How to raise hemoglobin in gastric ulcer. Does hematogen increase hemoglobin? Pharmaceuticals to fix the problem

Anemia is one of the most common problems in the world. This is due to the fact that a decrease in the level of hemoglobin occurs in a variety of diseases and may have different mechanisms of occurrence. FROM medical point vision anemia is not even complete independent disease. This is a pathological condition that most often only accompanies the course of other diseases. However, regardless of the cause, all patients with anemia develop similar symptoms. This made it possible to single it out as a separate term.

The problem of increasing hemoglobin in patients with anemia can be solved in different ways. First of all, it depends on the underlying disease. The fact is that not all anemias are treated equally. Making an accurate diagnosis is essential to the successful fight against low hemoglobin. Another important criterion is general state patient. A slight decrease in hemoglobin may not manifest itself for a long time, and sometimes there is even no need to urgently raise it to a normal level. At the same time, patients with severe anemia should be immediately hospitalized, and their treatment will be more radical.

Signs of low hemoglobin

You can suspect a decrease in hemoglobin if the following symptoms appear:

• dizziness;
• skin pallor;
• muscle weakness;
• cold intolerance;
• cheilitis;
• violations of the heart.

Dizziness

With a slight decrease in hemoglobin, patients may complain of periodic dizziness. It arises only under the influence of certain external factors - physical activity, overheating, stress. The lower the patient's hemoglobin level, the more severe the symptom. In severe cases, there may be impaired coordination of movements, prolonged headaches, and even periodic loss of consciousness.

Pale skin

In addition to the skin, mucous membranes can also turn pale. It is believed that the most sensitive in this regard is the mucous membrane of the eyes, the conjunctiva. She starts to turn pink as opposed to normal red) when hemoglobin falls to 100 g/l and below. More severe anemias lead to blanching of the oral mucosa, nail bed, and skin folds.

Chronic fatigue

muscle weakness

cold intolerance

The first complaint at a doctor's appointment may be a rapid freezing of the fingertips ( legs and arms), nose, ears. In these areas, blood circulation is the slowest, which is why they freeze faster even in a healthy person. In patients with anemia, oxygen is supplied there very little. If they stay in the cold for a long time, they have an increased risk of frostbite of varying severity.

Sleep disorders

cheilite

Dyspnea

Heart disorders

In general, all of the above symptoms are combined into the concept of "anemic hypoxia". It means precisely the insufficient supply of various tissues with oxygen against the background of low hemoglobin. The severity of the manifestations of this condition directly depends on the severity of anemia. Lower hemoglobin causes more severe symptoms.

However, in many patients with mild anemia, there may be no symptoms of the disease at all. Patients with anemia sometimes live for years without knowing they have any health problems. Reduced hemoglobin is detected by chance during a preventive blood donation or an analysis for another disease. This is because the body has many mechanisms to compensate for anemia. While they work normally, the disease may be asymptomatic. The body's potential to compensate for anemia varies from person to person. Because of this, some people feel almost no discomfort at hemoglobin levels even below 80 g / l ( the norm is 120 - 140 g / l for women and 130 - 160 g / l for men). At the same time, the state of others is seriously affected by the decrease in this indicator already to 100-110 g/l.

In addition to the above symptoms, some patients may have other complaints. Most often, these are manifestations of the underlying disease, which caused anemia. These symptoms are not a direct consequence of low hemoglobin, but are often observed in patients with this problem. Such symptoms can be different, depending on the underlying disease itself. For example, with B12 deficiency anemia, local loss of skin sensitivity is sometimes observed, with hemolytic anemia, the skin may acquire a yellowish tint, and with iron deficiency, patients sometimes suffer from bedwetting. Such symptoms are more valuable in terms of diagnosis. The fact is that the symptoms common to all anemias have low specificity. The same dizziness, weakness or pallor of the skin is very common in other diseases that have nothing to do with work. hematopoietic system and hemoglobin level.

Possible Causes of Low Hemoglobin

In general, a decrease in the level of hemoglobin in the blood can occur as follows:

• Blood dilution. In this case, we are talking about a relative drop in the level of hemoglobins, which was already mentioned above. Direct production ( synthesis) hemoglobin in the red bone marrow is not affected by the disease.
• Direct blood loss. One of the most common causes of anemia is bleeding. They can be sharp massive) and chronic ( long-term loss small amounts of blood). Red blood cells containing hemoglobin are also lost in the blood. Its concentration in the blood decreases.
• Impaired heme formation. Heme is part of the hemoglobin molecule, which consists of porphyrins and ferrous ion. It is this part that is responsible for the accession and transport of oxygen in the body. Heme ceases to be synthesized with insufficient intake of iron.
• Violation of the synthesis of porphyrins. In this case, heme formation is disrupted due to the absence of porphyrins. The level of iron intake may be normal.
• Disruption of globin synthesis. In addition to heme, the hemoglobin molecule contains a protein part, which is represented by polypeptide chains. Violations of its synthesis are usually associated with genetic pathologies or with a pronounced lack of proteins in the body.
• Violation of DNA synthesis. For the synthesis of DNA molecules in the production of red blood cells, a prerequisite is the presence of a number of substances. The most important of these are vitamin B12 and folic acid. Their insufficient intake or insufficient absorption from food also leads to the development of anemia.
• RBC destruction. AT certain conditions or under the influence of certain substances, red blood cells can be destroyed directly in the vascular bed. This process is called hemolysis. With it, the number of red blood cells in the blood falls, and hemoglobin is released into the blood. Since it can only perform its blood-carrying functions inside red blood cells, the patient develops symptoms and signs of anemia.
• Dysregulation of hematopoiesis ( hematopoiesis) . There are a number of substances in the body that stimulate blood formation. With a lack of these substances, the synthesis of hemoglobin and red blood cells slows down, which leads to the development of anemia. An example of such a substance is erythropoietin. This hormone is produced in the kidneys and directly stimulates the formation and maturation of red blood cells in the red bone marrow. In people with various kidney diseases, erythropoietin may not be produced, which will cause problems with the level of red blood cells and hemoglobin.

Decreased hemoglobin levels can occur with the following diseases and pathological conditions

• deficiency of certain substances in the diet;
• chronic infectious diseases;
• bone marrow tumors;
• acute poisoning;
• diseases of the gastrointestinal tract ( gastrointestinal tract);

Deficiency of certain substances in the body

As a rule, if the cause of anemia lies in malnutrition, then the hemoglobin level is not greatly reduced ( not less than 70 g / l, and more often - more than 90 g / l). However, the deficiency of certain substances creates a chronic problem. Because of this, hemoglobin drops gradually, the body gets used to it and manages to start everything. compensatory mechanisms. Thus, patients can for a long time not have any symptoms or complaints.

The most common nutritional problems are:

• lack of iron;
• lack of vitamin B12;
• lack of folic acid;
• lack of proteins.

In advanced cases, it is not enough just to change the diet by increasing the intake of a certain substance. Reserves in the body are restored slowly. Therefore, in addition to a special diet, the patient is often prescribed a course of treatment with appropriate drugs.

chronic infectious diseases

Reduced hemoglobin can occur with the following infectious diseases:

• severe angina;

Bleeding

The second variant of bleeding is more common. We are talking about short recurring episodes of blood loss over a long period of time. In this case, the volume of fluid usually manages to be compensated normally by the body, but the formation of hemoglobin and red blood cells takes a little longer. Because of this, anemia occurs and when appropriate tests are performed, the hemoglobin level will be lowered.

Causes of frequent recurrent bleeding can be:

• heavy menstruation in girls against the background of gynecological diseases;
• single or multiple polyps ( uterus, cervix, intestines and other hollow organs );
• bleeding disorders ( hemophilia, etc.);
• chronic inflammatory diseases of the gastrointestinal tract;
• prolonged postoperative bleeding;
• malignant neoplasms.

Bone marrow tumors

Anemia that occurs against the background of bone marrow damage is characterized by a relatively rapid drop in hemoglobin levels and the patient's severe condition. It is very difficult to raise hemoglobin in these cases. Sometimes the only effective method Treatments include repeated blood transfusions or even bone marrow transplants. In general, the prognosis depends directly on the type and extent of damage to cellular structures.

