Anemia in Children: understanding symptoms and care

February 10, 2025

When a child seems constantly tired, appears paler than usual, or has trouble concentrating, they might be dealing with anemia in children. This condition, characterized by low hemoglobin levels in the blood, is quite common in childhood and deserves special attention to ensure the child’s healthy and peaceful development.

How does anemia in children manifest?

The signs of anemia can be subtle and gradual. Your child might show several signs that could indicate this condition. Let’s see what these might be:

  • A change in their energy levels: fatigue becomes constant, even after a good night’s sleep. Activities they used to do with enthusiasm now seem to require more effort. During play, you might notice they need more breaks than usual.
  • Changes in appearance: their skin color appears paler, especially in areas like the eyelids, lips, and nails. These changes might be more noticeable at certain times of the day, especially after physical activity.
  • Behavioral changes: the child might show difficulty concentrating at school or during homework. Irritability may increase, and you might notice changes in their appetite. Sometimes, they develop strange food cravings, like the desire to chew ice or inedible substances.
anemia in children

What causes anemia symptoms?

Anemia can develop for various reasons, and understanding the cause is crucial for effective treatment.

Iron deficiency is the most common cause. A child’s body needs iron to produce hemoglobin, the protein that carries oxygen in the blood. During periods of rapid growth, this need increases significantly.

Some medical conditions can interfere with iron absorption or cause blood loss. Also, an unbalanced diet, especially one poor in iron-rich foods, can contribute to the development of anemia.

In some cases, anemia can be hereditary or linked to chronic conditions that require special attention.

How can I prevent anemia?

Anemia prevention primarily happens through diet. A balanced diet should include:

  • Iron-rich foods: lean red meat, fish, legumes, and dark green leafy vegetables are excellent allies. Fortified cereals can also contribute to daily iron intake.
  • Foods that promote iron absorption: citrus fruits and other foods rich in vitamin C help the body better absorb iron. A glass of orange juice during main meals can make a difference.
  • A proper combination of foods can maximize benefits: for example, combining legumes with vitamin C, or avoiding tea and coffee during main meals, as they can interfere with iron absorption.

Can it be cured?

If anemia is diagnosed, the treatment path will be personalized based on the cause and severity of the condition.

There will likely be iron supplementation which, when necessary, must be managed carefully. It’s important to closely follow the pediatrician’s instructions regarding both dosage and treatment duration.

Regular monitoring of blood values allows verification of therapy effectiveness and any necessary adjustments. These check-ups are essential to ensure complete recovery.

Remember that it can take weeks or months to return to normal values, so arm yourself with patience and work closely with your paediatrician, who will help you understand when things have returned to normal.

How to manage daily life?

During the recovery period, certain measures can help the child. The first thing is to respect their rhythm: they might need more breaks during physical activities or extra rest periods during the day. It’s important not to push them beyond their energy levels.

Maintain a regular eating routine: main meals should be quiet moments where the child can focus on food without rushing.

Also, be patient with their mood changes: fatigue can affect their behavior. Understanding and constant support will help them face this period with more serenity.

When should I consult the pediatrician?

There are some signs that require immediate attention. The main symptoms of anemia are sudden and marked fatigue that interferes with daily activities, or extreme pallor or the appearance of other unusual symptoms.

Also, attention should remain high if there are no improvements despite ongoing treatment.

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SOURCES

Gallagher PG. Anemia in the pediatric patient. Blood. 2022 Aug 11;140(6):571-593. doi: 10.1182/blood.2020006479. PMID: 35213686; PMCID: PMC9373018.

About the Author

Severino Cirillo

Health, Wellness and Education Expert. With a degree in Community Health, he is the CEO of Informed Parent and is responsible for validating the blog's scientific information and coordinating the editorial team of experts, consisting of gynecologists, midwives, psychotherapists, and others in pregnancy, perinatal, and parenting wellness and health.