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Digestive Disorders

Hiatal Hernia with Anemia

08/25/2009

Question:

My Doctor has found me to be severly anemic and unable to absorb iron through my G.I.system. My FE reading was (1) the first time and (2) a month and a half after five iron infusions. She said I have a large hiatal hernia that seems to be responsible for some of my blood loss. Could the hernia also be responsible for my inability to absorb iron? I`m 52 so it is not associated with monthly menstration. Thank you for any anwsers you can give me.

Answer:

Large hiatael hernias have been associated with Fe deficiency anemia generally due to associated blood loss from gastritis or an ulceration often called a "Cameron ulcer".

The poor absorption of iron (Fe) is not directly related to a hiatal hernia but there are other GI conditions that can cause poor iron (Fe) absorption.

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Response by:

D Roy Ferguson, MD D Roy Ferguson, MD
Associate Professor of Medicine
School of Medicine
Case Western Reserve University