Acute poisoning

The most common poisons that destroy red blood cells are:

• aniline dyes;
• hydrogen sulfide and its compounds;
• arsenic;
• lead;
• some snake venoms cobra);
• benzene.

kidney disease

Low hemoglobin can be observed in the following diseases:

• acute and chronic glomerulonephritis;
• autoimmune lesions of the kidney tissue;
• kidney damage as part of systemic infections.

Diseases of the gastrointestinal tract

The following diseases can reduce the level of hemoglobin in the blood by malabsorption in the intestine:

• chronic colitis;
• chronic gastritis ( in the acute stage);
• a number of diseases of the liver and pancreas;
• cirrhosis of the liver;
• neoplasms of the small intestine.

Autoimmune hemolytic anemias

Typically, such anemia is characterized by a strong decrease in the level of red blood cells and hemoglobin. Without suppression immune system there is no way to conduct adequate treatment, since more and more portions of antibodies are thrown into the blood. To fully restore the level of hemoglobin, complex therapy with the use of various pharmacological preparations is required.

Thus, low hemoglobin can be caused by a wide range of different diseases and disorders in the body. In this case, effective treatment is possible only after establishing the root cause of the disease. Just a blood transfusion or a diet high in iron and other trace elements rarely provide long-term stabilization of the situation.

How to raise hemoglobin if the cause of low hemoglobin is a lack of iron?

With low hemoglobin levels ( 100 or less) drug treatment is prescribed without fail, regardless of whether the patient complies with the necessary diet. Iron preparations are used to restore hemoglobin levels ( salts, oxides and other chemical compounds rich in this element). In these medicines, iron is presented in the most well-absorbed form. If from food ( even at the highest concentration of iron in it) is absorbed no more than 2.5 mg / day, then when taking special iron preparations, it is absorbed 10-15 times more. The course of treatment lasts, as a rule, at least several weeks. The main criterion for evaluating the effectiveness are the normal results of laboratory tests.

Preparations for the medical treatment of iron deficiency anemia

How to raise hemoglobin if the cause of low hemoglobin is a lack of vitamin B12?

Thus, it is not easy to raise hemoglobin with a lack of vitamin B12. To do this, it is necessary to conduct a series of tests and find out what the body really lacks - the vitamin itself in food or the Castle factor. In the first case, it is recommended to follow a diet with the use of foods containing vitamin B12. Often this can eliminate the problem without taking medication. More serious treatment is prescribed in case of severe anemia, when the patient has obvious symptoms of low hemoglobin.

With moderate anemia, as mentioned above, treatment at home is possible. Then you should adhere to the daily intake of vitamin B12 and adapt the diet to the needs of the body. In childhood, this is 0.4 - 1.2 μg of vitamin per day ( for children up to 8 years old). For adults, the norm is 2.4 micrograms per day, and for pregnant and lactating women, it increases to 2.6 - 2.8 micrograms.

Drug treatment is prescribed in cases where the patient suffers from a serious decrease in hemoglobin levels, and the diet cannot help restore it quickly. The drug of choice is cyanocobalamin. It is administered as an injection ( in injections) subcutaneously or intramuscularly. During the first week, high doses are prescribed - 200 - 400 mcg / day. Then the dose is gradually reduced to one injection per week ( 400 mg) and continue such treatment until the normalization of laboratory parameters ( restoration of hemoglobin levels). Allergic reactions can be treated with drugs that suppress the immune system ( prednisolone), or switching to an analogue of cyanocobalamin - hydroxycobalamin. The latter has a weaker therapeutic effect, so the dose is calculated individually by the attending physician. Patients with disorders of the formation of internal factor of Castle are shown periodic courses of injections of vitamin B12 throughout their lives. In this case, it enters the body bypassing the stomach, and its activation is not required.

It is believed that the norm for the use of folic acid is 50 - 200 mcg / day. Wherein minimum dose indicated for infants at 1 year of age, and the maximum for an adult. This volume of folic acid is consumed by various body tissues. A significant part goes to the synthesis of red blood cells and the normal production of hemoglobin. In some situations, folic acid begins to be consumed faster, which increases the risk of anemia. The risk group includes patients with various neoplasms, some inflammatory diseases, children in a period of rapid growth, as well as pregnant and lactating women. In these cases, the intake of folic acid increases by 50-100 micrograms.

With a slight decrease in hemoglobin in the blood against the background of a lack of folic acid, it is recommended to pay attention to the diet. This substance is found in products of both plant and animal origin, so it will not be difficult to follow a diet.

For a prophylactic course, doses should be reduced to 0.1 - 0.4 mg / day. The maximum prophylactic dose is recommended during pregnancy. In general, the calculation of the dose and the duration of the course of treatment is determined by the attending physician after making a diagnosis and conducting all the necessary tests. The problem is that the dose is too high. more than what the body needs in a particular situation) inhibits the absorption of folic acid from the intestine. Then there is "satiation" and further treatment will not have the desired effect.

How to raise hemoglobin if the cause of low hemoglobin is protein deficiency?

Patients with anemia due to protein deficiency are usually in serious condition. Even if hemoglobin is not so low, symptoms from other organs and systems are possible ( not only hematopoietic). Therefore, patients are recommended to be hospitalized for the speedy recovery of protein levels. All patients, regardless of severity, must adhere to a special diet.

The diet is focused on foods rich in protein. It should be borne in mind that different products contain different proteins. For example, the chemical composition of fish is different from that of meat proteins. Therefore, food should be varied ( do not eat only 1 - 2 foods that have the highest protein content). Then the body will receive all necessary set amino acids, and hemoglobin levels will recover faster. Protein intake rates may vary. For an adult, on average, 75 - 85 g of protein per day is needed. Larger amounts may be needed during pregnancy or certain chronic conditions. It is impossible to accurately establish the norms in this case, since the body itself assimilates the required amount of amino acids, depending on various conditions and factors.

An alternative to a protein diet can be the intake of dietary supplements containing amino acids. Their prophylactic course can contribute to the rapid synthesis of new proteins in the body ( including hemoglobin).

Other ways to increase hemoglobin

Contraindications for blood transfusion may include:

• clotting disorders ( hemocoagulation);

There are also a number of criteria by which a doctor can navigate in order to understand whether a patient needs a blood transfusion. A drop in the hemoglobin level below 70 g/l, accompanied by a general loss of blood ( the volume of circulating blood is reduced by more than 30%). Another indicator is a hematocrit of less than 25%. In rare cases, the indication is the absence of other methods of treatment. For example, in some chronic diseases, blood transfusions are carried out regularly, despite the existing risk.

How to increase hemoglobin folk remedies?

Traditional medicine mainly uses special dietary products, as well as infusions and decoctions rich in vitamin B12, folic acid and iron. Plants that contain a wide range of other micronutrients are also used ( zinc, magnesium, vitamins of other groups). All this creates favorable conditions for the production of hemoglobin.

The most common folk remedies that can help increase hemoglobin are:

• Carrots with sour cream. Daily consumption of carrots in the morning with sour cream or vegetable oil stimulates the production of hemoglobin and red blood cells in the red bone marrow. It is recommended to eat 100 - 150 g of carrots ( can be grated) at a time.
• potato juice. Raw potato juice also stimulates blood formation in the body. It is squeezed out and filtered through clean gauze or a bandage folded several times. After that, the juice is drunk half a cup before meals 2-3 times a day. For a tangible result, the course of treatment should be at least 2 to 3 weeks.
• Nettle decoction. For cooking, the tops of the young shoots of the plant are taken. For 1 liter of water, you need a glass of nettles. They are thrown into boiling water and boiled for 3-5 minutes. After that, the greens are filtered, and the broth is cooled and drunk 1-2 cups a day.
• Infusion walnuts . Young walnuts crushed ( can be in a blender or meat grinder) and topped with vodka. For 1 glass of nuts, there is approximately 0.5 liters of vodka. They are insisted in a dark place for a week, stirring occasionally. After that, the infusion is filtered and stored in the refrigerator. The infusion is consumed 1 tablespoon once a day. If desired, you can seize with honey.
• Rowan tincture. freshly picked ripe fruit rowan is poured with boiling water and insisted for 1 - 2 hours. For 1 cup of boiling water, you need 2 teaspoons of fruit. Sugar can be added to the tincture to taste. It is taken 2 - 3 times a day for half a cup.
• Infusion of meadow clover. Flower heads are separated from freshly picked meadow clover and poured with boiling water. For 10 flower heads, 200 ml of water is needed. Infusion lasts at least 45 minutes. After that, the infusion is filtered and consumed 2 tablespoons 3-4 times a day.
• Yarrow infusion. For 60 g of dry grass ( collection can be purchased at the pharmacy) you need 200 - 250 ml of boiling water. The mixture is infused for 60 - 90 minutes and consumed 1 teaspoon 2 - 3 times a day.

