Anaemia / Low Haemoglobin

Anaemia & Low Haemoglobin Treatment in Greater Noida

Anaemia isn't a diagnosis on its own — it's a signal. The real task is finding why your haemoglobin is low, not just swallowing iron tonics and hoping. assessed and managed by Dr. Manuj Sondhi (MRCP UK) — Consultant Physician & Diabetologist at Nirvana Clinic, Greater Noida.

At a glance
🔬 Blood count with iron, B12 and folate studies
🔎 The cause found — not just iron prescribed
🩸 Heavy periods and gut loss considered
💊 Treatment matched to the type of anaemia

Why the cause matters more than the number

Anaemia means your blood is low on healthy red cells or haemoglobin, so less oxygen reaches your tissues — hence the tiredness and breathlessness. But anaemia is always a result of something else, and that something ranges from simple iron shortage to blood loss you may not have noticed.

Taking iron without knowing the cause can mask a problem or simply not work. The right first step is a proper workup to identify the type, so the treatment actually fits.

Common symptoms

They reflect the body running short of oxygen-carrying capacity.

Fatigue and weakness

The most common complaint — tired despite adequate rest.

Pale skin

Noticeable paleness, sometimes of the inner eyelids or palms.

Breathlessness

Getting winded with everyday activity or climbing stairs.

Palpitations

A racing or pounding heartbeat as the heart compensates.

Dizziness or headache

Light-headedness, especially on standing.

Hair fall and brittle nails

Common with longer-standing iron deficiency.

The common causes

Identifying which one you have decides the treatment.

Iron deficiency

The commonest type — from low intake, poor absorption or blood loss.

Heavy periods

A frequent and often overlooked cause in women.

Gut blood loss

Slow, silent loss from the stomach or bowel — important to find.

B12 or folate deficiency

Common in vegetarian diets and with absorption issues.

Chronic disease

Long-standing inflammation, infection or kidney issues.

Thalassaemia trait

An inherited cause that is common in India and easily mistaken for iron deficiency.

When to seek prompt care

Some features point to significant or rapidly worsening anaemia.

⚠️Severe breathlessness, chest pain or fainting
⚠️Black, tarry or bloody stools, or vomiting blood
⚠️Very heavy or prolonged periods
⚠️Rapidly worsening tiredness or paleness

How it's investigated

The workup is designed to name the type of anaemia and, crucially, to find any source of blood loss — because the treatment for iron deficiency is very different from B12 deficiency or thalassaemia trait.

  • ✓A full blood count with a look at red-cell size and a blood film
  • ✓Iron studies (including ferritin), and B12 and folate
  • ✓Thyroid and kidney checks where relevant
  • ✓Looking for a source of blood loss — gut or gynaecological — when indicated
  • ✓Considering thalassaemia screening, since the trait is common locally

How it's treated

Treatment follows the cause. The goal is to correct the anaemia, fix what's driving it, and confirm the response — not to stay on iron forever without a reason.

  • ✓For iron deficiency: iron through diet and supplements, taken correctly for long enough
  • ✓For B12 or folate deficiency: targeted replacement
  • ✓Finding and addressing any source of blood loss
  • ✓Re-checking the blood count to confirm it's responding
  • ✓Recognising thalassaemia trait, which does not need iron and is managed differently

Seen by a physician — not just handed a prescription

Dr. Manuj Sondhi holds MRCP (UK) from the Royal College of Physicians, along with MD, DNB and a PG Diploma in Endocrinology & Diabetes, and a Fellowship in Infectious Diseases & HIV Medicine from Tata Memorial Hospital, Mumbai. With 15+ years in internal medicine and metabolic care at Nirvana Clinic and Fortis Hospital, he investigates the cause — including silent gut loss, heavy periods or thalassaemia trait — rather than prescribing endless iron tonics, so the treatment actually matches the problem.

What patients say

“Dr. Manuj Sondhi is extremely knowledgeable, patient and professional. He took the time to listen carefully to every concern and explained the treatment clearly — the whole experience was very reassuring.”

— Verified Google review

“The tests advised were genuinely useful and nothing unnecessary was prescribed. Dr. Manuj is very experienced and explains everything in detail.”

— Verified Google review

Related care at Nirvana Clinic

Consultant Physician in Greater Noida →General medicine, diagnosis and ongoing care under one physician.Vitamin B12 Deficiency →A common cause of anaemia and fatigue.Vitamin D Deficiency →Often found alongside, behind ongoing tiredness.

Frequently asked questions

Is anaemia just iron deficiency?
No. Iron deficiency is the commonest type, but B12 or folate deficiency, chronic disease and inherited causes like thalassaemia trait all cause anaemia — and they need different treatment.
Why find the cause instead of just taking iron?
Because iron only helps iron-deficiency anaemia, and because anaemia can be the first sign of silent blood loss. Taking iron blindly can mask a problem or simply not work.
Can I fix anaemia with diet alone?
Mild iron deficiency may improve with diet, but moderate or persistent anaemia usually needs proper assessment and treatment matched to the cause.
How long until my haemoglobin improves?
With the right treatment, counts usually start improving over a few weeks, with fuller recovery over a couple of months — and a re-check confirms it.
Could heavy periods be the reason?
Yes — heavy or prolonged periods are a very common and treatable cause of iron-deficiency anaemia in women, and worth raising.
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