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Pernicious Anemia (cont.)

How Can Pernicious Anemia Be Prevented?

Doctors do not know how to prevent pernicious anemia that occurs from the immune system destroying parietal cells in the stomach. The most common cause of pernicious anemia is the loss of stomach cells that make intrinsic factor.

Pernicious anemia due to a diet low in vitamin B12 is not common. But some people who are strict vegetarians or who have a poor diet for a long time can develop this condition. Eating foods high in vitamin B12 and folic acid can help prevent low vitamin B12 levels. Some of these foods are:

  • Eggs, meat, poultry, or shellfish

  • Milk, orange juice, or oranges

  • Fortified cereals, wheat germ, rice, or barley

  • Romaine lettuce, spinach, and other green leafy vegetables

  • Sprouts, broccoli, asparagus

  • Peas, peanuts, beans, lentils, soy beans, and chickpeas

Vitamin B12 also can be found in multivitamins and in B-complex vitamin supplements.

Doctors may recommend supplements for people at risk of developing vitamin B12 deficiency, such as infants and children of strict vegetarians.

Living With Pernicious Anemia

People treated for pernicious anemia can recover, feel well, and live normal lives, although they must be sure to receive enough vitamin B12 throughout their lives. If a person has developed health problems caused by pernicious anemia, such as nerve damage, treatment may reverse the damage.

Ongoing Health Care Needs

People with pernicious anemia usually need to see a doctor regularly for checkups and ongoing treatment with vitamin B12. If you are being treated for pernicious anemia, you will need to take vitamin B12 supplements as directed by your doctor to prevent the return of symptoms.

Visits to the doctor will focus on monitoring for signs of vitamin B12 deficiency in your body, making treatment changes as needed, and checking for the possible development of stomach cancer.

Doctor visits will also focus on the foods that you eat and whether you are eating enough foods that contain vitamin B12. A pediatrician may prescribe vitamin B12 supplements for infants and children of strict vegetarians.

Continued treatment may be needed for any ongoing problems due to nerve damage.

Family Members

If you have been diagnosed with pernicious anemia, you should tell your family members about the disease-especially your children and your siblings. Because pernicious anemia runs in families, they may be more likely to develop the disease.



Next: Pernicious Anemia At A Glance »

Pernicious Anemia - Symptoms At Onset Of Disease

The MedicineNet physician editors ask:

The symptoms of pernicious anemia can vary greatly from patient to patient. What were your symptoms at the onset of your disease?

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