Along with these recipes traditional medicine pay attention to the diet. It must necessarily include meat, fresh fruits and vegetables. It is also recommended to eat beef or chicken liver more often ( preferably boiled, not fried), as it contains a large amount of substances necessary for hematopoiesis. Freshly squeezed juices are recommended for drinks. Greatest Benefit with low hemoglobin, they have pomegranate, beetroot and carrot juice.

All of the above remedies have limited potential for the treatment of anemia. The fact is that they restore only the intake of all the substances necessary for the synthesis of hemoglobin. However, the intestinal mucosa itself can absorb only a certain amount of iron, vitamin B12 and folic acid. Therefore, the course of treatment with these drugs can be long ( weeks, months), and increasing the above dose will not bring more pronounced effect. Moreover, when the dose is exceeded and some drugs are consumed in large quantities, some side effects may appear. The most common are diarrhea, constipation, flatulence, exacerbation of gastritis or stomach ulcers.

In a number of patients, the level of hemoglobin during the course of treatment may not only not increase, but even fall even more. This indicates problems with the absorption of nutrients in the intestines or diseases of the bone marrow. Then anemia is not associated with a deficiency in the diet of iron or other substances. To increase hemoglobin, such patients should undergo an additional course of examination, during which the true cause of the disease will be established. Treatment with traditional medicine will not have the desired effect.

Symptoms such as dizziness, pallor, chronic fatigue, sleep disorders. Patients with a hemoglobin level of less than 100 g / l should immediately begin treatment with medications because of the threat various complications. The use of traditional medicine is possible as adjuvant therapy, but then it must be agreed with the attending physician.

How to increase hemoglobin during pregnancy?

Based on this, the best way to increase hemoglobin during pregnancy is to increase the intake of substances necessary for hematopoiesis. Even with a normal level of hemoglobin during pregnancy and feeding, expectant mothers are prescribed prophylactic intake of folic acid, vitamin B12, and iron. If we are talking about pathology, and the woman already has signs of anemia, it is urgent to be examined by a specialist. The fact is that a progressive drop in hemoglobin is dangerous, first of all, for a growing fetus.

The Body's Requirements for Essential Nutrients During Pregnancy

AT preventive purposes For increased intake of iron and other nutrients in the body, you can eat the following foods:

• red meat;
• freshly squeezed fruit juices carrots, pomegranate, etc.);
• spinach;
• seafood;
• liver ( beef, chicken, pork);
• nuts;
• wholemeal bread;
• porridge.

If a woman has a decrease in hemoglobin during pregnancy, a drug course of treatment is usually prescribed. One diet in this case will not correct the situation, because the ability of the intestinal mucosa to absorb, for example, iron from food is limited. Fortunately, these days there is a wide selection of drugs approved for use during pregnancy or breastfeeding.

For the treatment of anemia of varying severity in pregnant women, the following drugs can be used:

• With B12 deficiency anemia during pregnancy, treatment with cyanocobalamin ( standard for this disease) can be carried out only with the permission of the attending physician and in small doses. This drug may be contraindicated during pregnancy.
• With folic acid deficiency treatment begins with doses of this substance at 0.1 - 0.8 mg / day and increase as needed. Even with a normal hemoglobin level, it is recommended to start maintenance treatment at a dose of 0.1 mg / day and continue it during breastfeeding at 60 mcg / day.

The most common iron preparations in medical practice are:

• tardiferon;
• maltofer;
• sorbifer;
• ferroplex;
• ferrum-lek.

Also, the cause of low hemoglobin can be chronic diseases exacerbated by pregnancy. In these cases, the intake of large amounts of nutrients through food or in the form of special preparations may not be effective. Directed medical treatment will be required to correct the problem. That is why it is strongly recommended when the hemoglobin level drops below 120 g / l ( bottom line norms for women) undergo a preventive consultation with a doctor to make an accurate diagnosis.

How to increase hemoglobin in oncology?

In oncological diseases, the following mechanisms for lowering hemoglobin are possible:

• Blood loss. In malignant neoplasms, the so-called endophytic tumor growth takes place. This means that dividing cells not only increase in number, but are also capable of destroying nearby tissues. In the later stages, such a tumor can damage the wall of the blood vessel, which often leads to massive bleeding. Red blood cells and the hemoglobin they contain also leave the body with blood. After bleeding stops, patients experience anemia of varying severity. If the hemoglobin level has decreased precisely after bleeding, then attention should be paid to the sufficient intake of all the substances necessary to make up for losses with food. With a severe drop in hemoglobin levels ( below 70 g/l) the patient should be urgently hospitalized. You may need not only an additional course of drug treatment, but also an emergency blood transfusion. The problem is that the malignant growth of the tumor leads to repeated bleeding. Because of this, it is very difficult to fight anemia. Radiation therapy or chemotherapy can slow down the growth of the neoplasm. However, these methods alone cannot be applied in the case of very low hemoglobin.
• Increased need for nutrients. The essence of any oncological disease is that in the human body there is an increased division of certain cells. Such intensive growth requires an appropriate supply of nutrients. Because of this, the body gradually depletes the reserves of folic acid, vitamin B12, iron and other trace elements necessary for the synthesis of hemoglobin. It is noteworthy that this mechanism for the development of anemia is characteristic not only for malignant neoplasms, but also for benign ones, if they grow rapidly. Most often, to increase hemoglobin in this case, you should follow a diet that will replenish depleted reserves. If possible, the tumor is also removed or its growth is slowed down. Hemoglobin levels usually recover within a few weeks.
• Oncological diseases of the bone marrow. Cancer can also develop in the bone marrow. This disrupts the normal division of progenitor cells. These are entire generations of immature cells that have not yet turned into red blood cells or other blood cells. The problem in this case is that the very process of hemoglobin and red blood cell synthesis is disrupted. Patients often have very severe anemia that cannot be corrected by any diet or medication. The body simply cannot turn the substances that have entered into it into the final product - hemoglobin. An effective treatment is radiotherapy or chemotherapy. However, the ultimate success depends on the type of disease and its stage.
• Oncological diseases of the kidneys. In kidney tumors, another mechanism for the development of anemia may be involved. It is associated with insufficient production of erythropoietin. This hormone is produced by the kidneys and stimulates the division of red blood cells and the formation of hemoglobin. In patients with kidney tumors, anemia usually develops gradually. To eliminate it, the use of synthetic analogues of erythropoietin is required. The most common of these are Epobiocrin, Eprex, Epostim. The choice of the drug and the determination of the required dose is made by the attending physician after a special analysis.
• Suppression of hematopoiesis ( blood cell formation) . Many cancer patients undergo aggressive treatments. As a rule, it is chemotherapy and radiotherapy. Both of these methods can seriously affect hematopoiesis ( process of blood cell formation). The division of progenitor cells is disrupted, and the level of the corresponding cells in the blood falls. The problem in this case is not the oncological disease itself, but the side effect of its treatment. Unfortunately, for many patients, such courses of treatment are the only chance to overcome the disease. Therefore, a diet with a high content of substances necessary for hematopoiesis is recommended. Iron, folic acid, vitamin B12 preparations are also prescribed. This allows to some extent to compensate for low hemoglobin and complete the main course of treatment. With irreversible damage to the bone marrow, which are determined by puncture, it is possible to transplant it. This method of treatment has many of its own indications and contraindications, so it is not used in all cases.

