What Can You Do About Elderly Aplastic Anemia?

Aplastic anemia may include blood transfusions and medications for more serious cases. Severe aplastic anemia is life threatening and may require immediate hospitalization for treatment when the blood cell counts are extremely low. While there is no limit to the number of blood cell transfusions a person may have, complications may sometimes arise with multiple transfusions.


Transfused red blood cells contain iron that can accumulate in your body and can damage vital organs due to an iron overload, if not treated. Over time, your body may develop antibodies to transfused blood cells, making them less effective at relieving symptoms.


The blood transfusion raises the red blood cell count and relieves anemia and fatigue, as well as prevent excessive bleeding due to the transfusions of platelets.


However, for people with severe aplastic anemia and are younger, a stem cell transplant can help rebuild the bone marrow with the stem cells coming from the donor. This may be a successful treatment option.


What if you are older? There is no place for allogeneic bone marrow transplantation as first line treatment in patients older than 60 years. Immunosuppressive treatment is a reasonable option in patients older than 60 years.




Let us understand aplastic anemia first

Aplastic anemia is primarily a blood disorder in which the body’s bone marrow fails to produce sufficient blood cells for circulation. It is a rare acquired disorder that is neither present at birth nor inherited, but is developed later on.


A low red blood cell count can cause reduction in the oxygen delivery to every tissue in the body. The common symptoms are



Lack of physical energy






Shortness of breath








Frequent or prolonged infections


Unexplained or easy bruising


Orthostatic hypotension




Chest pain due to insufficient oxygen


Edema resulting from decreased blood cells



Aplastic anemia is a serious illness and if left untreated can even be fatal. It can leave the patient utterly fatigued, and exposed to a higher risk of contracting infections, which may include an uncontrolled bleeding.



How can aplastic anemia be prevented?

Avoid exposure to chemicals and toxic materials


Avoid chemically treated food products


Take necessary precautions when working with hazardous chemicals


Consult medical physicians while undergoing radiation or chemotherapy


Eat healthy iron rich foods and exercise regularly



Aplastic anemia can be best avoided by eating a wide variety of healthy foods that are rich in iron content. Fruits, such as apples, bananas, apricots and plums; vegetables such as yams, squash, asparagus, broccoli and leafy vegetables, tofu, whole grains plus more. They all help build the body’s resistance.


People who have aplastic anemia may be at higher risk for infections due to low white blood cell counts. If you have the disorder, it is best that you stay away from people who are sick and avoid large crowds of people, avoid foods that can expose you to bacteria, such as uncooked foods.


You shall wash your hands often, get regular dental care to reduce the risk of infections in your mouth and throat, stay away from activities that could result in injuries and bleeding, and avoid activities that cause chest pain or shortness of breath.


When you have this rare, but treatable disorder known as aplastic anemia, your marrow, which is the spongy stuff inside your bones, stops making new blood cells.


Sometimes, it stops making just one type, but more often you become low on all three; red, white cells and platelets. It can develop slowly or come on suddenly.


If your blood count gets low enough, it can be life threatening.



Vitamin deficiency

One of the people who was sick with aplastic anemia claimed her naturopath doctor told her it was a Vitamin B12 and folic acid deficiency almost always stemming from digestion issues. She was treated using vitamins and minerals.


Patients with a Vitamin B12 deficiency have elevated serum methylmalonic acid and homocysteine concentrations. Patients with a folate deficiency have an elevated homocysteine concentration only.


Vitamin deficiency anemias are most often treated with injections of Vitamin B12 and folic acid, as well as oral vitamin tablets or capsules. Please be aware that iron supplementation should be prescribed and managed by the doctor, because too much iron can be toxic.



Have you known that parasites can cause anemia?

Other little causes of anemia are intestinal parasites or worms. Hookworms, pinworms, roundworms, toxoplasmosis and tapeworms feed on the blood supply as well as on the vitamins.


25 hookworms can consume fifteen grams of blood every 24 hours. A tapeworm can cause a shortage of Vitamin B12.


Symptoms of intestinal worms are itching in the rectum, restlessness at night with bad dreams, diarrhea, foul breath, dark circles under the eyes and a constant desire for food.


Garlic and coconut can help get rid of some types of parasites. Fresh papaya and grated raw carrot are also effective.


After successful treatment for intestinal worms, perfect cleanliness should be observed to prevent recurrence.



Papaya leaf juice

The juice of the green papaya leaves can increase platelet count. The juice of the papaya leaves and the leaves stem are very effective in increasing the low blood platelet count instantly.


To increase the platelet count in the blood naturally, you can start eating colorful fruits and vegetables. Berries, green leafy vegetables, oranges, and tomatoes can help increase your platelet levels. Foods rich in Vitamin E & C will boost the immune system.


Phytonutrients help neutralize free radicals and aid in fighting low platelets. Red fruits are key to an improved platelet count.


Tomatoes, watermelons, cherries and berries are loaded with vitamin, minerals and strong antioxidant properties that help raise platelet count.


Some of the home remedies for anemia include eating leafy vegetables, bananas, beetroot, honey and spinach. Dietary deficiency is one of the reasons for anemia.


Beef liver is considered as one of the richest sources of iron, and is very useful in treating anemia.


A ripe banana along with honey twice a day can stimulate the hemoglobin production in the blood as they are rich in iron.


