\n
<\/p>\n
Annie is teaching in a classroom with elementary school kids. There is a chalkboard with a container of chalk with the chalk sticking out of it.\u00a0 <\/p>\n
Annie is eyeing the chalk <\/p>\n<\/td>\n
Annie: Why do I suddenly feel like eating that chalk? <\/p>\n
<\/td>\n<\/tr>\n
Annie is walking home and looks at dirt next to the sidewalk\/grass. <\/p>\n
Imagination bubble that is her remembering weird things that she wanted to eat: <\/p>\n
Chalk <\/p>\n
Lined piece of paper <\/p>\n
Soil\/dirt <\/p>\n
Ice <\/p>\n<\/td>\n
Annie thought bubble: I sure have been having some weird cravings lately. I really want to eat that dirt, but that seems strange. <\/p>\n<\/td>\n<\/tr>\n
Annie is climbing her front porch stairs at her house and gets short of breath <\/p>\n<\/td>\n
She goes inside and grabs a big cup of ice and starts eating it. <\/p>\n
Annie\u2019s mom, enters <\/p>\n<\/td>\n
Mom: Are you OK? Every time I come over lately, you\u2019re eating a big cup of ice. And you seem to be taking a lot of naps.\u00a0 <\/p>\n
Annie: I don\u2019t know. I\u2019ve been craving ice a lot \u2014\u00a0and also some other strange things like chalk. <\/p>\n
Mom: Hmm… I\u2019ve heard of cravings like that, especially for women with heavy bleeding from fibroids like you have. I think you should see your healthcare provider.\u00a0 <\/p>\n
<\/td>\n<\/tr>\n
The next week \u2026\u00a0 <\/p>\n<\/td>\n
Annie is at the doctor, a female WOC, mid 40s <\/p>\n
Thought bubble \u201cI\u2019m not going to tell her about the weird cravings. It\u2019s too embarrassing!\u201d <\/p>\n<\/td>\n
Annie: I\u2019ve just been so tired lately, and I\u2019m not sure why.\u00a0 <\/p>\n
I\u2019ve also been having really heavy periods because of my fibroids. <\/p>\n<\/td>\n<\/tr>\n
Doctor looks at Annie\u2019s mouth (cracks on the sides), brittle nails and overall pale skin. <\/p>\n
Doctor uses stethoscope to check heart <\/p>\n
In doc office <\/p>\n<\/td>\n
Doctor: You look pale, your nails are brittle and you said you\u2019ve been tired, weak and short of breath.\u00a0 <\/p>\n
You also have an irregular heartbeat. Have you been having any unusual cravings, by chance? <\/p>\n<\/td>\n<\/tr>\n
In doc office <\/p>\n<\/td>\n
Annie: Now that you mention it, I have had some strange cravings. I thought I was losing it! <\/p>\n<\/td>\n<\/tr>\n
In doc office <\/p>\n<\/td>\n
Doctor: What types of cravings? Were they things like dirt or ice?\u00a0 <\/p>\n
Annie: Yes! Exactly! How did you know? I keep craving dirt, ice and chalk. It\u2019s been really strange. <\/p>\n
Doctor: Those non-food cravings are called pica. And they can come from having severe anemia, which is really low iron. This could be because of your heavy bleeding from your fibroids. Let\u2019s run some bloodwork and see. We\u2019ll also check your vitamin D levels. <\/p>\n<\/td>\n<\/tr>\n
A week later \u2026 <\/p>\n<\/td>\n
Annie is back at the doctor in different clothes <\/p>\n
Foods heavy in iron: <\/p>\n
Meat <\/p>\n
Eggs <\/p>\n
Nuts <\/p>\n
Iron-fortified bread & cereal <\/p>\n
Fruit & dried fruit <\/p>\n
Dark leafy green vegetables <\/p>\n
Legumes <\/p>\n
<\/td>\n
Doctor: Well Annie, your bloodwork shows that you\u2019re severely anemic and low on vitamin D.\u00a0 <\/p>\n
I\u2019m going to prescribe an iron pill and a vitamin D supplement to help get your levels back up. If the iron pills don\u2019t work, we can refer you to a hematologist to discuss other options. Also, be sure to add iron-rich foods to your diet. <\/p>\n
Annie: Thanks. I\u2019ll start taking these today. Is there anything else I should know?\u00a0 <\/p>\n
Doctor: Sometimes taking iron can make you constipated so be sure to get enough fiber. <\/p>\n
I can help with the anemia for now, but you should talk to your OB-GYN about your heavy bleeding and fibroids. There are treatment options that could help you. <\/p>\n<\/td>\n<\/tr>\n
3 Months Later \u2026 <\/p>\n<\/td>\n
Annie is at the fridge extending a glass of water with 2 cubes of ice in it to her mom and has 2 cubes in her own glass as well.\u00a0 <\/p>\n
The mom and Annie clink glasses.\u00a0 <\/p>\n<\/td>\n
Annie: I\u2019m feeling so much better \u2014\u00a0and look, mom, I\u2019m back to 2 ice cubes!\u00a0 <\/p>\n
Mom: I\u2019m so glad. Cheers to healthy iron levels!\u00a0 <\/p>\n<\/td>\n<\/tr>\n
For more information, please visit HealthyWomen.org <\/p>\n<\/td>\n<\/tr>\n