The most valuable products for raising hemoglobin levels are:

• red meat. Beef and other red meats contain a significant amount of substances necessary for the formation of red blood cells. 100 g of the product contains up to 4 mg of iron, 3 µg of vitamin B12, 24 g of protein.
• Liver. The liver belongs to meat by-products, but its value is due to the fact that it accumulates a large amount of useful substances that are contained in ordinary meat in smaller quantities. For 100 g of boiled liver, there are approximately 5-15 mg of iron, 15-60 µg of vitamin B12, 200-250 µg of folic acid, 18-20 g of proteins.
• Fresh fruits and vegetables. From vegetables and fruits, freshly squeezed juices of carrots, beets, and pomegranates should be distinguished. They contain a large number of various trace elements. In addition, asparagus and other greens are very high in folic acid ( up to 250 mcg per 100 g of product). As a source of protein, legumes are the most useful ( beans, soybeans, peas).
• Seafood. Fish and other seafood are characterized by a variety of different micronutrients, including those that cannot be obtained from meat or plant foods. Marine fish proteins contain a unique set of amino acids that are also needed by the body.
• nuts. Nuts are an important source of the most different substances. For anemia, peanuts can serve as a source of protein ( up to 25 g per 100 g of product). He is also the champion in the content of folic acid - up to 250 mcg per 100 g.

How to increase hemoglobin in diabetes?

In this case, such a common remedy as a diet rich in iron, folic acid and vitamin B12 does not have the desired effect. Treatment is based on two main postulates. First, you need to lower your blood sugar levels to normal levels. The patient must understand that every hour lived with an elevated glucose level leads to the death of still unaffected areas. renal tissue. Thus, knocking down sugar by introducing insulin ( or its analogues, which are usually used by the patient), the progression of the disease can be prevented.

The second important component of treatment is a course of erythropoietin. Like most other hormones, it has been artificially synthesized and is now available in a variety of pharmaceutical forms.

Erythropoietin-based drugs

How to increase hemoglobin in children?

The body's requirements for essential nutrients different ages

With a decrease in the level of hemoglobin, you should definitely see a doctor to determine the cause of anemia and prescribe treatment. As a rule, a significant decrease in hemoglobin cannot be compensated by a diet rich in certain substances alone. It also requires additional use of special drugs that will make up for their deficiency in the body. To understand if a child has anemia, you need to know how hemoglobin levels change with age.

Age-related changes in the level of hemoglobin and erythrocytes

If the hemoglobin level is lower than the lower limit for the specified age, then treatment requires determining the cause of the disease. In case of deficiency of any substances in the diet, they are administered in the form of medicines. For each of the causes of anemia, their own groups of drugs are prescribed.

Treatment of the main causes of low hemoglobin

It should be remembered that low hemoglobin levels are not always associated with malnutrition. Sometimes anemia is a consequence or complication of other diseases ( worm infestation, chronic infections and etc.). In newborns, they may be due to a congenital lack of enzymes. Since in this case the diagnosis is made for the first time in life, one cannot neglect such a symptom as a decrease in hemoglobin levels. It is necessary to consult a specialist as soon as possible and exclude more serious diseases, even if the symptoms of anemia itself have not yet appeared, and nothing bothers the child. This can prevent serious complications in the future.

How to increase hemoglobin in a nursing mother?

In this regard, all breastfeeding women are advised to adhere to special regime food for preventive purposes. This also applies to those who do not suffer from low hemoglobin. You should focus on the increased needs of the body for nutrients. If hemoglobin, according to the results of the tests, is at a normal level, then prophylaxis can only be carried out with a special diet, without resorting to additional drugs or dietary supplements.

The body's need for various nutrients

If a decrease in hemoglobin is found in a nursing woman, the doses should be increased even more. It is believed that their replenishment with food is almost impossible, since this exceeds the absorption capacity of the intestinal mucosa. Therefore, additional drugs are prescribed to treat anemia during feeding. They contain iron and other substances in a form available to the body, which makes it easier to absorb. In acute or chronic diseases of the gastrointestinal tract ( gastritis, gastric ulcer, colitis, etc.) it is possible to introduce these substances in the form of injections. Then they enter directly into the bloodstream, bypassing the intestinal mucosa. Similar treatment tactics are recommended for other chronic inflammatory diseases ( dermatitis, psoriasis, rheumatism, etc.). In this case, the problem is that in addition to the formation of milk and hemoglobin, the body is forced to repair damaged tissues, which also consumes nutrients. The rate of their consumption is increasing even more.

Based on the foregoing, it can be concluded that the final therapeutic dose can only be calculated by the attending physician, who is familiar with the patient's medical history. Before prescribing treatment, special laboratory tests, which will show what kind of substance the body lacks.

To replenish iron stores in a nursing woman, the following drugs can be used:

• Tardyferon. Usually prescribed 1 - 2 tablets per day, depending on how low the hemoglobin level is. The course of treatment lasts at least 3 months.
• Aktiferrin. 1 capsule 1-2 times a day until hemoglobin level normalizes.
• Sorbifer. The prophylactic dose during lactation is 1 tablet per day, and the therapeutic ( in the presence of anemia) - 2 tablets.

If the cause of low hemoglobin is a deficiency of vitamin B12 or folic acid, appropriate drugs are prescribed in the form of tablets or injections. The preferred form of administration and dose is determined by the attending physician, depending on the specific diagnosis.

Regardless of the course of drug treatment, foods rich in the above substances should be included in the diet. This will strengthen healing effect and speed up recovery. In food, these substances are contained in a slightly different form, and therefore complement the treatment.

With low hemoglobin in nursing mothers, the following foods should be preferred:

• Chicken and beef liver. They are a kind of depot in the body of animals, where iron, folic acid and vitamin B12 are stored. Preference should be given to boiled liver, not fried.
• Chicken meat and beef. They also contain large amounts of iron and vitamin B12. Pork in this case is not prohibited ( it is also rich in these substances), but you should still eat lean meats rather. Excess animal fats can affect the taste of milk, and the child will eat less.
• Seafood. Rich in iron and other trace elements. Preference is given low-fat varieties fish. The exceptions are crustaceans and mackerel, as they can provoke allergies. They are excluded from the diet.
• Vegetables and fruits. From vegetables and fruits, the body can get a small amount of folic acid and iron. Citrus fruits should be avoided it increases the risk of allergies) and plants that cause increased gas formation ( beans, pears, etc.).
• Bread with bran. If, when eating such bread, the mother and child do not experience flatulence ( increased gas formation), then it is preferred over white and black bread. Bran contains a significant amount of vitamins that stimulate the bone marrow.

Does hematogen increase hemoglobin?

From a medical point of view, hematogen is a stimulant of hematopoiesis ( hematopoiesis), since its use enhances metabolic processes in the red bone marrow and increases the production of blood cells. Hemoglobin that enters the body is not absorbed directly in the intestine. Like any other food product, it is exposed to digestive enzymes and breaks down into its component parts carbohydrates into monosaccharides, fats into fatty acid, proteins - into amino acids). All these components are individually absorbed into the blood, transformed in the liver and enter the red bone marrow, where they are used for the synthesis of hemoglobin and red blood cells.

The therapeutic effect of hematogen in anemia is due to high content the following substances:

• Squirrels. All proteins are made up of specific amino acids. In bovine erythrocytes, from which hematogen is made, the amino acid composition of proteins is very close to that of a human. Due to this, protein components are easily digested and absorbed. 100 g of hematogen contains about 6 g of animal proteins.
• Fats. Animal fats contained in the hematogen, as well as proteins, are very similar in chemical composition to fats in the human body. Because of this, they represent a large nutritional value generally. The fat content in the hematogen is approximately 3 g per 100 g of the product. However, fats do not play a direct role in stimulating the work of the bone marrow.
• Carbohydrates. Carbohydrates are the main source of energy in the human body. Their share in the hematogen is approximately 75% by weight. Like fats, they do not take part in the synthesis of hemoglobin.
• Iron. This microelement is the most important part of the hematogen. Its content can vary widely, but always remains higher than in any other food. Such a high value is due to the fact that hemoglobin itself contains a large amount of iron. And since the main component in the manufacture of hematogen is bovine erythrocytes, the proportion of iron in it is very high.
• Other vitamins and trace elements. The hematogen also contains a number of fat-soluble and water-soluble vitamins that stimulate the bone marrow. Compared to other products, the content of minerals and other trace elements is increased. In this case, it is difficult to specify their exact concentration, since it varies greatly depending on which flavors were used in the preparation.

