Evaluating and treating active patients for anemia.

Browne, R J · Phys Sportsmed · 1996

review · Level V

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Abstract

Anemia affects many active patients, from young female recreational athletes to elite male competitors. The treatment may simply be iron supplementation, but the causes of iron-deficiency anemia are many, including poor nutrition, exercise-induced hemoglobinuria or hematuria, gastritis, hemorrhoids, peptic ulcer disease, angiodysplasia, and adenocarcinoma. Therefore, physicians need to do a thorough evaluation that includes a medical history, family medical history, drug history, physical exam, and referral to a gastroenterologist if necessary.