Iron Deficiency (Anaemia) - Revision history

Frances.Sarkari@anthonynolan.org: /* Pseudonyms or Related Conditions */

2025-10-16T13:43:47Z

Pseudonyms or Related Conditions

Maram.Ghiti@anthonynolan.org: /* Guidance */

2024-06-05T13:28:55Z

Guidance

Maram.Ghiti@anthonynolan.org: /* Guidance */

2024-06-05T13:27:53Z

Guidance

Maram.Ghiti@anthonynolan.org: /* Guidance */

2024-06-05T13:27:05Z

Guidance

Maram.Ghiti@anthonynolan.org: /* Explanation of Condition */

2024-06-04T12:12:44Z

Explanation of Condition

Maram.Ghiti@anthonynolan.org: /* Explanation of Condition */

2024-06-04T12:12:26Z

Explanation of Condition

Maram.Ghiti@anthonynolan.org: /* Explanation of Condition */

2024-06-04T12:11:54Z

Explanation of Condition

Maram.Ghiti@anthonynolan.org: /* Explanation of Condition */

2024-06-04T12:10:52Z

Explanation of Condition

Maram.Ghiti@anthonynolan.org: /* Guidance */

2024-06-04T12:07:02Z

Guidance

Maram.Ghiti@anthonynolan.org: /* Guidance */

2024-05-20T09:06:07Z

Guidance

← Older revision		Revision as of 13:43, 16 October 2025
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	==Pseudonyms or Related Conditions==		==Pseudonyms or Related Conditions==

		+	IDA

	==Version==		==Version==

← Older revision		Revision as of 13:28, 5 June 2024
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	If the donor answers "yes" to any of the other questions and a non-malignant and non-inflammatory cause for the iron deficiency is identified, this should be followed up appropriately (e.g. dietary advice if insufficient red meat intake, coagulation screen/FBC if reports of bruising, coagulation screen/FBC then post-donation GP review for nosebleeds). As long as remaining blood tests are normal (such as coagulation screens), the donor can be cleared. Iron supplementation should be advised (200mg ferrous sulfate once a day for six weeks). A letter should also be written to the donor's GP to inform them of the finding and advise consideration of a coeliac screen.		If the donor answers "yes" to any of the other questions and a non-malignant and non-inflammatory cause for the iron deficiency is identified, this should be followed up appropriately (e.g. dietary advice if insufficient red meat intake, coagulation screen/FBC if reports of bruising, coagulation screen/FBC then post-donation GP review for nosebleeds). As long as remaining blood tests are normal (such as coagulation screens), the donor can be cleared. Iron supplementation should be advised (200mg ferrous sulfate once a day for six weeks). A letter should also be written to the donor's GP to inform them of the finding and advise consideration of a coeliac screen.

−	If there is no obvious cause of iron deficiency AND there are no red flag symptoms AND no family history of bowel problems, conduct a FIT test (which can be posted to the donor's address). If this is negative, the donor can be cleared to donate. As above, iron supplementation should be advised and their GP informed~~. The GP may want to consider a coeliac screen post-donation~~.	+	If there is no obvious cause of iron deficiency AND there are no red flag symptoms AND no family history of bowel problems, conduct a FIT test (which can be posted to the donor's address). If this is negative, the donor can be cleared to donate. As above, iron supplementation should be advised and their GP informed.

← Older revision		Revision as of 13:27, 5 June 2024
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−	If the donor reports red flag symptoms of a GI cancer (dysphagia, change in appetite, change in bowel habit, unintentional weight loss, unexplained fatigue, blood in the stool or dark stool), the donation process should be deferred with an urgent 2ww referral via their GP. In people with a family history of GI malignancy, ~~referral for~~ further investigation should also be undertaken.	+	If the donor reports red flag symptoms of a GI cancer (dysphagia, change in appetite, change in bowel habit, unintentional weight loss, unexplained fatigue, blood in the stool or dark stool), the donation process should be deferred with an urgent 2ww referral via their GP. In people with a family history of GI malignancy, consideration of further investigation should also be undertaken.

	Symptoms suggestive of IBD should also result in deferral and investigation.		Symptoms suggestive of IBD should also result in deferral and investigation.

