This Weird Craving Can Be A Sign Of Iron Deficiency

Updated Mar 6, 2025 | 02:00 PM IST

SummaryFood cravings can say a lot about your health. Like craving for salty foods could be a sign of dehydration. Similarly, there's a unique craving that signals iron deficiency. Read on
(Credit-Canva)

(Credit-Canva)

Sometimes the food you eat or the behavior you exhibit can be a sign of a deficiency and condition you may have. It is similar to when your stomach growls, which signifies that you are hungry. Other signs you may not know about are feeling fatigued when you do not drink enough water, and if you are experiencing a headache then you may need to eat etc. These things happen because they are connected in one way or the other, when you body lacks a specific nutrient you need throughout your day, it can manifest in different ways, let’s take iron for example.

Iron is like the delivery truck for oxygen in your body. It helps your red blood cells carry oxygen from your lungs to all your tissues. The Red Cross Blood Donation explains that when you don't have enough iron, your body can't make enough of these oxygen-carrying cells. This is called iron deficiency, and it can lead to anemia. You might feel very tired, look pale, or get dizzy easily. Headaches, cold hands and feet, and weak hair and nails are also common signs. Because iron is so vital for many of your body's functions, a lack of it can really affect your overall health and energy levels. It's important to recognize these signs and get checked by a doctor if you suspect you might have an iron deficiency.

What is Pagophagia and Pica?

Sometimes, your body sends strange signals when it's missing something important. One unusual signal for iron deficiency is wanting to eat ice, which doctors call pagophagia. This is part of a bigger problem called pica, where people crave things that aren't food. Other examples of pica are wanting to eat dirt, clay, or even starch. It's not just these things; some people crave things like coal, chalk, paper, or hair. While kids get pica more often, adults with low iron can have it too, even if they don't have anaemia. This weird craving is your body's way of trying to tell you something's wrong, even if it seems odd.

Eating things that aren't food can be risky. For example, eating dirt could expose you to harmful germs or heavy metals. Eating large amounts of ice might not seem dangerous, but it can sometimes hurt your teeth or gums. Ingesting non-food items can lead to serious problems like poisoning, where harmful substances build up in your body. It can also cause blockages in your intestines, which can be very painful and dangerous. Symptoms like stomach pain, bloating, feeling very tired, nausea, and diarrhea can signal that something is wrong. If you find yourself constantly wanting to eat ice or other non-food items, it's really important to talk to a doctor. They can help figure out why you're having these cravings and make sure you stay safe.

How Can You Make This Better?

If you're craving ice or other non-food items, it's important to see a doctor. They'll ask about your symptoms and might do some blood tests to check your iron levels. It's possible that your cravings are caused by iron deficiency, but they could also be related to other nutritional deficiencies or even emotional problems. Things like stress, obsessive-compulsive disorder, or developmental issues can sometimes cause pica. The doctor will try to figure out the root cause of your cravings. If it's an iron deficiency, they might suggest taking iron supplements or changing your diet. If it's an emotional issue, they might recommend talking to a therapist. Getting the right diagnosis and treatment is important for your health and well-being.

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Can Botox help treat finger ulcers and gangrene?

Updated Mar 21, 2026 | 11:03 PM IST

SummaryBotulinum toxin injections can improve blood circulation in the fingers and treat serious complications such as ulcers or gangrene, offering a safe and easy-to-administer alternative.
Can Botox help treat finger ulcers and gangrene?

Credit: iStock

If you think that injections of botulinum toxin -- commonly known as Botox -- are only used to make skin wrinkle-free, you may be mistaken.

A new study led by US researchers has shown that Botox injections can act as a “rescue therapy” to treat conditions such as finger ulcers, digital ischemia, and gangrene that are difficult to manage with standard therapies.

Finger ulcers (or digital ulcers) are painful open sores, while acute digital ischemia causes the fingers to become extremely painful, cold, and sometimes pale or bluish in color. Gangrene is the dangerous death of body tissue (necrosis), often turning skin black, green, or purple.

These debilitating complications, often associated with conditions like lupus, rheumatoid arthritis, systemic sclerosis, or bacterial infections, are caused by reduced blood flow to the fingers and heal poorly.

Botox injections, which work by reducing blood vessel constriction and improving circulation, may help achieve complete healing of lesions in more than 85 percent of such patients, according to a study recently published in JAMA Dermatology.

“These new findings are particularly important because therapeutic options remain limited for the cutaneous and vascular manifestations of systemic sclerosis and other autoimmune diseases,” said Dr. Netchiporouk, a scientist in the Infectious Diseases and Immunity in Global Health Program at the Research Institute of the McGill University Health Center.

