Natural Health Care

What treatment is anemia of vitamin B12 deficiency?

It is important to find the cause of the deficiency. For example, in the event that this occurs due to the presence of excess bacteria or intestinal parasites, will require the use of antibiotics or even surgery to correct the anatomic abnormality that may favor the overgrowth of abnormal in the intestine .

However, in all cases where a clear diagnosis of anemia should be instituted a regimen of regular intramuscular injections of vitamin B12. If there are neurological problems since the start of treatment, most likely also revert with the cure of anemia, but in some cases, especially when there is already established dementia, may be too late and not get that last forever prevent such sequelae. This treatment should be maintained after lifetime in almost all patients.

What can we do the doctor and us in terms of prevention?

- The deficiency of vitamin B12 in the case of vegans can be prevented by including milk products and/or eggs in the diet.

- In patients who have undergone extensive gastrectomy (removal of most or all of the stomach) as well as those in which they have removed a significant portion of small intestine should receive injections of vitamin B12 for life periodically to prevent appearance of anemia, which usually happens after 3 or 4 years since the intervention. The reason they take so long to betray the deficit is justified by the fact that vitamin B12 is accumulated in the liver and reserves a fair amount of it can last without exhausting all the while.

- In the case of pernicious anemia can not prevent their appearance but once the disease is diagnosed, it is very important to make periodic reviews of the stomach in order to prevent the development of malignant gastric tumor, something for which there is a tendency increased in these patients.

- Finally do not forget to consult your family doctor appearance of a major without cause fatigue or excessive pallor and the unexplained changes in behavior and serious disorders of memory, especially if they occur in elderly patients with difficulty progressive to coordinate walking.

credit to: Dr. Alfonso José Santiago Marí, Dr. Flemming Andersen, Dr. Patrick Davey, Dra. Rachel Green

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