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Anemia as a Cause of Pain

  • Victoria Wermers, RN,MSN,FNP, PMHNP
  • Oct 26, 2024
  • 2 min read

Updated: May 18

Sometimes, excessive bleeding can cause generalized body aches and pain. Mild blood loss is not usually a factor in pain. But, as more and more blood is lost, generalized pain can develop.


You would not think of anemia as a cause of pain, but it can cause muscle and joint stiffness and discomfort. This is because a blood loss or disease causes a deficiency of red blood cells or their oxygen-carrying components. Red blood cells are responsible for delivering oxygen to the body's tissues. When oxygen levels drop significantly due to anemia, it can lead to muscle pain and soreness. Anemia may also manifest through physical signs such as pale lips, bluish fingernail beds, pallor inside the lower eyelids, and an overall pale skin tone. Other symptoms can include extreme fatigue, weakness, dizziness, shortness of breath, chest pain, and an accelerated heart rate, either individually or in combination. If you notice the above symptoms (especially a high heart rate and shortness of breath), it is important to see a healthcare provider ASAP to rule out underlying problems. If your healthcare provider determines that it may be anemia, getting lab work is essential.

The pain of anemia is typically alleviated by treating the underlying disorder, like iron deficiency, excessive bleeding (especially in the case of uterine fibroids or bleeding in the stomach), heavy menstruation, kidney problems, autoimmune problems, lupus, and others.



Is Anemia Causing My Pain?
Is Anemia Causing My Pain?

Approaches to Pain Related to Anemia


First: The best treatment is to figure out treat the underlying cause. This is very important.


Secondly, it is important that you stay well-hydrated. Hydration is known to increase hemoglobin levels—the oxygen-carrying component in the blood. This may help you avoid any dizziness as well.


Third, unless otherwise contraindicated (some types of anemia, i.e., hemochromatosis and thalassemia), consider an iron-rich diet. Iron is essential in the production of hemoglobin - again, the oxygen-carrying component of the red blood cell. But remember, iron, which has benefits, it can also cause constipation and can bind with some medications if taken at the same time.


Fourth, consider eating more Anti-inflammatory foods - avoid processed foods


And last, try warm baths with Epsom Salts

Over-the-Counter Medicines


Acetaminophen (common: Tylenol). Unless you have liver problems, Tylenol may be your go-to drug for aches and pains due to anemia. It is not an anti-inflammatory but a pain reliever instead. Ibuprofen (common: Motrin, Advil) and other non-steroidal anti-inflammatories can cause more bleeding (in those anemic because of a gastrointestinal bleed) and can cause problems with the kidneys, which can be dangerous for those with anemia caused by kidney problems.


If you have any questions about your pain, see a healthcare provider. Treat early.

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