Lying out in the sun even for a short period of time, without sunscreen helps the body to produce red blood cells, and is also a good way to get other vital vitamins such as Vitamin D.


The red blood cells are important for the transport of oxygen rich blood to body tissues and for the removal of carbon dioxide from the body. The bone marrow continually makes more red blood cells, but over time, these red blood cells wear out and die.


The Vitamin B12 is a B complex vitamin that is important for the DNA synthesis and the production of red blood cells in the bone marrow. Low levels of B12 can lead to abnormal cell division in the bone marrow that results in large immature red blood cells known as megaloblasts.


Sources of Vitamin B12 are the beef liver, fish, red meat, eggs, milk, and dairy products. To produce hemoglobin and red blood cells, your body needs iron, Vitamin B12 and other nutrients from the foods you eat.


In an aplastic anemia, there is marked reduction or absence of stem cells due to infections, autoimmune diseases or drugs. This decreases the production of red blood cells causing anemia.



What Can You Do?

Dietary changes may help you to keep your hemoglobin and red blood cell levels healthy naturally. Try including the foods listed below in your diet to support healthy blood levels.


A) Eat iron-rich foods

  • Sun dried tomatoes
  • Dried apricots (no sugar added)
  • Fresh parsley
  • Spinach (cooked)
  • Dried coconut (unsweetened)
  • Swiss chard
  • Kale
  • Collard greens
  • Almonds
  • Beef and chicken liver
  • Beef, turkey, and duck
  • Oysters, clams, mussels, mollusks
  • Sardines and anchovies
  • Lima beans, pinto beans, peas



B)  Avoid foods that block iron absorption

  • Calcium rich foods
  • Dairy products (milk, cheese)
  • Coffee, Tea, Alcohol
  • Gluten (wheat)



C) Eat foods that increase iron absorption

  • Guava
  • Kiwi
  • Papaya
  • Oranges
  • Strawberries
  • Grapefruit
  • Broccoli
  • Cabbage
  • Tomatoes
  • Coriander
  • Spearmint
  • Basil
  • Bay leaf



D) Eat foods that contain vitamins essential for red blood cell production

Folic Acid is essential for the production of new red blood cells in the body. Some medications can interfere with utilization of folic acid and cause anemia.


Sources of folic acid include lentils, dried beans, peas, brussels sprouts, banana, corn, beets, pineapple, peanuts, spinach, green beans, sprouts, chickpeas, and brown rice.


Vitamin B12 is needed to make new red blood cells in the body. Prolonged use of certain medications may also interfere with the absorption of dietary vitamin B12. Milk, green leafy vegetables, meat, eggs, and fish are good sources of vitamin B12.


Vitamin C can increase the absorption of iron, especially non-heme iron. Vitamin C is rich in citrus fruits, kiwi, strawberries, bell peppers, kale, and mustard greens. Increasing uptake of Vitamin C can cause excretion of folic acid from the body.



E) Eat foods that support stem cell function

Chlorophyll, in the form of sodium copper chlorophyllin, was found to promote the proliferation and differentiation of stem cell function and increased peripheral blood white cell and platelet counts, thereby improving immunoregulatory capacity in one study on mice with aplastic anemia.


Notice that both the avocado and green peas contain two of the nutrients needed for healthy red blood cells, so these are the top two red blood cell health foods. Make sure to get these in your diet.


The bone marrow produces stem cells, the building blocks that the body uses to make the different blood cells – red cells, white cells and platelets. The erythropoietin sends a message to the stem cells telling more of them to develop into red blood cells, rather than white cells or platelets.


Your body makes about 2 million new red cells every second, so it doesn’t take long to build up stores of them again.


What about your white cells and platelets? A number of other messenger proteins also stimulate the production of these cells in the bone marrow, and over the next few days levels return to normal.


If your bone marrow can’t make enough new blood cells, many health problems can occur. These problems include irregular heartbeats called arrhythmias (ah-RITH-me-ahs), an enlarged heart, heart failure, infections, and bleeding.


In people who have aplastic anemia, the body doesn’t make enough red blood cells, white blood cells, and platelets. This is because the bone marrow stem cells are damaged.


The aplastic anemia also is called bone marrow failure. The severe aplastic anemia can even cause death.


Many diseases, conditions, and factors can damage the stem cells. These conditions can be acquired or inherited. “Acquired” means you aren’t born with the condition, but you develop it. “Inherited” means your parents passed the gene for the condition on to you.


In many people who have aplastic anemia, the cause is unknown. Aplastic anemia is a rare but serious disorder.


It can develop suddenly or slowly. The disorder tends to get worse over time, unless its cause is found and treated.




Aplastic anemia. Health-Forever.

Mayo Clinic Staff. Aplastic anemia. Mayo Clinic.

NIH. Living with aplastic anemia.

The essence of life blog. Anemia: Foods that boost blood cells.

Zand, J., Rountree, R., Walton, R. & Gordon, J. N. (1994). Smart medicine for a healthier child. New York: Penguin Group.



Whether you think you already are eating healthy or not, now is the time to get serious about proper nutrition. You have the ability to optimize the production of new blood cells when you follow a diet that maintains overall health. Try to eat more bananas, eat more beef liver, take Vitamin B12 supplements, and avoid chocolates. Have enough rest and sleep. Look more into your diet and nutrition. They are very important factors in maintaining a normal production of your blood cells

Leave a Reply

Your email address will not be published. Required fields are marked *