However, with the independent use of hematogen, one should be careful. The fact is that anemia can be caused not only by iron deficiency, but also by a number of congenital problems or diseases of a different nature. Then the excess iron supplied with the hematogen will not benefit the body. On the contrary, side effects such as nausea or diarrhea may occur.

Based on this, the ideal option for low hemoglobin is the delivery of specific tests. This will determine if there is a deficiency in the body of iron or some other substance that can be replenished by the use of hematogen. The results of the tests should be evaluated by the attending physician ( preferably a hematologist), which will give a final conclusion about the benefits of hematogen for a particular patient. People who do not suffer from anemia, the periodic use of hematogen is not prohibited. On the contrary, it will be regarded as the prevention of low hemoglobin levels. But do not focus only on the use of hematogen. A number of substances that also play an important role in hematopoiesis are found in fresh vegetables and fruits, seafood, and meat. Well, alcohol, for example, on the contrary, inhibits the production of red blood cells. Therefore, the hematogen in anemia is undoubtedly useful, but rather as a component of a balanced diet.

Does pomegranate increase hemoglobin levels?

The fact is that pomegranate contains only a part of the necessary for hematopoiesis ( hematopoiesis) minerals and vitamins. For example, it does not contain vitamin B12, which can be found mainly in animal products. Therefore, in patients with B12-deficiency anemia, its use will not help raise hemoglobin.

Nutritional value of pomegranate fruit

Thus, pomegranate may help raise hemoglobin only in a certain group of patients with low hemoglobin. First of all, these are people with iron deficiency anemia, whose hemoglobin level is not lower than 100 g / l. In this case, the symptoms of the disease are usually mild, and sometimes absent altogether. Iron deficiency in the body is considered moderate and can be corrected through diet. True, such non-drug treatment will last at least several months until the hemoglobin level stabilizes. Pomegranates and pomegranate juice in this case will be only part of the diet. In addition to them, you should also eat red meat, fish, nuts and other foods rich in various vitamins and minerals. Similarly, you can raise the level of hemoglobin after trauma accompanied by bleeding, heavy menstruation or other episodes of blood loss. But if the hemoglobin level falls below 100 g/l, it is still necessary to consult a doctor and supplement the diet with a special course of treatment.

Pomegranates and pomegranate juice will not help restore hemoglobin in the following cases:

• anemia due to vitamin B12 deficiency- since this substance is almost not contained in pomegranates;
• anemia due to protein deficiency– since pomegranate does not contain protein in sufficient quantities;
• oncological diseases of the hematopoietic system- since they affect the tissues themselves, which normally produce red blood cells and hemoglobin;
• birth defects of enzymes- since the process of hemoglobin synthesis in the red bone marrow is disrupted;
• anemia after surgery on the gastrointestinal tract (gastrointestinal tract) - since the absorption of nutrients in the intestine will be impaired;
• anemia due to chronic diseases- in this case, grenades raise hemoglobin, but without specific treatment of the underlying disease, this measure will be temporary.

How to quickly increase the level of hemoglobin in the blood? Products that increase hemoglobin

How to increase hemoglobin in the blood

Today, many people have low hemoglobin. When hemoglobin decreases, this leads to a disease such as anemia. It is also called anemia. The main symptom is the inability of the blood to carry oxygen throughout the body, in the amount that the body needs. As a result, metabolic processes and physical endurance decrease. Also, with anemia, a person develops weakness, heart murmurs and palpitations, and immunity weakens.

According to statistics prepared by the World Health Organization, such a disease as anemia, due to iron deficiency, is the most common and accounts for about 2 billion people across the planet.

The main function of iron is to carry oxygen in the blood. The gland also contains enzymes that are involved in the synthesis of very important hormones that the thyroid gland produces. And it is the lack of iron that can lead to a decrease in immunity, disease thyroid gland and anemia.

Reasons that can lead to a decrease in hemoglobin: chronic diseases, malnutrition, inflammation, jaundice, period after surgery, infectious diseases.

It can also include diseases of the gastrointestinal tract, such as esophageal diverticula, chronic hemorrhoids, gastritis and ulcers, varicose veins rectum and esophagus.

This disease can also affect people whose work is associated with heavy physical labor, the elderly and people who donate blood. Vegetarians, since iron, which is absorbed much worse in plant products than iron in meat products. Teenagers because during puberty, the body consumes iron very quickly. And also this group includes pregnant women, women who suffer from endometriosis, and if they have a menstrual cycle. And even if a person does not fall under any of the above factors, he is still at risk, since iron deficiency is congenital.

One of the main signs of iron deficiency in the body is considered to be very frequent colds, and if such a person is constantly cold, and this primarily concerns the lower limbs of the arms and legs.

The remaining signs are cracks in the corners of the mouth (jamming), pale integument of the nail plate, conjunctiva, mucous membrane in the oral cavity. Also, it is difficult for such a person to swallow.

If a person suspects that his hemoglobin has decreased, he should listen to himself. If such a person has dizziness, severe fatigue, a headache in the morning, shortness of breath and palpitations appear. There is still some sign, such as a violation of smell and taste. For example, a person suddenly wants to eat clay, wood, chalk, dry cereals and much more. There is a desire to inhale the smell of glue, gasoline, paint and other unpleasant pungent odors.

If a person has found such signs in himself, he needs to go to the clinic and do a blood test.

If a person needs raise hemoglobin levels He needs to change his diet first.

Diet for low hemoglobin

This diet must contain the following foods.

1. Water in the amount of 1.5 liters, daily.
2. Foods that contain iron: lettuce, dill and parsley, black bread, apples, seafood, eggs, peaches, oatmeal, bean dishes, and soy products.
3. Foods that contain vitamin C. These are, of course, fruits and vegetables. This vitamin is necessary because iron is better absorbed in collaboration with it.
4. Plants. Dandelion - its roots and ground part are poured with boiling water and an infusion is prepared, juice from this plant is also useful. Tea from buckwheat flowers.

Recipes for cooking foods that contain iron.

1. 2 tablespoons of wild rose, brew 200 ml of boiling water and add lemon juice and honey to taste. Drink the whole glass, half a glass is recommended for children.
2. Sprout sprouts from wheat and eat 2 tablespoons of them before breakfast, nuts, honey and dried fruits can be added to the sprouts.
3. Eat vegetable salad for breakfast. Mix the following vegetables: Cabbage, sweet bell pepper, carrot, beetroot, green apple, pumpkin and greens - nettle, dill and parsley, green onion and dandelion leaves.
4. Mix equal amounts of cranberries, honey and chopped walnuts, take 1 tablespoon 3 times a day.
5. Mix 100 ml of carrot, and 50 ml of beetroot and apple juice. Juice should only be consumed freshly squeezed. Before you drink the juice, eat some fat sour cream. This is necessary in order to assimilate carotene. Drink juice half an hour before meals or one hour after eating.
6. Include cereals in your diet daily, but only without sugar. Eat millet and buckwheat porridge, add butter, parsley or dill to it. It is very useful for the body to add raisins or pumpkins to porridge.
7. Prepare juice from carrots 400 grams and fennel 50 grams. Drink juice daily.
8. Fresh plum restores hemoglobin well. But such treatment is not suitable for people with low blood pressure and diseases of the gastrointestinal tract.
9. Prepare juice from radishes, carrots and beets in equal amounts. Store the juice in a cool place in a dark glass. Drink juice in the amount of one tablespoon before eating. Treat yourself with this juice for three months.
10. Grind 200 grams of walnuts, 200 grams of dry buckwheat with a blender. Add 200 grams of honey and stir. Consume one tablespoon 3 times a day. After treatment with these products, hemoglobin rises very quickly.

During treatment, hemoglobin is restored in 10-15 days, during this period you need to eat lean soups, pomegranate and citrus fruits.

During the treatment of anemia, you need to use special iron preparations and follow a diet. A person should receive from 15 to 30 mg of iron per day.

The largest amount of iron is found in turkey meat, rabbit meat, beef and pork liver, and beef tongue. And also in stewed cabbage and carrots, beets, apples, buckwheat, oatmeal, in peaches, blueberries and pomegranates, in walnuts and raisins, in chicken liver, in red fish and caviar, in baked potatoes.

In the treatment of anemia, it is simply necessary to consume egg white and lean cottage cheese. Also tomato and orange juice, and lemon juice.

