iCliniq Logo
HomeAnswersInternal Medicineiron defeciency anemia

How to manage iron deficiency in a two-year-old child?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

Can you please check the blood test results of my two-year-old daughter? She is always a bit tired, irritable, pale, and has burst blood vessels on her cheeks. After this blood test, we gave her 8 mcg of iron daily. She eats normally, but not so much. I have added her blood report details. Please check.

  1. Low iron or ferritin: 19 micromol/L/.
  2. Hemoglobin:11 g/dL.
  3. Low P-homocystein: 4.5 micromol/L/L.
  4. High P-vitamin B12: 623 pg/mL.
  5. High B9: 43.7 nmol/L.
  6. High albumin level: 50g/dL.
  7. Low creatine.

Thank you.

Hello,

Welcome to icliniq.com.

I can understand your concern. According to your query, your daughter has consistently low ferritin or iron levels despite taking sufficient iron supplements daily. Her iron level is normal in the lower limit, but ferritin level is low as her iron deficiency continues, so all of the stored iron is used, and the body tries to compensate by producing more transferrin to transport more iron.

Low ferritin levels may indicate any type of disease condition, like iron deficiency anemia, thalassemia, acute or chronic inflammation due to any cause, thyroid dysfunction, liver, kidney, or heart problems, etc. Again, a low homocysteine level indicates that someone has a deficiency in specific vitamins like B6, B12, or folic acid or a higher chance of developing certain medical conditions. Again, a low creatinine level can indicate lower muscle mass due to any cause, a diet with very low protein, or any underlying diseases.

High albumin levels may indicate any type of kidney or liver disease. You should consult with your daughter's pediatrician for undergoing some investigations, such as iron binding capacity, transferrin saturation, hemoglobin electrophoresis, ultrasound, and many more, to detect the underlying exact causes for your daughter's present sufferings and then treat them accordingly.

I hope this helps.

Thank you.

Medically reviewed byiCliniq medical review team
Published At July 4, 2025
Reviewed AtJune 23, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

2,134Checks completed today
4.7/5User rating
~2 minAverage completion time
Evidence-basedGuideline aligned
Symptom Awareness Builder
Iron Deficiency in Children Awareness Builder

Is your child's tiredness due to iron deficiency?

Answer a few questions to understand your child's symptoms related to iron deficiency. This tool will help you determine if their condition is typical, needs a mention to their doctor, or warrants a call today.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance. Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.

Listen to related tracks in our music library
Comprehensive Second Opinion

Read answers about:

low ferritin leveliron defeciency anemia

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.