minor digestive problems. Dandelion leaves are commonly recommended as a food supplement for pregnant and post-menopausal women.
    Dong Quai Root Tincture, 100% Organic, 2 fl. oz.

    Dong Quai root is often used in the treatment of menstrual cramps, or dysmenorrhea and PMS, hot flashes, and other menopausal symptoms.
    Ester C with Bioflavonoids, Nature's Way, 500 mg / 200 mg, 150 VCaps

    Nature's Way Ester C with bioflavonoids is 100% natural calcium ascorbate with biologically active metabolites. These metabolites enhance cellular uptake and retention of Vitamin C.
    Folic Acid (Vitamin B-9), 100% Natural, Nature's Way, 800 mcg, 100 Caps

    Folic acid (Vitamin B-9) is necessary precursor for the manufacture of genetic material like RNA and DNA. It also assists in the growth and repair of tissues and in the conversion of fats and amino acids into other useful products in the body.
    Food Grade Diatomaceous Earth (DE) Powder, 8 oz.

    This Food Grade Diatomaceous Earth is safe and nontoxic and destroys intestinal parasites physically by injuring them.
    Goldenseal Root Tincture (Hydrastis Canadensis), 100% Organic, 2 fl. oz.

    Uses include Adrenal Glands; Eye Problems; Fainting; Gallbladder; Gallstones; Nephritis; Pancreatic Disorders; Peritonitis; Poison Ivy/Oak; Prostate Problems; Psoriasis; Pyorrhea; Quinsy,;Scarlet Fever; Spinal Meningitis (sometimes referred to simply as Meningitis); Spleen; Wounds
    Hawthorn Berries, Nature's Way, 510 mg, 180 VCaps

    Hawthorn berries of this European species have been used since ancient times for well-being and as a cardiovascular tonic.
    Heart Formula Tincture, 100% Organic, 2 fl. oz.

    The Heart Formula can be used for anemia, fatigue and heart problems.
    Instant Energy B-12 (2,000 mcg of B-12 per packet), NOW Foods, 75 Packets

    NOW® Vitamin B-12 Instant Energy is the perfect way to keep alert and energized, regardless of the situation. These convenient, fast-acting packets are perfect when traveling or for convenience.
    Iron Complex w/ Vitamins & Herbs, Vegetarian Formula, NOW Foods, 250 Tabs

    Iron is part of myoglobin, which helps muscle cells store oxygen - iron-deficient people tire easily in part because their bodies are starved for oxygen and without enough iron, ATP (the fuel the body runs on) cannot be properly synthesized so, as a result, some iron-deficient people become fatigued even when their hemoglobin levels are normal.
    Iron Complex w/ Vitamins & Herbs, Vegetarian, NOW Foods, 250 Tabs

    Now Foods utilizes the superior Albion Labs patented Ferrochel iron chelate which research has shown to be highly absorbed, well tolerated, and non-constipating at recommended levels.
    Iron Gluconate, Nature's Way, 18 mg, 100 Caps

    Nature's Way Iron gluconate is an advanced chelate form which provides superior absorption and it contains no artificial ingredients or preservatives.
    Iron Ionic Mineral Supplement, Fully Absorbable, 20 +/- ppm, 16 fl. oz.

    WaterOz Ionic Iron is a pure liquid Iron supplement. Iron is called the "energy giver." It attracts oxygen and builds blood. Along with manganese and copper it is necessary for healthy blood chemistry and is essential for recovery from illness.
    Kidney Support Wellness Oil, 2 fl. oz.

    Kidney Support Wellness Oil was designed to promote the health of your kidneys.
    Kids Superfood Powder, Chocolate Flavor, Children's Supplement, 200 g.

    The SuperFood Children's Supplement has 33 fruits and vegetables with a healthy scoop of cocoa to bring a new and tasty way for kids to get the anti-oxidant power of 3 servings of fruits and vegetables in one glass.
    Maca Powder (Lepidum Meyenii), 4 oz. Bulk

    Today Maca root is used to increase energy and support the immune system. Alternative Health & Herbs Remedies Maca Powder can help a number of conditions from fatigue to frigidity.
    Maca (Lepidum Meyenii) Tincture, 100% Organic, 2 fl. oz.

    Today Maca is used to increase energy and support the immune system. Maca can help a number of conditions from fatigue to frigidity.
    Meta C Vitamin C Supplement, 1000 mg, 100 Tabs

    Meta C Vitamin C Supplement is a unique form of vitamin C that is absorbed faster than regular vitamin C and maintains higher serum levels for longer period of time with no intestinal discomfort.
    Nettle Tincture, 100% Organic, 2 fl. oz.