It is very useful during this period to eat salads from vegetables and herbs.

It is necessary to give up very fatty foods because a large intake of fatty foods impairs the process of blood renewal.

Eat as little calcium-rich foods as possible and drink less black tea and coffee. These products will reduce. absorption of iron by the body.

1. Go for a walk as often as possible. Fresh air is essential for healing.
2. Still very good recipe to increase hemoglobin.

Required products:

• Walnuts - 200 grams
• Buckwheat - 200 grams
• Honey - 200 grams
• Prunes - 200 grams
• Raisins - 100 grams
• Juice of two lemons
• Aloe juice - 200 ml.

Cooking method

Grind buckwheat (dry) with a blender. Finely chop the walnuts and dried fruits, mix all the ingredients thoroughly.

Take 3 tablespoons daily. You need to be treated for 15 days.

Doctors told how to quickly raise the level of hemoglobin.

Hemoglobin is part of the red blood cells, which carry oxygen throughout the body, and remove carbon dioxide. Blood has a red color precisely because of the combination of hemoglobin and oxygen.

If there is not enough hemoglobin in the blood, then the body does not receive enough oxygen. food is disrupted and right job all cells of the body.

The cause of the problem with hemoglobin can be prolonged bleeding, malnutrition, lack of vitamins B12 and B6.

Hemoglobin levels are checked with a simple blood test. Normal level hemoglobin for adult men from 135 to 160 g/l, and from 120 to 140 g/l for adult women. A decrease in hemoglobin is normal for women who are pregnant or have heavy menstrual bleeding. When hemoglobin is low due to an abnormality or disease, it is called anemia.

Anemia

Anemia is especially dangerous for children: problems with immunity and proper physical and mental development. It is possible to develop such a serious disease as sickle cell anemia. Therefore, it is especially important to monitor the level of hemoglobin for pregnant and lactating women.

Symptoms of anemia can be pale, dry and brittle hair and nails, fatigue, rapid heartbeat and respiratory disorders.

Anemia can be caused by heavy bleeding, such as during an operation or a gunshot wound. Anemia can also be caused by some cancer such as leukemia, lymphoma or multiple myeloma. Anemia can be a side effect of chemotherapy. Anemia can also be caused by nutritional deficiencies such as iron, folic acid (vitamin B12) and vitamin B6.

In order to increase hemoglobin, you need to conduct healthy lifestyle life: visit more often fresh air, exercise, sleep at least six hours a day and eat right.
The most common cause of anemia is a deficiency of iron, an essential mineral for the bone marrow to produce hemoglobin.

In cases of severe anemia, the doctor may prescribe special iron supplements. They are not well absorbed by the body, so they are best taken with meals. Much better absorbed iron, which is contained in natural products nutrition.

There are two types of iron: heme and non-heme. Heme iron is absorbed by the body much better. While non-heme iron is almost not absorbed by the body - only lemon acid and vitamin C. Oxidized non-heme iron significantly increases the level of its absorption. For good nutrition, you need to eat iron-containing foods every day, combining them with each other and foods rich in vitamin C.

Foods containing heme iron

beef,
tuna,
pork,
chicken,
halibut,
mutton,
shrimps,
shellfish,
scallops.

Foods containing non-heme iron

beet,
pumpkin,
asparagus,
nuts,
beans (soybeans, beans, lentils and chickpeas),
potato,
spinach,
green pea,
avocado,
raisin,
dried apricots,
dates,
whole wheat bread,
whole grain pasta,
whole grain cereal.

Along with the group of foods containing non-heme iron, you should eat foods rich in vitamin C. These foods will help the iron to be absorbed by the body:

citrus,
kiwi,
papaya,
Strawberry,
black currant,
melon,
broccoli,
tomatoes,
fresh sweet and hot peppers,
guava,
lettuce.

In addition to foods that help iron absorption, there are foods that prevent iron from being absorbed by the body.

What to exclude

To raise the level of hemoglobin from the diet should be excluded, or taken separately from iron-containing foods:

These herbs can be infused, added to salads, soups and side dishes. They are great for boosting hemoglobin levels. naturally.

Black molasses and liquid chlorophyll (E140) will also help raise the level of iron in the blood.

Vitamin B 12

In addition to iron and vitamin C, to raise hemoglobin levels, doctors recommend taking vitamin B 12, which is found in:
liver,
eggs,
green vegetables,
legumes.

Homemade Recipes to Raise Hemoglobin

- mix one teaspoon of coriander with a teaspoon of honey. Use as a salad dressing, or use as a marinade and sauce for meat or chicken.

Soak black sesame seeds in warm water for half an hour. Crush them and pass through a sieve or filter. Mix a glass of milk, unrefined palm sugar or maple syrup and add the resulting sesame paste. Drink daily for at least two weeks.

Soak seven almonds overnight in warm water. Grind them into a paste. Add some honey for sweetness. This paste can be used for toast or whole grain crackers.

It is important to remember that before dramatically changing the diet and lifestyle in general, you need to consult with your doctor.

Symptoms of high hemoglobin

bowel dysfunction,
loss of appetite,
vision problems,
fatigue, and other symptoms similar to low hemoglobin levels.

To control the level of hemoglobin, after a change in lifestyle, a second blood test should be performed in a month.

Hemoglobin and its functions in the human body

Hemoglobin is a complex protein that consists of a simple globin protein and an iron-containing heme group. Hemoglobin is contained in red blood cells (erythrocytes) and performs the function of delivering oxygen from the lungs to the tissues, and then carbon dioxide to the lungs. Iron, from which heme is formed, enters the body with animal proteins.

Normally, the blood of men contains more hemoglobin than the blood of women (135-160 g/l versus 120-140). A feature of hemoglobin is that its ability to attach carbon dioxide is many times stronger than the ability to attach oxygen. It is this property that makes carbon monoxide particularly dangerous: even with a slight concentration in the air, most of the hemoglobin in the blood binds not to oxygen, but to carbon monoxide, forming a compound that is not able to attach oxygen.

What threatens low hemoglobin in the blood

If the amount of hemoglobin becomes below normal, then organs and tissues begin to suffer from a lack of oxygen. First of all, tissues that need oxygen most of all suffer - this is the tissue of the brain and kidneys.

A decrease in hemoglobin below normal is called iron deficiency anemia. The reason for this condition usually lies in regular blood loss (for example, with peptic ulcer stomach or duodenum with frequent minor bleeding, stomach cancer, menstrual irregularities, and so on). Previously, the cause of such anemia was numerous wounds with heavy bleeding.

Since the iron in heme is formed from animal protein, the lack of the latter (for example, with a vegetarian diet) can also cause iron deficiency anemia. Finally, anemia can be caused by a violation of iron absorption in the intestine (for example, after operations to remove part of the stomach or intestines) or a violation of the formation of a protein that is part of hemoglobin (with hereditary diseases).

Signs of iron deficiency anemia are weakness, malaise, reduced working capacity and brain function (impaired memory, mental abilities), dry skin, hair loss, splitting of nails, frequent fainting.

How to increase hemoglobin - lessons from folk wisdom

Since ancient times, iron deficiency anemia has been treated with rust, which was collected from rusty iron surfaces. These "tricks" were especially well known to the warriors, who always had special rusty swords for these purposes. No less than men, women suffered: numerous births were usually accompanied by bleeding, and girls often suffered from menstrual irregularities, accompanied by bleeding. Water with rust helped in this case too.

Only in the 19th century, doctors were able to explain the reason why rust helped treat anemia: it was found that iron is part of the blood and its nominal deficiency is the cause of this disease.

Proper nutrition with low hemoglobin

It used to be believed that iron in any form helps to raise hemoglobin. So, it was customary to treat iron deficiency with the help of foods rich in iron, such as apples and buckwheat. But later, it was found that the iron contained in plant foods is absorbed in the human body in small quantities. And to build hemoglobin, the body needs animal proteins, which include iron, which is perfectly absorbed by the body.

Therefore, in order to increase hemoglobin, a person should eat food rich in meat (including liver, kidneys), fish (including fish caviar), dairy products, eggs.
But these foods alone can disrupt the digestion process, so the diet must necessarily contain complex carbohydrates vegetables and cereals (cereals from whole grains).

