Why should iron supplement when anemia due to nutrition?

The article was written by Pediatrician, Pediatric Center - Vinmec Times City International Hospital.

Malnutrition status: low weight, short height compared to standard (-2SD). Manifestations of anemia: blue skin, pale mucous membranes, fatigue, little activity, shortness of breath on exertion, heart murmurs systolic, toenails, fingernails pale, flat easily broken, loss of tongue spines, difficulty swallowing. School-age children: tired, study is not focused.

Mild and moderate decrease in HBG (rarely severe), mean hemoglobin MCH <27pc, MCV (mean erythrocyte volume <80fl, serum ferritin <12ng/ml.
Small red blood cell morphology, blemish.

Nutritional advice Exclusive breastfeeding for the first 6 months if possible, then over 6 months of using breast milk in combination with formula, if you are hypersensitive to cow's milk, you can use soy milk.
Supplemental foods rich in iron of animal and plant origin and foods that are easy to absorb iron such as: eggs, fish, red meat such as beef, pork, soybeans, dark leafy vegetables such as spinach.
Increase foods that increase iron absorption such as foods rich in vitamin C such as citrus, tomatoes.

Iron supplements + It is best to use divalent iron preparations such as ferrous sulfate, ferrous gluconate, ferrous fumarate which are more easily absorbed iron salts. Dosage 4-6 mg iron/kg body weight/day, divided into 2 times, taken between 2 meals. After 6-8 weeks of treatment, the hemoglobin level can return to normal.
+ If there is no response to increase hemoglobin after taking iron, find the cause: insufficient iron dose, child refuses to take, ineffective iron preparations, or find other causes of anemia
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