Anemia: What it feels like and what to do next
Feeling wiped out, short of breath after minor effort, or noticing pale skin? Those are common signs of anemia. It happens when your blood doesn’t carry enough oxygen because red blood cells or hemoglobin are low. That sounds clinical, but the takeaway is practical: anemia makes everyday life harder—and many types are treatable.
Causes and common symptoms
There are three main reasons you might get anemia: you lose blood (bleeding), your body doesn’t make enough red blood cells, or the cells break down too fast. The most common kind is iron-deficiency anemia caused by low iron from heavy periods, stomach problems, or not eating enough iron-rich foods.
Symptoms to watch for: persistent fatigue, shortness of breath with activity, fast heartbeat, dizziness, pale or yellowish skin, cold hands and feet, and trouble concentrating. Some types add specific signs—B12 deficiency can cause numbness or balance problems, while chronic disease-related anemia develops slowly with fewer obvious symptoms.
How doctors check and what tests mean
A simple complete blood count (CBC) is the first test. It measures hemoglobin and red blood cell size. Low hemoglobin confirms anemia; the CBC plus a reticulocyte count tells your doctor if your body is making new cells. Ferritin and iron studies show if it’s iron-deficiency. If those are normal, tests for B12, folate, thyroid function, kidney function, or a blood smear may follow.
Normal hemoglobin ranges vary, but roughly speaking adults: men about 13.8–17.2 g/dL and women about 12.1–15.1 g/dL. Numbers alone don’t tell the whole story—your symptoms and medical history matter.
Treatment depends on the cause. For iron-deficiency anemia, oral iron supplements are common. A typical approach uses supplemental iron until levels normalize, plus time to refill stores; your doctor will pick dose and length. Vitamin C taken with iron helps absorption. If B12 is low, injections or high-dose oral B12 work well. If bleeding is the problem, the source must be fixed—sometimes that means treating ulcers, heavy periods, or medications that cause bleeding.
Severe cases may need faster fixes: intravenous iron or a blood transfusion in emergencies. Chronic disease–related anemia is treated by managing the underlying condition and sometimes special medications that stimulate red blood cell production.
Diet helps but won’t always fix true deficiency on its own. Eat iron-rich foods like lean red meat, beans, lentils, spinach, and fortified cereals. Pair them with vitamin C sources—oranges, peppers, strawberries—to boost absorption. Avoid drinking tea or coffee right with meals; they can cut iron uptake.
When to see help now? If you have chest pain, fainting, severe shortness of breath, or very fast heartbeat, seek immediate care. For ongoing fatigue or symptoms that don’t match your sleep and lifestyle, book a primary care visit and ask for a CBC. Pregnant people should get screened routinely—anemia in pregnancy needs prompt attention.
Quick tip: keep a short symptom log (energy level, breathlessness, bleeding, medications). That makes your visit more useful and speeds diagnosis. Anemia is common, often correctable, and with the right tests and treatment you can get your energy back.