Prevalence of Iron Deficiency Anemia (IDA) in India is more because
of low dietary intake, poor availability of iron & chronic blood loss due
to hook worm infestation. A microcytic hypochromic anemia in an
elderly individual means iron deficiency due to blood loss until
proven otherwise. 433 cases of anemia who were aged 60 years and
above attending geriatric and medicine out-patients’ department of a
tertiary care hospital were evaluated clinically and investigated thoroughly
to establish the type and etiology of anemia. Anemia of
chronic disease accounted for 43.64% (n=189) of total cases and
39.72% (n=172) were having IDA. Chronic blood loss was responsible
for IDA in 70.35% (n=121). Worm infestation was the most
common cause of gastrointestinal blood loss (30.6% of blood loss
cases, n=37). Most common worm infestation involved hookworms
(30 patients, 81% of worm infestation) followed by Ascaris lumbricoides
in 7 patients (19%). Hemorrhoids were the cause of chronic
blood loss in 35 patients (28.9% of blood loss cases). From our study
it is evident that iron deficiency anemia accounted for more than
1/3rdof total number of anemia patients which is higher than the incidence
of IDA in elderly population of the western world. The importance
of early diagnosis and management of worm infestation is also
emphasized by our findings.