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Anemia

Medical Author: Siamak Nabili, MD, MPH
Medical Editor: William C. Shiel, Jr., MD, FACP, FACR

Anemia Symptoms

Some patients with anemia have no symptoms. Others with anemia may feel:

  • tired,

  • fatigue easily,

  • appear pale,

  • develop palpitations (feeling of heart racing), and

  • become short of breath.

Learn about additional symptoms of anemia »


Top Searched Anemia Terms:

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What is anemia?

Anemia is a medical condition in which the red blood cell count or hemoglobin is less than normal. The normal level of hemoglobin is generally different in males and females. For men, anemia is typically defined as hemoglobin level of less than 13.5 gram/100ml and in women as hemoglobin of less than 12.0 gram/100ml. These definitions may vary slightly depending on the source and the laboratory reference used.

What causes anemia?

Any process that can disrupt the normal life span of a red blood cell may cause anemia. Normal life span of a red blood cell is typically around 120 days. Red blood cells are made in the bone marrow.

Anemia is caused essentially through two basic pathways. Anemia is either caused:

  1. by a decrease in production of red blood cell or hemoglobin, or

  2. by a loss or destruction of blood.

As more common classifications of anemia (low hemoglobin) is based on the MCV, or the volume of individual red blood cells.

  1. If the MCV is low (less than 80), the anemia is categorized as microcytic anemia (low cell volume).

  2. If the MCV is in the normal range (80-100), it is called a normocytic anemia (normal cell volume).

  3. If the MCV is high, then it is called a macrocytic anemia (large cell volume).

Looking at each of the components of a complete blood count (CBC), especially the MCV, a physician can gather clues as what may be the most common reason for anemia.

Picture of Red Blood Cells



Next: Can not enough iron cause anemia? »

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Anemia

What is celiac disease?

Celiac disease is a disease of the small intestine. The small intestine is a 22 foot long tube that begins at the stomach and ends at the large intestine (colon). The first 10 inches (25cm) feet of the small intestine (the part that is attached to the stomach) is called the duodenum, the middle part is called the jejunum, and the last part (the part that is attached to the colon) is called the ileum. Food empties from the stomach into the small intestine where it is digested and absorbed into the body. While food is being digested and absorbed, it is transported by the small intestine to the colon. What enters the colon is primarily undigested food. In celiac disease, there is an immunological (allergic) reaction within the inner lining of the small intestine to proteins (gluten) that are present in wheat, rye, barley and, to a lesser extent, in oats. The immunological reaction causes inflammation that destroys the lining of the sma...

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