But if hemoglobin is very low for a sufficiently long time (that is, a disease has already formed), then one diet may not be enough to restore it, and drug treatment is also required.

Drug treatment for low hemoglobin

Today, many iron preparations are produced that can be well absorbed in the gastrointestinal tract and serve as a source of hemoglobin recovery. A feature of drugs containing iron and intended for oral administration is that they irritate the gastrointestinal tract, causing such unpleasant sensations as nausea, vomiting and diarrhea.

Therefore, in some cases, iron preparations are administered by injection. But this is dangerous, since an overdose of iron can cause another equally unpleasant disease - hemosiderosis. That is why it is not recommended to take iron supplements on your own. In order to make the correct appointment, the doctor must first establish and eliminate the cause of the disease, and then carry out drug treatment.

Anemia is a frequent companion of oncological diseases. It is diagnosed in 60% of people with cancer. This is caused by a number of reasons associated with disruption of the organs and systems of the body, blood loss and therapy.

Anemia aggravates the course of the disease, therefore, it requires urgent and mandatory treatment. If hemoglobin is too low, chemotherapy can be interrupted or surgery can be postponed, which is very dangerous for cancer patients. Why does anemia develop, and how to raise hemoglobin in a cancer patient?

Causes of low hemoglobin in cancer patients

Identification of the causes of anemia in oncology is extremely milestone. A complex of factors can immediately lead to its development, so a complete examination of the body, including laboratory and instrumental methods, will be required.

Most often, a decrease in the level of hemoglobin in the blood in cancer patients is caused by:

• Chronic bleeding that may accompany the development of the disease and its treatment;
• Lack of appetite in the patient or vomiting, as a result of which the required amount of iron does not enter the body with food;
• Poor absorption of iron associated with disruption of the digestive tract;
• Violation of the process of hemoglobin synthesis caused by bone marrow metastases (it is in it that this protein is formed);
• Cancer intoxication of the body as a result of the decay of the tumor into final stages diseases;
• Radiation therapy and chemotherapy, which suppress the processes of hematopoiesis, damage the bone marrow (repeated courses of treatment lead to the progression of anemia);
• The presence of anemia of chronic diseases, when a decrease in the level of hemoglobin is the response of the immune system to the development of a tumor.

Treatment of anemia is carried out taking into account the location cancerous tumor, disease stage and hemoglobin level. The method of correcting anemia is selected according to the cause of its occurrence. Only in this case the therapy will be effective.

How to raise hemoglobin for a cancer patient

The tactics of treating anemia in oncology is largely determined by the localization of the tumor. For example, if the mechanisms of absorption of trace elements and vitamins in the gastrointestinal tract are disrupted, then taking iron-containing drugs orally will not bring the desired effect, as well as in violation of hematopoietic processes in the bone marrow. Therefore, how to raise hemoglobin for an oncological patient depends on which organ is damaged. Particular difficulties arise if this organ is somehow involved in the metabolic processes of iron.

How to raise hemoglobin in cancer of the stomach and other gastrointestinal organs

With damage to the organs of the gastrointestinal tract, iron and vitamins involved in its absorption and synthesis of hemoglobin are simply not absorbed, due to a violation in the work of these organs or due to the fact that the patient cannot eat normally. The situation is aggravated if internal bleeding is present.

Since it is almost impossible to raise hemoglobin if iron is not absorbed with tablets, it is used intravenous administration drugs, in severe cases - blood transfusion. Blood transfusion is last resort, since at the same time a large amount of protein breakdown products enters the body, which increases the load on the detoxification organs and the cardiovascular system. In case of pathologies of the circulatory system (acute heart failure, myocardial infarction, heart defects, thrombosis), transfusion is contraindicated.

Gastrointestinal cancer is characterized by a sharp drop in hemoglobin levels to low values ​​​​inherent in severe anemia (that is, below 70 g / l).

How to raise hemoglobin in bone marrow cancer

When the bone marrow is damaged, the process of hematopoiesis is disrupted. In this case, even iron absorbed from food and tablets will not help the synthesis of hemoglobin and red blood cells. How to raise hemoglobin in oncology folk remedies and oral medications in this situation is impossible, blood transfusion is indicated. It is better if red blood cells are used, then a smaller volume of transfusion fluid will be required and the risk of non-hemolytic transfusion reactions will decrease. The latter are nothing more than an immune response to foreign blood components (leukocytes, platelets, proteins). To stimulate the process of hematopoiesis, erythropoietin preparations are administered.

How to raise hemoglobin in oncological diseases in the last stages

The development of a tumor leads to a reduction in the life of erythrocytes, so the body needs an increased intake of iron and vitamins, stimulation of hematopoiesis and maintaining a normal blood composition. This can be achieved only through complex therapy, since raising hemoglobin in stage 4 cancer is a difficult task, due to the presence of several factors at once that reduce the absorption of iron, shorten the life of red blood cells and inhibit the function of hematopoiesis.

If the digestive tract organs are working normally, iron preparations are prescribed in tablets. As a rule, in the last stages of cancer, red blood cell transfusions are performed only with a life-threatening decrease in hemoglobin levels. The patient spends most of his time outside the hospital, so it remains to use iron preparations and help the body with vitamins so that at least some of it is absorbed.

How to raise hemoglobin during chemotherapy

The most commonly used treatments for cancer are chemotherapy and radiation therapy. These procedures inhibit the process of hematopoiesis. That's why mild degree anemia is typical for 100% of patients undergoing such treatment. 80% have moderate and severe degree.

At the same time, a relationship was established between the level of hemoglobin and the effectiveness of treatment. In patients with anemia, the positive dynamics from chemotherapy was 57%, while in patients with a normal hemoglobin index, the effectiveness of treatment was found in 70% of cases. Therefore, the development of anemia in oncology is important to prevent, and if present, to cure as soon as possible. With a critical decrease in the number of red blood cells, therapy is interrupted until the indicator returns to normal.

How can hemoglobin be raised during chemotherapy? Conventional drugs based on inorganic iron at this time are most often contraindicated due to the mass of side effects that worsen the patient's condition. In addition, iron in this form forms free radicals during decay, which are provocateurs of the development of cancer.

An alternative to these drugs can be a biologically active food supplement Hemobin. It is made from heme iron. It is absorbed in the body, almost 100%, while free radicals are not formed, which means that there is no negative effect on the body.

Another way to raise hemoglobin after chemotherapy is to take hematopoietic stimulants (erythropoiesis). But it is important to know that they can cause a lot of side effects, which in some cases exceed the risk of death of the patient from the underlying disease. In particular, stimulants increase the risk of thrombosis by increasing the number of platelets. Some experts argue that the use of these drugs after a course of chemotherapy provokes tumor growth, therefore, it is recommended to cancel them immediately after the treatment is completed, and choose another way to raise hemoglobin after chemotherapy.

In cases where therapy has led to strong fall hemoglobin, it is necessary to increase it in short terms. How to raise hemoglobin dramatically:

• The introduction of iron preparations intravenously;
• Blood transfusion;
• RBC transfusion.

After courses of chemotherapy, not only the number of erythrocytes, but also leukocytes falls. That's why the next step treatment - restoration of normal blood composition. How can hemoglobin and leukocytes be raised after chemotherapy? To avoid acute immunodeficiency due to a lack of leukocytes, drug treatment is prescribed, special drugs with leukopoietic action and diet therapy. It is recommended to eat fish, beef, buckwheat, fruits, vegetables and red berries. Some of the iron can also be obtained from these products. But without iron-containing drugs, it is impossible to raise hemoglobin to normal.

How to raise hemoglobin during chemotherapy, are there other ways? Traditional methods are not effective for the treatment of anemia. The absorption of iron from food, even in concentrated form, does not exceed 5-30%. Since it is not possible to raise hemoglobin after chemotherapy with folk remedies, it is recommended to use safe drug iron produced on the basis of animal hemoglobin - Hemobin.

How to raise hemoglobin before and after surgery

Surgery almost always leads to a drop in hemoglobin levels, this is due to the following reasons:

1. Blood loss. The lack of blood volume is compensated by plasma, because of this, the concentration of red blood cells decreases.
2. General anesthesia. Its influence is not so great, but the inhibitory effect of anesthesia affects the work of all organs and systems of the body, including the hematopoietic system.
3. operations of the gastrointestinal tract. Interventions on the stomach and intestines lead to disruption of the natural mechanisms of absorption of vitamins and trace elements.

