'Paler than usual skin' and more 'noticeable heartbeats' may be signs of common deficiency
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A more apparent heartbeat can be a symptom of one deficiency (Image: boonchai wedmakawand via Getty Images)

‘Noticeable heartbeats’ and ‘paler than usual skin’ could be signs of a prevalent deficiency. Despite resulting in 57,000 emergency admissions annually in the UK, this deficiency is often avoidable and manageable, NHS guidelines warn.

Experiencing ‘noticeable heartbeats’ and ‘paler than usual skin’ can sometimes signal a widespread health issue that often goes overlooked: iron deficiency anaemia. Despite leading to around 57,000 emergency hospital visits each year in the UK, this condition is frequently preventable and treatable, according to NHS guidelines.

Iron deficiency anaemia is primarily caused by factors such as blood loss, pregnancy, or insufficient dietary intake. The NHS website also notes that symptoms like fatigue, shortness of breath, and headaches could point to this deficiency, although proper diagnosis is critical. As the NHS advises, “To determine if you have iron deficiency anaemia, your GP will inquire about your lifestyle and medical history, typically followed by a blood test to check if your red blood cell count is within normal ranges.”

If the cause of anaemia is unclear, a GP may conduct further examinations (Image: Getty)

“This is called a full blood count (FBC) test, which also looks at other types of cells in your blood. You do not need to do anything to prepare for this test.”

If the cause of the anaemia remains uncertain, a GP may carry out additional tests or refer you to a specialist for further investigation. Once the cause is determined, appropriate treatments can then be suggested.

This diagnostic test, known as a full blood count (FBC), examines various cell types in your blood and requires no special preparation. If the underlying cause of the anaemia is unclear, your GP might recommend additional tests or refer you to a specialist for further evaluation. Identifying the root cause is essential for providing the right treatment options.

For instance, if your blood test indicates a low count of red blood cells, you will likely be prescribed iron tablets to replenish your iron levels, which are usually taken for about six months. Alternatively, if the anaemia stems from dietary issues, your GP will likely advise you to incorporate more iron-rich foods into your meals. These could include dark-green leafy vegetables, fortified breakfast cereals, various meats, as well as dried fruits and pulses.

It may also help to limit tea, coffee, milk, dairy products, and foods high in phytic acid. The latter encompasses wholegrain cereals and certain nuts. NHS guidance adds: “Large amounts of these foods and drinks make it harder for your body to absorb iron.

“You might be referred to a specialist dietitian if you’re finding it hard to include iron in your diet.” It’s vital to tackle iron deficiency anaemia early, as leaving it untreated may put you at greater risk of serious illness and infection, as it affects the immune system.

Untreated iron deficiency may also elevate the risk of complications, including heart failure and tachycardia, alongside heightened risks of pregnancy and childbirth problems.

Separate advice from the Mayo Clinic adds: “If you or your child gets symptoms that might be from iron deficiency anaemia, see your healthcare professional. Don’t try to diagnose or treat it on your own.

“And talk to a healthcare professional before taking iron supplements. Too much iron in the body can be harmful. The iron can build up and damage the liver and other organs.”

Find out about the symptoms you need to watch out for and get health advice with our free health newsletter from the Daily Express

Less common symptoms of iron deficiency anaemia

Beyond the more obvious signs like noticeable heartbeats and paler skin, there are also less common symptoms to watch for. According to the NHS, this may include:

  • Finding it hard to swallow (dysphagia)
  • Painful open sores (ulcers) in the corners of your mouth
  • Feeling itchy
  • Wanting to eat non-food items, such as paper or ice (pica)
  • Nail changes, such as spoon-shaped nails
  • Hair loss – you notice more hair coming out when brushing or washing it
  • A sore tongue
  • Restless legs syndrome
  • Food tastes strange
  • Hearing ringing, buzzing or hissing noises inside your head (tinnitus)

For more information, head to the NHS website.

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