    Nettle leaf has become a popular treatment of allergies (hay fever) and it can improve goiter, inflammatory conditions, and arthritis.
    Ola-Loa Childrens Multi-Vitamin Drink Mix, Cran-Raspberry, 30 Packets

    Better your kids health by introducing them to this Child Multi-Vitamin based upon the most up-to-date studies on nutrition and child development and is 100% all-natural.
    Once Daily Multi-Vitamin & Mineral, All Natural, Lactose Free, w/ Iron, 100 Tabs

    Nature's Way Daily Multi Vitamin & Mineral provides many of the essential nutrients that modern diets may lack. They are useful for protection, growth and maintenance of body systems as they age.
    Oregon Grape Root (Wild) Tincture, 2 fl. oz.

    Oregon Grape Root is used in liver deficiency, constipation, poor fat and protein metabolism, and general blood cleansing.
    Pantothenic Acid, 100% Natural Vitamin B-5, Nature's Way, 250 mg, 100 Caps

    Nature's Way Pantothenic Acid, Vitamin B-5, is 100% natural calcium pantothenate. It contains no artificial ingredients or preservatives.
    Pau D Arco (Purple Lapacho), Inner Bark, 545 mg, 180 Caps

    Pau d'arco is a South American herb which helps strengthen and nourish the body's defense system. A healthy immune system is a key in fighting diseases and infections.
    Potassium Ionic Mineral Supplement, Fully Absorbable, 340 +/- ppm, 16 fl. oz.

    WaterOz Ionic Potassium is a pure liquid Potassium supplement. Potassium aids rheumatic or arthritic conditions and is vital for the elimination of wastes.
    Red Raspberry Leaves, 480 mg, 100 Caps

    Red raspberry leaf strengthens the uterus wall and regulates menstrual flow. It nourishes the reproductive organs, especially the uterine muscles, and helps strengthen and prepare the body for childbirth. It is also highly valued for its soothing and astringent properties to the stomach and intestinal tract.
    Rhodiola Root Extract, Standardized To Minimum 3% Rosavins & 1% Salidrosides, NOW Foods, 500 mg, 60 VCaps

    Today, Rhodiola root extract is a commonly used herb to boost the immune system and boost energy levels naturally and supports memory and mental clarity.
    SAM-e, Enteric Coated, NOW Foods, 100 mg, 30 Tabs

    SAM-e was discovered in 1952 in Italy and has been researched and manufactured there. SAM-e works closely with folic acid and vitamin B-12.
    Seabuckthorn Seed Oil, 100% Natural, 500 mg, 60 Softgels

    A rare source of vitamin E, Seabuckthorn Oil also provides other vitamins including Vitamins A, C, D, K, etc, carotenoids, flavonoids, phytosterols, amino acids, serotonin and 28 trace elements: iron, zinc, calcium, magnesium, selenium, iodine, etc.
    Selenium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.

    WaterOz Ionic Selenium is pure liquid Selenium supplement. Selenium promotes normal body growth, enhances fertility, encourages tissue elasticity and is a potent antioxidant.
    Shepherd's Purse Tincture, 2 fl. oz.

    Shepherd's Purse is mainly used to stop bleeding of all kinds.
    Spleen & Pancreas Formula Tincture, 100% Organic, 2 fl. oz.

    Use the Spleen & Pancreas Formula to strengthen and nourish the spleen and pancreas naturally.
    St. John's Wort, Perika, 300 mg, 60 Tabs

    Nature's Way St. John's Wort is scientifically advanced to maintain a healthy emotional outlook.
    Supreme Beijing Royal Jelly With Bee Pollen, 10 ml Vials, 30 Vials

    Beijing Royal Jelly with Bee Pollen is naturally dense in vitamins, minerals, enzymes, amino acids and much more.
    TheraClear Anti-Parasite Formula, 120 Caps

    A regular natural detoxification program including TheraClear Anti Parasite Formula and a colon cleanser to promote proper elimination has been recommended by various naturopaths.
    U O Clear (Ovarian Cyst & Fibroid Support), 500 mg, 60 Caps

    The herbs work synergistically to strengthen the body's natural capability of female systems self-cleaning functions, especially for uterus and ovary.
    Vitamin A, 100% Natural, Nature's Way, 10,000 IU, 100 Softgels

    Nature's Way vitamin A is 100% natural from fish liver oil. It contains no artificial ingredients or preservatives.
    Vitamin B-6 (Pyridoxine), 100 mg, 100 Caps

    Vitamin B6 (pyridoxine) is converted in the body to the main coenzyme responsible for amino acid and protein metabolism.
    Vitamin B-12 (Cobalamin), 50 mcg & B-9 (Folic Acid), 400 mcg, 1 fl. oz.