Netchiporouk noted that the available vasodilator and immunosuppressive treatments are generally administered intravenously.

In contrast to Botox injections, these are also costly, minimally effective, and associated with significant adverse effects.

Also read: Botox Helped Her Burp: How Injectables Changed A 25-Year-Old's Life

The study also described the case of a 50-year-old man with a rare autoimmune disease that caused joint pain and digital necrosis (gangrene).

While traditional medications helped reduce his pain, he was forced to stop working, and the condition severely impacted his quality of life.

However, after receiving botulinum toxin injections, his pain was relieved, and sensation improved within 24 hours, and the necrosis began to improve within two weeks.

“This treatment has become an important tool, especially for patients with autoimmune vascular diseases that result in serious health consequences and for which there are few therapeutic options,” Netchiporouk said.

Also read: Why Regulatory Clarity Is Important for Safe Aesthetic Procedures in India

Botox: Safe, With Minimal Adverse Effects

The study, based on a systematic review and individual patient data meta-analysis of 30 published studies and one unpublished case involving 119 patients, found that only a few patients experienced adverse effects.

These were generally mild and short-lived, most commonly temporary muscle weakness or pain at the injection site.

“Our results show that botulinum toxin can improve blood circulation in the fingers and treat serious complications such as ulcers or gangrene, offering a safe and easy-to-administer alternative,” said Dr. Catherine Zhu, a dermatology resident at the McGill University Health Center.

Zhu added that the injections can be easily administered by rheumatologists and dermatologists in outpatient settings, reducing reliance on intravenous therapies that require hospitalization and increasing overall healthcare costs.

Importantly, in most cases, a single injection session was sufficient to achieve the desired response.

“Botulinum toxin can offer significant benefits with a favorable safety profile. It deserves further study to develop standardized protocols and optimize outcomes,” said Dr. Netchiporouk.

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ICMR's Advanced Blood Test to Predict Risk of TB 1.5 Years Before Symptoms Appear

Updated Mar 21, 2026 | 08:00 PM IST

SummaryThe test, targeted at adults with asymptomatic tuberculosis, detected the infectious disease in the blood up to 18 months before a person was diagnosed. The ICMR researchers identified eight out of 10 people at risk - all before they fell sick.
ICMR's Advanced Blood Test to Predict Risk of TB 1.5 Years Before Symptoms Appear

Credit: iStock

Even after being preventable and curable, tuberculosis (TB) retains its status as one of the deadliest infectious diseases more than 140 years after Robert Koch announced the discovery of Mycobacterium tuberculosis (Mtb) on March 24, 1882.

A major challenge is that millions of people carry it without knowing, and current tests often miss it. This is known as latent TB infection, where bacteria exist in an inactive state in the body.

While you do not feel sick, the infection can progress to active, contagious TB disease.

Ahead of World Tuberculosis Day, on March 24, scientists at the Indian Council of Medical Research-National Institute for Research in Tuberculosis (NIRT) in Chennai, reported developing an advanced blood test that can find TB even when it's hiding, and before it gets serious.

In the study, published in the Lancet journal eBioMedicine, the researchers explained about detecting circulating cell-free Mtb DNA in the plasma of individuals at high risk of developing TB disease via a dual target-based digital droplet PCR (ddPCR) assay.

The test was targeted at adults without a clear diagnosis of TB (asymptomatic or clinically diagnosed TB).

Using the test, the team led by Luke Elizabeth Hanna from NIRT's Department of Virology and Biotechnology, found TB in the blood up to 18 months before a person was diagnosed.

They identified eight out of 10 people at risk - all before they fell sick with the infectious disease.

“The new test performed better than all existing standard TB tests combined. This test could change how we fight TB - by finding it early, treating it faster, and stopping it from spreading,” said the team in the paper.

Tuberculosis: Advanced Blood Test

Detection of pathogen-derived cell-free DNA (cfDNA) has been gaining much attention in recent years for the diagnosis of several clinical conditions.

cfDNA is a liquid biopsy blood test that analyzes small, non-cellular DNA fragments circulating in the bloodstream.

The team found that the advanced blood test could find tiny traces of TB in the blood - even when a person feels completely healthy.

The test works by breaking a small blood sample into thousands of tiny droplets and searching each one for TB.

The study included 46 healthy household contacts of patients with pulmonary TB who developed TB within two years of follow-up, and 92 HHCs who did not progress to TB.

Plasma was obtained and subjected to testing using a ddPCR assay targeting two Mtb-specific insertion sequences, IS6110 and IS1081.

"Our findings support the diagnostic utility of ddPCR-based detection of circulating Mtb-derived cell-free DNA in plasma of individuals at high risk for progressing to active TB several months prior to clinical diagnosis," the ICMR-NIRT researchers said.

