How To Deal With Cardiomegaly Accompanied By Anemia?
Hello Ria, Thank you for the question.
Anemia is reduced hemoglobin levels in the blood. Hemoglobin is a structure in red blood cells that functions to bind oxygen. This oxygen will be carried throughout the body to be used in various metabolic processes. Someone who has anemia, especially in the long run, will experience a lack of oxygen supply. As compensation, the heart will work harder to pump blood throughout the body to meet the body's oxygen needs. At the same time, the reduced oxygen in the body also affects the amount of oxygen absorbed by the heart muscle. Over time this condition can cause injury to further death of heart muscle cells, encouraging healthier cells to work harder to maintain blood flow and oxygen throughout the body. As a result, the heart muscles will experience thickening and the heart can enlarge (cardiomegaly).
Anemia can occur due to inadequate production of red blood cells, destruction of red blood cells that are not normal, or due to blood loss. In the case of thalassemia, anemia is caused by a genetic disorder that causes the production of abnormal red blood cells so that the body will destroy these red blood cells more quickly. As a result, the body will lack red blood cells and hemoglobin. In general, red blood cell production is also influenced by adequate nutritional intake which includes iron, vitamin B12, and folic acid. Anemia that occurs in people with thalassemia is not related to the production of red blood cells that are affected by the intake of these foods. Thus, even though food intake is maintained, the condition of anemia experienced by sufferers may not be affected much. Due to the excessive destruction of red blood cells, the level of iron in the blood of patients with thalassemia can increase. Therefore, patients are encouraged to avoid consuming foods that are high in iron. However, sufferers are still encouraged to maintain their intake of foods containing vitamin B12 and folic acid to prevent anemia due to lack of these two nutrients.
The best step you can do right now is to consult with a cardiologist by bringing the results of your examination. Your doctor will ask about your complaints and conditions, examine you, and perform other examinations such as ECG and echocardiography (cardiac ultrasound) to better understand the current condition and function of the heart. If indeed this examination is certain you have cardiomegaly and you have experienced symptoms due to this condition (such as chest pain, shortness of breath, fatigue, swollen feet), then usually the doctor will recommend treatment to reduce the burden on your heart. Cardiomegaly conditions that occur in the long term are usually not reversible but, this condition can be treated with appropriate treatment. In addition to consulting with a cardiologist, you are also encouraged to consult with your intern specialist regularly to monitor your condition so that no further complications occur.
Hope this answer helps you.