Hematopoietic
1.
Some of the factors that put her at risk for anemia are: heavy periods, she also loosed blood during her periods for 6 days. Also, her 4 deliveries in the last 4 years can contribute to this. She also suffers from ulcers. All these factors contribute to blood loss and malabsorption of iron from her intake, which can contribute to iron deficiency anemia. Also, another contributing factors, could be that she has been taking Ibuprofen for a long time, which can cause anemia.
2.
Some reason for her constipation could be that she suffers from ulcers. She is also on diuretics, which decrease her blood volume and can cause her to dehydrate if not consume adequate fluids. Her heavy menstrual periods can also be a cause of dehydration.
3.
Vitamin B12 and folic acid are needed for the synthesis of RBC in erythropoiesis.
Erythroblasts (immature erythrocyte), in order to proliferate and differentiate, they require folate and vitamin B12. A deficiency of these components, inhibits purine and thymidylate syntheses, which impairs DNA synthesis, and causes erythroblast apoptosis, resulting in anemia from ineffective erythropoiesis. Some of the cell abnormalities that this can cause are: they become microcytic, and with low hemoglobin.
4.
J.D has fatigue, weakness, and low energy levels.
5.
Some signs that may be present with this type of anemia are: decreased levels of hemoglobin and hematocrit. Also, tachycardia, palpitations, pallor, excessive bleeding. She can also be experiencing low serum iron levels. (Shubham, Anukiruthika, Dutta, Kashyap, Moses, & Anandharamakrishnan, 2020)
6.
One of the more common treatment is to take oral iron supplements to replenish iron stores within the body; she can also obtain iron through an iron rich diet. She would be recommended to take food that helps with the absorption of iron, like food rich in vitamin C. And in more extreme cases, iron intravenous transfusions.
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