Your Good Health: Iron still isn’t being absorbed properly amid iron infusions

Dear Dr. Roach: I was prescribed iron for a low iron level due to “microcytic anemia.” I couldn’t tolerate oral iron because of constipation and hemorrhoids, so my doctor prescribed iron infusions. But I had an allergic reaction, and I continue to have sore places all over my body.

The main concern I have is your low iron. There are three big categories why that might be: Either you aren’t getting enough iron in your diet, you aren’t absorbing it, or you are losing it faster than you are absorbing it. Most people get adequate dietary iron, so the most common issues are normally insufficient absorption or excess loss.

Iron loss is the most dangerous case because undiagnosed blood loss, especially from colon cancer, can go unrecognized for years. Menstruating women often get mild iron deficiency, but any man or postmenopausal woman with iron deficiency must be considered for colon cancer. Finally, you don’t need to worry about iron overload. If you don’t have hemochromatosis, your body won’t absorb iron if you don’t need it. Still, your doctor should only be treating you with iron as long as your iron levels are low.

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