You might be thinking, “What the heck is she talking about?” The title of this blog post will make sense in a moment. And no, I am not talking the illicit drug known as “ice”. I am literally talking about frozen water such as ice cubes, crushed ice etc. and weird pregnancy cravings. This is a vulnerable post so I encourage you to read the whole blog post before jumping to conclusions. Btw, all images are my own and any advice I share here is based on personal experiences. And just to be clear, I am not a medical doctor nor am I here to give medical advice.

Some Quick Life Updates
I have been busy this month studying for the NCLEX, so I don’t have a list of goals to follow except for the ones that were carried over from March 2021. I really need to pass this exam, and it is has been stressing me out because I still don’t feel prepared. To be honest, I don’t think that I will ever truly feel prepared for this exam. Also, I was working up until this past weekend, and had to decline another shift because it is getting increasingly more difficult for me to work; right now I am 34 weeks pregnant and feel totally useless. I picked up one CDC shift this week which is a work-from-home job, and I feel guilty for not picking up additional shifts right now. There is only so much that I can do these days without losing my sanity 🙄 In the meantime, my cravings for crushed ice are very intense. I crave ice more than I crave MCDs coffee and bubble tea.

Most of you probably enjoy munching on the ice at the bottom of your glass on a hot summer day, and it is quite normal to enjoy the occasional ice cube from time to time. But is it normal to crave ice every day, regardless of season? I have what is known as “Pica” which is defined as:
Pica – craving and chewing substances that have no nutritional value – such as ice, clay, soil, or paper. Craving and chewing ice is often associated with iron deficiency, with or without anemia, although the reason is unclear. – Mayo Clinic
For most people with pica, it is usually due to a deficiency and goes away once the deficiency is corrected. When I was pregnant with my daughter, I craved ice from 1st trimester up until I gave birth. We did not have access to the best health care services in Saskatchewan, so my anemia was easily overlooked. Apparently, I was severely anemic and nobody caught onto this, including myself. After I had my daughter, my ice cravings went away soon after. I think that pagophagia, that is, cravings for ice, are highly correlated with low iron levels during pregnancy. Now that I am wiser and have better access to healthcare where I currently live, I am suspicious that my iron levels might be dropping again, so I will be getting another blood test in the upcoming weeks. In the meantime, I plan to start taking an iron supplement.

Symptoms Related to Iron Deficiency Anemia (IDA)
I am going to share with you some of the symptoms that I deal with on a day-to-day basis. Women in their child-bearing years are highly susceptible to Iron Deficiency Anemia (IDA). You might have IDA and not even know it, since other health conditions can cause these symptoms as well. One particular thing that screams iron deficiency for me is pagophagia (cravings for ice) which is based solely on my personal experiences. Please speak to your doctor if you think that you may be deficient in iron or have similar symptoms as I do. I am not going to go into detail about the pathophysiology, pharmacology, and biological pathways related to IDA. If you are interested in that stuff, feel free to check out this link for more information.
My Iron Deficiency Symptoms:
- Pica: Cravings for ice, dirt, clay etc. Has anyone watched My Strange Addiction? It is a rather disturbing show and yet I watched all of the episodes I could find on YouTube 😂 I am convinced that several of these people have Pica. Personally, I don’t think cravings for ice is that bad except that it is terrible for tooth enamel, but overall, I don’t think that my addiction to ice is hurting anyone. I know that every addict says that, but it’s just frozen water, people. It is not like I am eating paint chips or chalk. Personally, I prefer soft ice over hard ice (yes, there is a difference!). If you suddenly develop cravings for non-food items, please don’t ignore this red flag and speak to your doctor. I am not here to glamorize Pica – it is abnormal.
- Extreme fatigue and lack of energy Like I said before, other conditions can mask iron deficiency anemia (IDA). From personal experience, I know that 3rd trimester is exhausting, and perhaps my lack of energy and feeling like I am going to pass out are linked to that. However, fatigue and overall lack of energy are also related to low iron levels.
- Breathlessness with light exercise Perhaps this is related to pregnancy, as I am extremely exhausted climbing stairs these days. I can barely walk to the mailbox down the street without feeling totally exhausted. Even getting ready for work was a daunting task that I dreaded, and it is a miracle that I can even managed to get through the day without feeling like I was going to collapse any second. Other people have even pointed out that I look tired. Extreme exhaustion is not normal and should be discussed with your doctor if you are experiencing similar symptoms.
- Restless Leg Syndrome (RLS) Since 1st trimester, I have been getting the worst leg and foot cramps at night. On average, I get anywhere from 2-6 leg cramps, including Charlie Horses, in a single night. I also get horrible itching at night, so I often need to resort to an over-the-counter (OTC) anti-allergy medication, which doesn’t always relieve the itching. When I was pregnant with my daughter, I had similar itching so I know this is probably a pregnancy thing. But is it really a pregnancy thing, or an iron deficiency thing? 🤔 I already discussed this with my doctor and was told to increase my magnesium intake. The dose that she recommended for me is quite high so I am going to try a magnesium gel to help calm my restless legs at night. Apparently, gels and sprays are much more absorbent then magnesium gummies. If you are curious to know where I order most of my melatonin and magnesium products from, I use a Canadian site called www.naturalcalm.ca. Even though they only ship within Canada, I have seen some of their products in US stores.

Are you experiencing similar symptoms? Do you have weird cravings for things like ice? If yes, then I would highly recommend getting your iron levels checked. Sometimes, relying on food sources that are high in iron is just not enough, especially if you are also expecting 🤰 If you are struggling with pica or any of the symptoms I listed above, I want you to know that there is hope. Feel free to join the comments section below ↓ if you can relate to these struggles or deal with a deficiency. It helps knowing that I am not alone ♥ I will do my best to reply to your comments!
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