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Megaloblastic Anemia

Diagnosis, symptoms, and treatment methods.

General Information About Megaloblastic Anemia

Megaloblastic anemia is a type of anemia characterized by the production of red blood cells in the bone marrow that are unable to divide and are abnormally large, oval, and dysfunctional (megaloblasts) due to a deficiency in Vitamin B12 or Folic Acid (Vitamin B9), which are vital for DNA synthesis. In our Internal Medicine and Hematology units, it is successfully treated by measuring vitamin levels in the blood and replacing the deficient vitamin in the form of injections or pills.

Disease Details and Frequently Asked Questions

You can find detailed information about the disease under the headings below.
What is Megaloblastic Anemia?

It is a type of anemia where the erythrocytes (red blood cells) produced in the bone marrow cannot divide to their normal size due to incomplete DNA development and are released into the blood in a giant (macrocytic) and empty state.

What Causes It?

There are two main causes: Vitamin B12 deficiency and Folic Acid deficiency. Malnutrition (strict vegan diet), stomach reduction surgeries, malabsorption disorders like Celiac disease, and pregnancy trigger these deficiencies.

Is it the Same as Pernicious Anemia?

Pernicious anemia is one of the most common types of megaloblastic anemia. It is the condition where Vitamin B12 cannot be absorbed into the blood due to an autoimmune disease in the stomach.

What are the Symptoms?

In addition to pallor and palpitations due to anemia; swelling/redness of the tongue (glossitis), pins and needles/numbness in the hands and feet (neuropathy), memory blurriness, and loss of balance are the most prominent complaints.

How is it Diagnosed?

It is suspected when the MCV value, which indicates cell volume in the Complete Blood Count (Hemogram), is above 100. Definitive diagnosis is made by measuring Vitamin B12 and Folic acid levels in the blood.

How is it Treated?

If the problem is nutritional, oral Vitamin B12 or Folic Acid pills are given. If there is an absorption disorder in the stomach (Pernicious anemia), pills will not work, so Vitamin B12 is injected intramuscularly for life to provide treatment.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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