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Dr. Andrew Rynne

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What Causes Abdominal Pain Followed By Diarrhea While On Iron Supplements?

hi, sir i am Geetanjali. MY AGE IS 28, and my Hb is just 8 whenever i am taking ferrous sulfate and iron tablet i am getting stomach problem like constipation if different medicine than diarrhea, nausea plz suggest me medicine which will increase my hb also and no side effects i try so many tablets no improvement
Mon, 20 Jan 2020
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Ayurveda Specialist 's  Response
Hi,

1. If you are getting nausea/constipation with oral iron supplements which could either be ferrous sulphate, ferrous fumarate, thus try another compound of iron like ferrous ammonium citrate [dexorange], ferrous glycine sulphate [fezocar], or ferrous succinate [hematrene], or you can go for injectable preparation of Iron either through intramuscular or intravenoues drip [after test dose].
2. Apart from the medicine(s), some points worth mentioning are:
- All oral iron preparations stain the stool black.
- All iron preparations raise Hemoglobin by 1% every day, and 1 gram % every week, continue treatment for 3 months to replenish stores.
- Gastric irritation is minimal if taken between meals [although absorption will be slightly delayed]
- Do not take milk/milk products one hour before or after taking iron supplements since milk hampers the absorption of iron.
- Anemia is very common and Hemoglobin of more than half the patients, even in well to do families is below normal.
- Oral Iron capsules are preferred to liquid preparations which are costlier and stain the tongue black. If satisfactory response is not seen [as you have mentioned] thus please consult your GP or gynecologist to look for the source of blood loss: hookworm, piles, PV bleeding, malignancies.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Munish Sood, Ayurveda Specialist
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What Causes Abdominal Pain Followed By Diarrhea While On Iron Supplements?

Hi, 1. If you are getting nausea/constipation with oral iron supplements which could either be ferrous sulphate, ferrous fumarate, thus try another compound of iron like ferrous ammonium citrate [dexorange], ferrous glycine sulphate [fezocar], or ferrous succinate [hematrene], or you can go for injectable preparation of Iron either through intramuscular or intravenoues drip [after test dose]. 2. Apart from the medicine(s), some points worth mentioning are: - All oral iron preparations stain the stool black. - All iron preparations raise Hemoglobin by 1% every day, and 1 gram % every week, continue treatment for 3 months to replenish stores. - Gastric irritation is minimal if taken between meals [although absorption will be slightly delayed] - Do not take milk/milk products one hour before or after taking iron supplements since milk hampers the absorption of iron. - Anemia is very common and Hemoglobin of more than half the patients, even in well to do families is below normal. - Oral Iron capsules are preferred to liquid preparations which are costlier and stain the tongue black. If satisfactory response is not seen [as you have mentioned] thus please consult your GP or gynecologist to look for the source of blood loss: hookworm, piles, PV bleeding, malignancies. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Munish Sood, Ayurveda Specialist