@@ Line 15: / Line 15: @@
 <b> Females with iron deficiency anaemia or non-anaemic iron deficiency </b>
-Iron deficiency is common in women of menstruating age due to chronic blood loss. Females diagnosed with iron deficiency anaemia at workup should be advised to supplement iron (200mg ferrous sulfate once a day for six weeks - to be obtained from a pharmacy), and may donate once the haemoglobin has risen to normal level.
+Iron deficiency is common in women of menstruating age due to chronic blood loss. Females diagnosed with iron deficiency anaemia at workup should be advised to supplement iron (200mg ferrous sulfate once a day for six weeks - to be obtained from a pharmacy), and may donate once the haemoglobin has risen to an acceptable level (>110)
 Ensure appropriate GP follow-up is in place.
@@ Line 53: / Line 53: @@
 If the donor answers "yes" to any of the other questions and a non-malignant and non-inflammatory cause for the iron deficiency is identified, this should be followed up appropriately (e.g. dietary advice if insufficient red meat intake, coagulation screen/FBC if reports of bruising, coagulation screen/FBC then post-donation GP review for nosebleeds). As long as remaining blood tests are normal (such as coagulation screens), the donor can be cleared.  Iron supplementation should be advised (200mg ferrous sulfate once a day for six weeks). A letter should also be written to the donor's GP to inform them of the finding and advise consideration of a coeliac screen.
-If there is no obvious cause of iron deficiency AND there are no red flag symptoms AND no family history of bowel problems, conduct a FIT test (which can be posted to the donor's address). If this is negative, the donor can be cleared to donate. As above, iron supplementation should be advised and their GP informed.
+If there is no obvious cause of iron deficiency AND there are no red flag symptoms AND no family history of bowel problems, conduct a FIT test (which can be posted to the donor's address). If this is negative, the donor can be cleared to donate. As above, iron supplementation should be advised and their GP informed. The GP may want to consider a coeliac screen post-donation.

@@ Line 10: / Line 10: @@
 ==Explanation of Condition==
-In donors with iron deficiency or iron deficiency anaemia, there are two factors to consider. The first is whether their haemoglobin is at a level which is clearable. The second is the cause of the underlying iron deficiency. A thorough history is required to elucidate the cause. Some causes are benign and have no effect on clearance (e.g. blood donation, vegetarian diet) and some causes can affect clearance (such as symptoms suggesting an underlying gastrointestinal malignancy or IBD).
+In donors with iron deficiency or iron deficiency anaemia, there are two factors to consider. The first is whether their haemoglobin is at a level which is clearable. The second is the cause of the underlying iron deficiency. A thorough history is required to elucidate the cause. Some causes are benign and have no effect on clearance (e.g. blood donation, vegetarian diet) while some causes can affect clearance (such as symptoms suggesting an underlying gastrointestinal malignancy or IBD).
 ==Guidance==

← Older revision		Revision as of 12:10, 4 June 2024
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	==Explanation of Condition==		==Explanation of Condition==

		+	In donors with iron deficiency or iron deficiency anaemia, there are two factors to consider. The first is whether their haemoglobin is at a level which is clearable. The second is the cause of the underlying iron deficiency. A thorough history is required to elucidate the cause - some causes are benign and have no effect on clearance (e.g. blood donation, vegetarian diet) and some of which may affect clearance (such as symptoms suggesting an underlying gastrointestinal malignancy or IBD).

	==Guidance==		==Guidance==

@@ Line 39: / Line 39: @@
 •	Have you had any previous operations (e.g. gastric bypasses)?
-•	Have you noticed any bleeding (e.g. nosebleeds, blood in the urine, blood in the stool etc)?
+•	Have you noticed any bleeding (e.g. nosebleeds, blood in the urine etc)?
 •	Have you noticed any excessive bruising?

@@ Line 50: / Line 50: @@
 If the donor reports visible haematuria, the donation process should be deferred with a 2ww referral to renal/urology (depending on donor age) via their GP.
-If the donor answers "yes" to any of the other questions and a non-malignant and non-inflammatory cause for the iron deficiency is identified, this should be followed up appropriately (e.g. dietary advice if insufficient red meat intake, coagulation screen/FBC if reports of bruising, coagulation screen/FBC then post-donation GP review for nosebleeds). As long as remaining blood tests are normal (such as coagulation screens), the donor can be cleared.  Iron supplementation should be advised (200mg ferrous sulfate once a day for six weeks). A letter should also be written to their GP to inform them of the finding and advise consideration of a coeliac screen.
+If the donor answers "yes" to any of the other questions and a non-malignant and non-inflammatory cause for the iron deficiency is identified, this should be followed up appropriately (e.g. dietary advice if insufficient red meat intake, coagulation screen/FBC if reports of bruising, coagulation screen/FBC then post-donation GP review for nosebleeds). As long as remaining blood tests are normal (such as coagulation screens), the donor can be cleared.  Iron supplementation should be advised (200mg ferrous sulfate once a day for six weeks). A letter should also be written to the donor's GP to inform them of the finding and advise consideration of a coeliac screen.
-If there is no obvious cause of iron deficiency AND there are no red flag symptoms and no family history of bowel problems, conduct a FIT test (which can be posted to the donor's address).
+If there is no obvious cause of iron deficiency AND there are no red flag symptoms AND no family history of bowel problems, conduct a FIT test (which can be posted to the donor's address). If this is negative, the donor can be cleared to donate. As above, iron supplementation should be advised and their GP informed.