Anemia of Chronic Disease - Treatment

Treatment

The ideal treatment for anemia of chronic disease is to treat the chronic disease successfully, but this is rarely completely possible with current medical treatment. Barring that, many patients with anemia of chronic disease simply live with the effects of the anemia as part of enduring the limits placed on them by other aspects of their underlying medical conditions, as this condition is often poorly treated either with altered diet, or with oral Iron

Parenteral iron is increasingly used, and guidelines recommend its use in IBD and CKD. Commercially-produced erythropoietin can be helpful in some circumstances. This is costly, and may be dangerous. erythropoietin is advised either in conjunction with adequate iron replacement which in practice is intravenous, or when IV iron has proved ineffective.

In cases where patients become haemodynamically unstable, transfusions can be undertaken.

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