Vitamin C Deficiency

Scurvy is a condition that results from vitamin C deficiency. Everyone loves a curvy smile, but a scurvy smile? Probably not. Vitamin C is needed for the growth and repair of tissues in all parts of your body.

Vitamin C is used to :-

  1. Form an important protein called collagen, used to make skin, tendons, ligaments, and blood vessels
  2. Heal wounds and form scar tissue
  3. Repair and maintain cartilage, bones, and teeth
  4. Aid in the absorption of iron

The body is not able to make vitamin C on its own. It does not store vitamin C. It is therefore important to include plenty of vitamin C-containing foods in your daily diet.

Food Sources:

All fruits and vegetables contain some amount of vitamin C. Fruits with the highest content of vitamin C include:

  • Citrus fruits and juices, such as orange and grapefruit
  • Kiwi fruit
  • Mango
  • Papaya
  • Pineapple
  • Strawberries, raspberries, blueberries, and cranberries
  • Watermelon

Vegetables with the highest sources of vitamin C include:

  • Broccoli, Brussels sprouts, and cauliflower
  • Green and red peppers
  • Spinach, cabbage, turnip greens, and other leafy greens
  • Sweet and white potatoes
  • Tomatoes and tomato juice
  • Winter squash

Some cereals and other foods and beverages are fortified with vitamin C. Fortified means a vitamin or mineral has been added to the food. Check the product labels to see how much vitamin C is in the product.

The best food sources of vitamin C are uncooked or raw fruits and vegetables. Cooking vitamin C-rich foods or storing them for a long period of time can reduce the vitamin C content. Microwaving and steaming vitamin C-rich foods may reduce cooking losses. Exposure to light can also reduce vitamin C content. Choose orange juice that is sold in a carton instead of a clear bottle.

Too little vitamin C can lead to signs and symptoms of deficiency i.e

  • Anemia
  • Bleeding gums
  • Decreased ability to fight infection
  • Decreased wound-healing rate
  • Dry and splitting hair
  • Easy bruising
  • Gingivitis (inflammation of the gums)
  • Nosebleeds
  • Possible weight gain because of slowed metabolism
  • Rough, dry, scaly skin
  • Swollen and painful joints
  • Weakened tooth enamel

A severe form of vitamin C deficiency is known as scurvy. This mainly affects older, malnourished adults.

Prolonged deficiency of vitamin C may result in scurvy. It is characterised by weakening blood vessels and impair wound healing.

Visible symptoms in the mouth for scurvy include:-

  • Gum change from red to violet red
  • Bad breath
  • Bleeding gums
  • Swelling of the periodontal tissues followed by loss of bone and loosening of teeth

Risk Factors for Vitamin C Deficiency

Several factors can contribute to an increased risk of vitamin C deficiency, some of which are listed below.

  • Alcohol use disorder
  • Infant feeding practices: Consumption of cow’s milk instead of breast milk or fortified formula during infancy can pose a risk for vitamin C deficiency.
  • Social isolation and dietary habits
  • Limited access to fruits and vegetables:
  • Smoking
  • Eating disorders
  • Type 1 diabetes
  • Malabsorptive disorders
  • Bariatric surgery
  • Iron-overload conditions
  • Restrictive or low carbohydrate diets
  • Food allergies
  • Developmental disabilities and mental illness
  • Hemodialysis: Individuals undergoing hemodialysis may experience increased renal losses of vitamin C, potentially leading to its deficiency.

– Dr.Rochelle Sequeira, (Ward 16)