    Vitamin B-12 (Cobalamin) helps to maintain a healthy nervous system and helps in the prevention of pernicious anemia.
    Vitamin B-100 Complex With Coenzyme B-2, Nature's Way, 631 mg, 100 Caps

    A complete Vitamin B complex of 8 essential vitamins. B Vitamins are precursors of coenzymes involved in the conversion of cellular energy, manufacture of hormones and proteins, and repair and maintenance of nerve structures.
    Vitamin C Liquid, with Rose Hips and Bioflavonoids, Kosher, Natural Citrus Flavor, 1000 mg, 16 fl. oz.

    Liquid Vitamin C with Natural Rose Hips & Bioflavonoids is an easy to swallow dietary supplement that exceeds the recommended daily intake of vitamin C.
    Vitamin C 1000 with Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps

    Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.
    Vitamin E, Mixed Tocopherols, Unesterified, NOW Foods, 400 IU, 250 Softgels

    Vitamin E is a major antioxidant and the primary defense against lipid peroxidation. Vitamin E is particularly important in protecting the body's cells from free radical/oxidative damage.
    Yellow Dock Root, 500 mg, 100 Caps

    Yellow Dock root is one of the best blood cleansing herbs for chronic skin diseases, purges lymph glands, liver ailments, psoriasis, anemia, rheumatism, coughs and helps with Iron deficiency.
    Zinc Chelate, 100% Natural, Zinc Supplement, Nature's Way, 30 mg, 100 Caps

    Yellow Dock root is one of the best blood cleansing herbs for chronic skin diseases, purges lymph glands, liver ailments, psoriasis, anemia, rheumatism, coughs and helps with Iron deficiency.
    FOR PETS HEALTH
    Nu-Pet Canine Chewable Wafers, Vitamins & Antioxidant Formula, Ark Naturals, 270 Wafers

    Nu-Pet Canine Chewable Wafers provide vitamins, minerals, antioxidants, with a taste your pet is sure to love. Nu-Pet Canine Chewable Wafers are low in calories (a special benefit for overweight dogs) and are formulated by nutritional scientist using only the best all natural ingredients.
    Nu-Pet Canine Chewable Wafers, Vitamins & Antioxidant Formula, Ark Naturals, 90 Wafers

    Nu-Pet Canine Chewable Wafers provide vitamins, minerals, antioxidants, with a taste your pet is sure to love. Nu-Pet Canine Chewable Wafers are low in calories (a special benefit for overweight dogs) and are formulated by nutritional scientist using only the best all natural ingredients.
    Herbal Remedies: Anemia Information

    Herbal Remedies: Anemia Supplements & Products




    NOTIFY YOUR MIDWIFE OR HEALTH CARE PRACTITIONER IF...

  • You or a family member has symptoms of anemia.


  • Symptoms do not improve in 2 weeks, despite treatment.


  • Symptoms of infection (fever, chills, and muscle aches) occur during treatment.





  • MOONDRAGON'S RELATED LINKS



    MoonDragon's Nutrition Information: Folic Acid Facts

    MoonDragon's Pregnancy Information: Folic Acid Foods

    MoonDragon's ObGyn Pregnancy Information: Birth Defects

    MoonDragon's ObGyn Pregnancy Information: Spina Bifida

    MoonDragon's Health & Wellness: Anemia Overview

    MoonDragon's ObGyn Health Information: Anemia Index

    MoonDragon's Birthing Practice Guidelines For Anemia

    MoonDragon's ObGyn Information: Anemia During Pregnancy

    MoonDragon's ObGyn Information: Anemia, Iron Deficiency

    MoonDragon's Anemia, Nutritional, Herbal, & Holistic Recommendations

    MoonDragon's ObGyn Information: G6PD Deficiency

    MoonDragon's ObGyn Information: Pernicious Anemia

    MoonDragon's ObGyn Information: Sickle Cell Anemia

    MoonDragon's ObGyn Information: Thalassemia Anemia

    MoonDragon's Nutrition Index





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