Before the operation, the patient must take blood for analysis. If the hemoglobin level is below the acceptable value, the operation will be postponed. Anemia increases the risk of a poor surgical outcome by 40%. If the operation needs to be done in urgently, then hemoglobin is increased by blood transfusion.

Before a planned operation, it is recommended to take a course of taking iron supplements. It is important to choose a safe medicine, since the body is weakened by the underlying disease, and additional burdens from the side effects of inorganic iron can significantly affect overall well-being. In this case, Hemobin is suitable, it does not irritate the mucous membranes of the gastrointestinal tract and is well absorbed. You need to take it 3 times a day, 4 tablets. The duration of the course depends on the degree of anemia.

How to raise hemoglobin after surgery:

• Iron preparations;
• Vitamin B12 injections;
• folic acid;
• Blood transfusion (with large blood loss during the operation).

How else to raise hemoglobin after surgery? As an additional treatment, you can use diet therapy and take vitamin complexes. AT postoperative period hemoglobin levels should be monitored regularly.

What kind of recovery will be prescribed after the operation also depends on which organ the intervention was performed on.

How to raise hemoglobin after surgery with an oncological diagnosis: with large blood loss - blood transfusion; with minor - iron preparations.

How to raise hemoglobin after gallbladder removal: common complication during this operation - blood loss, sometimes a transfusion of erythrocyte mass is required, if the intervention went without complications, iron preparations are prescribed.

How to raise hemoglobin after cesarean section: a decrease in hemoglobin in this case is most often associated with blood loss and general stress for the body, so there can be only one way out - taking iron supplements. Diet therapy will not bring the desired results, and bringing hemoglobin back to normal is simply necessary for a young mother, anemia during lactation can lead to the development of anemia in a baby.

Many patients, worried that the operation will be canceled due to anemia, ask "how to raise hemoglobin in three days?" or “how to raise hemoglobin before donating blood?”. Attempts to independently quickly increase the rate to normal will only harm the body. Firstly, large doses of iron negatively affect the gastrointestinal tract, and secondly, the doctor must be aware of the real state of the patient's health.

Oncologist's advice on how to raise hemoglobin: “It is best to regularly monitor the level of hemoglobin, and eat a balanced diet, but if anemia has already occurred, then you should take iron supplements at the dose recommended by the specialist. Heme iron is well absorbed from the drug Hemobin, it can quickly raise hemoglobin to normal and the operation will take place on schedule. Therefore, my answer to the question “how to raise hemoglobin before a blood test” is without harm to the body.”

How to raise hemoglobin in other diseases

Low hemoglobin is a frequent companion of many diseases. According to some experts, anemia is not a separate disease, but symptomatic manifestation another illness. With different pathologies, the treatment of anemia has its own characteristics.

Iron - important element human metabolism that takes part in hematopoiesis. Despite the fact that its absorption occurs in the intestines, the intestines and hemoglobin are rarely associated, which often makes it difficult to diagnose the cause of anemia.

Iron malabsorption

Low hemoglobin, as a result of impaired absorption of iron in the intestine, is a fairly common problem. To understand its etiology, you need to know exactly how this element is absorbed, and what is the relationship between the intestine and the level of hemoglobin.

The amount of ferum absorbed into the blood significantly exceeds the requirements of the body. Iron is delivered to the blood by enterocytes, so the rate of the process depends on the production of apoferritin by these cells. This substance captures the ferum molecule, binding it, preventing it from being released into the blood.

If the hemoglobin level is normal or above normal, apofferitin is produced by enterocytes in large quantities. Over time, these cells “fall off” from the intestinal walls, removing iron from the body naturally. If the hemoglobin level drops, the enterocytes practically do not produce a “trap” for iron and the blood is saturated with the necessary element.

If for some reason these processes fail, a person develops iron deficiency anemia. Malabsorption can be the result of many diseases of the gastrointestinal tract.

Causes of insufficiency of intestinal absorption

The problem may occur due to the following diseases:

• dysbacteriosis;
• violations of peristalsis;
• Crohn's disease;
• oncology;
• intestinal obstruction, etc.

The cause of poor absorption of iron in the intestine may be a recent surgical intervention.

Dysbacteriosis

Dysbacteriosis is a state of the intestine when its non-pathological microflora lends itself to qualitative or quantitative changes, and is accompanied by various disorders of the gastrointestinal tract.

The intestinal flora constantly maintains normal course metabolic processes in the body, bacteria are involved in biochemical and metabolic processes. They are an important part defense mechanisms immunity. The microflora is formed by natural physiological needs organism, therefore, a change in the number and types of microorganisms signals a malfunction.

Can cause dysbacteriosis systemic pathologies, HIV infection and other diseases that cause a persistent deterioration in human immunity when the body is not able to maintain the stability of the flora. Dysbacteriosis can occur after a course of antibiotic treatment. Usually the intestines recover on their own after therapy, but sometimes you need to drink pharmaceuticals to help speed up this process.

Trouble digesting certain foods due to enzyme deficiency also common cause pathologies, for example, with lactose deficiency, intolerance to cereals, etc.

Enteritis

Inflammation of the small intestine (enteritis) is characterized by impaired functionality of the organ, which is caused by changes in the structure of the mucous membranes. An extraintestinal symptom of enteritis is malabsorption syndrome - a condition in which many elements that enter the intestine are unable to be absorbed in it.

If the pathology exists for a long time, hypovitaminosis or a lack of some trace elements develops, for example, iron deficiency anemia occurs.

Crohn's disease

- this is inflammatory processes in the deep tissues of the entire gastrointestinal tract, which begins with ileum extending to the entire intestine. The differential diagnosis often does not identify differences in initial stage Crohn's disease and appendicitis, which is why the disease is diagnosed with surgical intervention on the appendix.

Crohn's disease involves malabsorption of vitamins, minerals, which, when long-term development disease causes anemia, which is manifested by low hemoglobin.

Violation of peristalsis

Food is transported through the intestines through muscle and hormonal interactions. Food is divided into absorbed substances and waste products, which improves the flow of nutrients into the blood. When the motility of the organ is disturbed, discomfort and various complications occur. Increased peristalsis causes excessive fecal excretion, which is why useful substances, including iron, do not have time to be absorbed, which causes water-electrolyte imbalance, hypovitaminosis and anemia.

bowel cancer

Every 10-15 patients who suffer from iron deficiency anemia after the age of 40 are prone to oncology of the digestive system. Very often, low hemoglobin is the only manifestation with. In addition, lymph nodes may be enlarged. Therefore, if oncological formations are suspected, first of all, doctors do a general blood test to identify anemia, if diagnosed, an urgent consultation with a gastroenterologist is necessary. In men closer to 50 years, a low hemoglobin level may indicate a malignant neoplasm in the rectum.

Other reasons

Often, the level of hemoglobin drops with obvious or hidden bleeding, for example, with hemorrhoids, injuries, and operations. Autoimmune diseases, infectious lesions can become the cause of the problem. Hemoglobin levels may be below normal with peptic ulcer or gastritis.

In addition to pathological causes reduced level hemoglobin, there are others that are associated with poor unbalanced nutrition.

Elevated hemoglobin due to bowel obstruction

Intestinal obstruction is characterized by a narrowing of the intestinal passage, as a result of which the transport of food is disturbed. Most often, complete blockage of the lumen does not occur, which can be cured by pharmaceutical means. Sometimes it's necessary surgery, for example, if tumors or lymph nodes in the intestines are enlarged and treatment does not help.

With intestinal obstruction, there is a violation of blood circulation, which can provoke an acute vascular insufficiency. A blood test shows erythrocytosis, high hemoglobin, changes in white blood cells, etc.

Diagnosis and treatment

Diagnostic procedures begin with a complete blood count, which will show the level of red blood cells, hemoglobin in the blood and iron levels. Doctors determine the nature of anemia, after which other diagnostic procedures are carried out to identify the source of the problem. A specialist can perform ultrasound, retromanoscopy, radiography and other studies of the intestine if there is a suspicion that this organ is the source of anemia.

Treatment for anemia includes taking pharmaceuticals to increase iron levels in the blood, diet food and treatment of the underlying disease.