Khaberni - Dr. Dmitry Karpenko, Associate Professor at Pirogov University, said that pain relievers and iron supplements can negatively affect the liver in patients with anemia, leading to exacerbation of their condition.
He says: "Regarding pain relievers, I advise initially focusing on the frequency of use of nonsteroidal anti-inflammatory drugs (NSAIDs). For example, if a person uses them several times a week, it's necessary to reconsider the treatment. This is very important, as besides their potential negative effects on the liver and kidneys, NSAIDs also damage the stomach's mucous membrane, causing erosions and ulcers. These conditions can sometimes worsen due to bleeding, which is extremely dangerous, especially in patients with anemia."
According to him, taking iron supplements without medical supervision may adversely affect the liver.
He says: "As for iron supplements, if a person takes them according to a medical prescription, adheres to the recommended dosages, and undergoes periodic monitoring (including complete blood analysis and iron level assessment), then the risk of iron accumulating in the liver remains minimal. Although the potential for this exists, it is hard to imagine in a patient who is specifically being treated for anemia."
According to him, ultrasound imaging and liver function tests are used to assess liver health. These tests include measuring the aminotransferase enzymes (ALT and AST), total bilirubin (for initial assessment), alkaline phosphatase, gamma-glutamyl transferase (GGT), and levels of total protein and albumin (the main protein in blood plasma produced by the liver).
The doctor recommends adding these tests to the routine blood examinations for hemoglobin and ferritin. Because they provide the doctor with a comprehensive picture of the liver's condition.
