Anemia in Children

Anemia is a common condition among children and can range in severity from mild to serious. Understanding anemia and its various types, causes, and treatments is crucial for managing your child’s health.

At Bootin and Savrick Pediatric Associates in Houston, TX, we have experience diagnosing and treating anemia and many other childhood illnesses. Call us today to schedule a consultation!

A girl with anemia is feeling dizzy in Houston, Texas.

What is Anemia?

Anemia in children occurs when the body lacks enough red blood cells or when the cells do not work effectively, limiting the body’s oxygen supply. Red blood cells play a vital role in transporting oxygen from the lungs to other parts of the body, so when there aren’t enough of them, it can cause fatigue, weakness, and other health issues.

Anemia is one of many childhood illnesses that Bootin and Savrick Pediatric Associates diagnose and treat.

Types of Anemia in Children

Anemia in children can take various forms, each with unique characteristics:

  • Iron Deficiency Anemia: The most common type is caused by a lack of iron, which is essential for producing hemoglobin—a protein in red blood cells that carries oxygen.
  • Sickle Cell Anemia: A genetic disorder where red blood cells are crescent-shaped, which results in fragile red blood cells which are not functional, block  blood vessels, and cause chronic pain, 
  • Aplastic Anemia: A rare condition where the bone marrow doesn’t produce enough blood cells, affecting both red and white blood cells.
  • Hemolytic Anemia: Occurs when red blood cells are destroyed faster than the body can replace them, sometimes due to inherited blood disease, immune system issues, or certain medications.
  • Megaloblastic Anemia: Caused by deficiencies in vitamins like B12 and folate, leading to the production of abnormally large red blood cells that don’t function well.
 

Each type of anemia requires specific diagnostic tests and treatment plans tailored to the underlying cause.

What Are the Symptoms of Anemia?

Recognizing anemia in children can be challenging, as symptoms vary depending on the severity and type. Common symptoms to watch for include:

  • Fatigue and low energy
  • Pale skin, particularly noticeable on the face or inner eyelids
  • Shortness of breath or rapid heartbeat
  • Dizziness or fainting
  • Irritability or mood changes
  • Delayed growth and development in more severe cases
 

If your child exhibits any of these symptoms, a doctor’s evaluation is essential.

What Causes Anemia?

The causes of anemia in children can be divided into three primary categories:

  1. Nutritional Deficiencies:  Common causes of iron deficiency: Too much cow’s milk leading to poor absorption of iron and insufficient intake of iron-rich foods like meat, beans, and leafy greens. Also, breastmilk can be low in iron. Other deficiencies, such as vitamin B12 or folic acid, can also lead to anemia.
  2. Genetic Factors: Conditions like sickle cell anemia and thalassemia are inherited blood disorders that affect red blood cell production and function.
  3. Bone Marrow or Blood Disorders: In rare cases, conditions such as aplastic anemia or certain infections can hinder the bone marrow’s ability to produce enough blood cells.
 

Understanding the underlying cause of a child’s anemia helps healthcare providers develop an effective treatment plan.

What Are the Risk Factors?

Some children may be more at risk of developing anemia due to:

  • Dietary: A diet low in essential nutrients like iron, vitamin B12, and folate increases the risk. Excessive intake of cow’s milk
  • Family History: Genetics plays a significant role, especially in cases of sickle cell anemia or other inherited blood disorders.
  • Chronic Illnesses: Conditions such as kidney disease or cancer can increase the risk by affecting red blood cell production.
  • Premature Birth: Babies born prematurely may not have had enough time to build up iron stores, leading to a higher risk of iron deficiency anemia.

How is Anemia Diagnosed?

To diagnose anemia, doctors rely on several blood tests:

  • Hemoglobin and hematocrit.  This test measures the amount of red blood cells and hemoglobin in the blood.
  • Complete Blood Count (CBC): This common test measures red and white blood cells, hemoglobin levels, and other markers.
  • Peripheral smear. Another test that may be used to check if the blood cells look normal.
 

Early diagnosis is essential for effective treatment, so regular check-ups and prompt testing are crucial if anemia symptoms appear.

How is Anemia Treated?

Treating anemia in children depends on the underlying cause and severity:

  • Iron Supplements and Diet Adjustments: For cases of iron deficiency anemia, iron supplements and dietary changes to include more iron-rich foods like spinach, lean meats, and beans are usually effective.
  • Blood Transfusions, iron infusions: For severe types, such as sickle cell anemia or aplastic anemia, blood transfusions may be necessary to provide enough healthy red blood cells. Some may require iron infusion through an IV.
  • Medications: For inherited types like sickle cell anemia, medications may help manage symptoms and prevent complications.
  • Bone Marrow Transplant: In severe cases of aplastic anemia, a bone marrow transplant may be considered to help restore blood cell production.
 

Bootin and Savrick Pediatric Associates provide comprehensive care for treating blood disorders, offering the best possible outcomes for children with anemia.

Can Anemia Be Prevented?

In many cases, anemia can be prevented through:

  • A Balanced Diet: Ensure your child consumes iron-rich foods, such as lean meats, beans, and dark leafy greens, along with foods rich in vitamin C, which helps with iron absorption.
  • Regular Check-Ups: Routine pediatric check-ups can help detect early signs of anemia, especially if there are known risk factors.
  • Awareness of Family History: Knowing your family’s medical history can help your doctor assess any inherited risk factors early on, especially for conditions like sickle cell anemia.

Comprehensive Pediatric Care for Childhood Illnesses

Anemia in children is a manageable condition when addressed promptly. Bootin and Savrick Pediatric Associates is here to support you with a full range of services for diagnosing, treating, and preventing childhood illnesses, including anemia. 

Our expert team in the Greater Houston area will work closely with you to ensure your child receives the best possible care. Contact us today to schedule an appointment! For more information, please visit our childhood illnesses page to learn how we can help your child thrive.

Medically reviewed by Dr. Monica McGrann