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Presented by
Dr. Sudhakar Kokate
Director PPRC, India
Anaemia / Anemia
Most common disorder of the blood
Decrease in number of RBCs
Less than normal quality of haemoglobin
Anaemia – name derived from ancient
Greek meaning “Lack of blood”
Several kinds of anaemia
PPRC/INDIA 01
Micronutrient dificiency across
the globe
PPRC/INDIA 02
PPRC/INDIA 03
Anaemic patient
PPRC/INDIA 04
RBCs in anaemic patient
PPRC/INDIA 05
Symptoms of Anaemia
PPRC/INDIA 06
Symptoms
Fatigue
General malaise
Dyspnea (Shortness of breath)
Palpitations, angina: pre-existing heart
disease
Intermittent claudication of the legs
PPRC/INDIA 07
Symptoms
Symptoms of heart failure
Pale skin, mucosal linings, conjunctiva, nail
beds
Jaundice
Leg ulcers
PPRC/INDIA 08
Symptoms
Fast heart rate
Bounding pulse
Fainting
Awareness of heartbeat
PPRC/INDIA 09
PPRC/INDIA 10
Diagnosis
Complete blood count
Flow cytometry
Exam. of blood smeared slide using a
microscope
RBC Count
Hb concentration
PPRC/INDIA 11
Diagnosis
MCV (Mean corpuscular volume)
RDW / RCDW (Red cell distribution
width)
Haematocrit (Packed cell volume or
Erythrocyte volume fraction)
MCH (Mean corpuscular haemoglobin)
MCHC (Mean corpuscular haemoglobin
concentration)
PPRC/INDIA 12
WHO’s Haemoglobin thresholds
PPRC/INDIA 13
Age (yrs.) Hb g/dl Hb mmol/l
Children (0.5 - 5) 11 6.8
Children (5 – 12) 11.5 7.1
Teens (12 – 15) 12 7.4
Women (>15) 12 7.4
Pregnant women 11 6.8
Men (>15) 13 8.1
Iron
PPRC/INDIA 14
Iron
PPRC/INDIA 15
Iron
Forms complexes with molecular oxygen
in haemoglobin & myoglobin, both being
oxygen carrying compounds in vertebrates
Used at the active site of many important
redox enzymes dealing with cellular
respiration and oxidation & reduction in
plants and animals.
PPRC/INDIA 16
How much Iron do we need?
PPRC/INDIA 17
Age Mg/iron/day
0 – 3 months 1.7
4 – 6 months 4.3
7 – 12 months 7.8
1 – 3 yrs. 6.9
4 – 6 yrs. 6.1
7 – 10 yrs. 8.7
How much Iron do we need?
PPRC/INDIA 18
Age Mg/iron/day
Men 11 – 18 yrs. 11.3
Men 19+ yrs. 8.7
Women 11 – 50 yrs. 14.8
Pregnant women 27
Women 50+ yrs 8.7
Iron content of selected foods
PPRC/INDIA 19
Food Amount Iron (mg)
Cooked
soyabeans
1 cup 8.8
Cooked lentils 1 cup 6.6
Cooked spinach 1 cup 6.4
Chickpeas 1 cup 4.7
Kidney beans 1 cup 3.9
Iron content of selected foods
PPRC/INDIA 20
Food Amount Iron (mg)
Potato 1 large 3.2
Beet greens
cooked
1 cup 2.7
Cashews 1/4 cup 2.1
Watermelon 1/8 medium 1.4
The body needs Vit. B12, folic acid, iron
Iron tablets: side effects –
1. Stomach irritation
2. Constipation
3. Diarrhoea
PPRC/INDIA 21
To do….
Eat a varied, well-balanced foods – protein,
carbohydrate, fat, fruits, vegetables
Good sources of iron – Liver, beef, cereals,
eggs, dried fruit, seafood, lentils, grains
PPRC/INDIA 22
Haemoglobin structure
PPRC/INDIA 23
PPRC/INDIA 24
Sickle cell anaemia
PPRC/INDIA 25
Sickle cell anaemia
Another type of anaemia
Genetic in nature
RBC become half rounded
Blockage in artery, veins & capillaries
Most commonly found in Africans,
Americans and tribal communities
PPRC/INDIA 26
Causes
By gender mutation of the haemoglobin
when carries oxygen from lungs to other
parts of the body
Deficiency of Iron / Iron phosphate
(organic ion)
PPRC/INDIA 27
Herbs rich in Iron / Iron phosphate
PPRC/INDIA 28
 Yellow dock root
 Danddich root
 Burdock root
 Nestle leaf
 Mullein leaf
 White oak bark
 Devil’s claw
 Echinacea
 Red raspberry leaf
 Fenugreek
 Thyme
 Yerba mate
PPRC/INDIA 29
Budrock root
PPRC/INDIA 30
Devil’s claw
PPRC/INDIA 31
Echinacea
PPRC/INDIA 32
Fenugreek
PPRC/INDIA 33
Mullein leaf
PPRC/INDIA 34
Thyme
PPRC/INDIA 35
Red raspberry leaf
PPRC/INDIA 36
White oak bark
PPRC/INDIA 37
Yellow dock root
PPRC/INDIA 38
Yerba mate
PPRC/INDIA 39
Good source of iron content
PPRC/INDIA 40
Spinach
PPRC/INDIA 41
Allium cepa leaves
PPRC/INDIA 42
Natural sources of Iron
PPRC/INDIA 43
 Parsley
 Spinach
 Mustard
 Watercress
 Sea weeds
 Irish moss
 Spirilunia
 Blue green alga
 Wheat grass
 Black currants
 Grapes
 Cherries
 Strawberries
 Black berries
 Pumpkin
 Lime
PPRC/INDIA 44
 Alfalfa
 Barley grass
 White yam
 Plantain
 Banana
 Pulse (Legumes)
 Lentils
 Black eye peas
 Chick peas
 Lime beans
 Millets
 Oat meal
 Turnips
 Almonds
 Brussel sprouts
 Raspberries
PPRC/INDIA 45
Excellent blood purifiers
 Strawberry leaf
 Chapparal
 Chick weed
 Manjishtha
 Cayenne
 Elder berries
 Ceracea
 Oregon grape
PPRC/INDIA 46
Some remedies
Liquid oxygen drops
Taking daily sea salt bath. If oxygen /
ozone machines are available then take
oxygen bath
Use of hemative cleanser
Malachite – use of green algae
PPRC/INDIA 47
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