"These findings address important unmet diagnostic needs and indicate the potential of plasma-based Mtb ccfDNA detection to contribute to improved TB case detection and progress towards the WHO End TB goals," they added.

The WHO End TB Strategy

In 2024, an estimated 10.7 million people fell ill with TB worldwide, including 5.8 million men, 3.7 million women and 1.2 million children. TB is present in all countries and age groups, according to the World Health Organization (WHO).

The WHO aims to End TB by 2035, with a 95 percent reduction in deaths and a 90 percent reduction in incidence compared to 2015.

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World Down Syndrome Day 2026: AIIMS Doctor Shares Early Screening Tests To Eliminate Risks

Updated Mar 21, 2026 | 06:45 PM IST

SummaryAccording to the UN data, the estimated incidence of Down syndrome is between 1 in 1,000 -- 1 in 1,100 live births worldwide. Each year, approximately 3,000 to 5,000 children are born with this chromosome disorder. In India, about 30,000 babies are born with Down syndrome every year.
World Down Syndrome Day: AIIMS Doctor Shares Early Screening Tests To Eliminate Risks

Credit: iStock

Down Syndrome is a common genetic disorder in which an extra copy of chromosome 21 (Trisomy 21) causes mild-to-moderate intellectual disabilities, developmental delays, and characteristic physical traits.

Every year, World Down Syndrome Day is observed on March 21 every year to raise public awareness about the condition, which deserves more than medical care.

The theme for World Down Syndrome Day 2026 is 'Together Against Loneliness,’ and it focuses on raising awareness of how loneliness disproportionately affects people with Down syndrome and other intellectual disabilities, as well as their families.

According to the UN data, the estimated incidence of Down syndrome is between 1 in 1,000 -- 1 in 1,100 live births worldwide. Each year, approximately 3,000 to 5,000 children are born with this chromosome disorder.

In India, about 30,000 babies are born with Down syndrome every year.

While Down Syndrome is not preventable, in a video post on the social media platform X, Dr. Neerja Gupta from AIIMS Delhi highlighted the importance of early detection, screening, and long-term support for better outcomes.

Dr. Gupta, Professor, Division of Genetics at AIIMS's Department of Pediatrics, also explained the causes of the condition and shared tests that can help eliminate the risks in future babies.

“Down syndrome is a common chromosomal disorder in which chromosome 21 is present in three copies instead of two. Normally, every human cell has 46 chromosomes. However, in Down syndrome, there are 47 chromosomes because the 21st chromosome is present in three copies instead of two,” she said.

Due to the increase in the number of chromosomes, the child may:

  • presents with mild to moderate intellectual disability,
  • have problems related to the heart,
  • have problems of hearing,
  • have vision problems
  • have problems related to thyroid.
However, if these children receive proper training during their early years, they can do very well.

"The sooner we can catch them, the earlier we can begin the intervention, resulting in better health outcomes," Dr Gupta said.

Types Of Down Syndrome

Down syndrome can occur in three types, depending on how the extra copy of chromosome 21 is present. In all cases, chromosome 21 appears in three copies, but this can happen in different ways.

  • Trisomy 21 -- the most common type, where all cells have three copies of chromosome 21.
  • Translocation -- when part of chromosome 21 is attached to another chromosome. In this, the recurrence risk increases in the next child.
  • Mosaic -- It occurs in about 1 percent of children with Down syndrome. In this type, there are two cell lines—some cells have the normal 46 chromosomes, while others have 47 chromosomes (with an extra copy of chromosome 21).

Down syndrome: Early Screening Tests

Dr Gupta noted that the problem of Down syndrome is usually associated with the age of the mother.

"As the mother’s age increases, the risk of Down syndrome also increases. Today, there are several prenatal tests available to detect this condition during pregnancy," the expert said.

  • The chromosomal disorder can be identified by doing a chromosome test called Karyotyping.
  • The NT scan (Nuchal Translucency scan) is an important test done between 11 to 13 weeks. The ultrasound test measures fluid at the back of the baby’s neck. Increased thickness may indicate a higher risk of Down syndrome.
  • The Dual Marker Test -- a blood test done during early pregnancy (11–13 weeks), often in combination with the NT scan.
  • The quadruple test -- a blood test done during the second trimester (usually 15–20 weeks of pregnancy) to screen for chromosomal abnormalities.
Dr Gupta said that in addition to these, there is a new technique called non-invasive prenatal testing, called NIPS.

"In this, the DNA is seen in the fetal baby's stomach through the mother's blood, to check whether the chromosomal copies are in the right number or not," she said.

The expert noted that this screening test is highly accurate, but if the results indicate a high risk, diagnostic testing of the fetus is recommended.

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