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17 Signs and Symptoms of Vitamin C Deficiency

Nutrients are the most important aspect of maintaining optimal body performance, where vitamin C is crucial. Lack or excess supply of nutrients, including vitamin C, may lead to significant health problems and uneasiness.

This article explains the reasons behind insufficient vitamin C intake, its effects on a person’s body, and how one can easily recover from such instances through medication.

What is Vitamin C Deficiency?

Vitamin C deficiency results from an improper diet. In the long run, this deficiency can prevent and ultimately stop new collagen formation. As a result, different body tissues can begin to disintegrate, impacting the body’s healing mechanism and overall health.

A vitamin C deficit diet, if continued for 3 months or more, can result in severe health conditions involving bleeding lips and gums. Detecting early signs of these diseases can help prevent their adverse effects.

How Common is Vitamin C Deficiency?

Vitamin C deficiency is relatively rare in developed countries, affecting as many as 7% of people, particularly those without easy access to fresh fruits and vegetables, limited diets, or underlying medical conditions.

Other things that raise risk include smoking, alcoholism, and certain medical treatments. In areas with food shortages and malnutrition, there is a much higher incidence rate for lack of vitamin C. Individuals with conditions impairing nutrient absorption, such as Crohn’s disease or ulcerative colitis, are also at increased risk.

What are the Signs & Symptoms of Vitamin C Deficiency?

The severity level of vitamin C deficiency in humans can vary widely, ranging from mild forms to severe cases involving multiple organ systems. Early manifestations may not be noticeable, but later on, they become complicated, leading to serious consequences for multiple organs.

This table provides all these symptoms along with their underlying interpretations:

Sr.No. 

Symptom Description
1 Pain in Joints and Muscles Weakened connective tissues cause constant joint and muscle pain due to collagen insufficiency, thus making movements difficult and uncomfortable physically.
2 Bruise-like Spots on Skin The appearance of small red or blue spots (petechiae) due to fragile blood vessels, often resulting in easy bruising without significant injury.
3 Fatigue and Weakness Generalised fatigue, lethargy, and weakness stemming from decreased red blood cell production and impaired energy metabolism.
4 Easy Bruising Increased tendency to bruise easily, even from minor bumps, due to compromised blood vessel integrity and slower healing processes.
5 Weight Loss Unintentional weight loss is linked to poor appetite, digestive issues, and the body’s inability to absorb and utilise nutrients effectively.
6 Dry and Damaged Skin Rough, dry, and flaky skin due to impaired collagen synthesis, affecting the skin's elasticity and moisture retention.
7 Split Ends and Hair Damage Hair becomes dry, brittle, and prone to split ends because of weakened collagen in hair follicles and reduced scalp circulation.
8 Discolouration and Gum Swelling Swollen, red, and bleeding gums may turn purple due to weakened gum tissues and reduced ability to heal and maintain oral health.
9 Infection Susceptibility Increased vulnerability to infections due to a compromised immune system, which struggles to respond effectively to pathogens and repair damaged tissues.
10 Poor Wound Healing Delayed wound healing, often resulting in infections and scarring, as a result of diminished collagen production essential for tissue repair.
11 Anaemia The development of anaemia is marked by low haemoglobin levels and fatigue caused by reduced iron absorption and synthesis of blood components.
12 Scurvy Severe vitamin C deficiency can lead to scurvy, characterised by severe gum disease, tooth loss, skin haemorrhages, joint pain, and general weakness.
13 Bleeding from Nose and Gums Frequent nosebleeds and gum bleeding due to weakened blood vessels and tissues, which are more prone to damage and rupture.
14 Subperiosteal Haemorrhage Bleeding between joints and bones causes significant pain and swelling, often leading to movement limitations and joint damage.
15 Loose Teeth Due to weakened gums and connective tissues, teeth become loose and may eventually fall out, making oral hygiene and dental health difficult to maintain.
16 Shortness of Breath Breathing difficulties result from anaemia and reduced oxygen transport in the blood, impacting overall stamina and physical capabilities.
17 Brain Haemorrhage In extreme cases, untreated deficiency can lead to life-threatening conditions, such as bleeding around the brain, due to severely weakened blood vessels and impaired clotting.

Reasons that Cause Vitamin C Deficiency

As mentioned, the primary cause of vitamin C deficiency is an imbalanced diet. The human body does not naturally synthesise vitamin C, which must be supplied via external sources. This primarily concerns food intake, including vegetables, fruits, and fortified foods. 

This is why most vitamin C deficiency causes involve an improper diet. Some of these are as follows:

  • A diet lacking vitamin C-rich fresh vegetables and fruits

  • A restrictive diet due to health conditions like weak digestive system, allergies, etc.

  • Mental health issues and other disorders like anorexia

  • Old age

Besides, there can be several other causes for the lack of vitamin C. These include treatments, health conditions, and habits that limit the body’s ability to absorb nutrients. Some of them are as follows:

  • Ulcerative colitis

  • Intake of illegal drugs and high amounts of alcohol

  • Chemotherapy

  • Crohn’s disease

  • Smoking

  • Hyperthyroidism

  • Pregnancy

  • Prolonged diarrhoea

  • Surgery 

These factors can lead to long-term vitamin C deficiency, which might lead to detrimental side effects.

Diagnosis of Vitamin C Deficiency

Diagnosis of vitamin C deficiency entails the combination of clinical evaluation and some specific tests to ascertain its level in the body. Different approaches are used by health practitioners to identify and investigate this condition, such as:

Physical Examination

A physical examination is conducted to thorough check for symptoms such as bruising, bleeding gums, and scurvy manifestations.

Dietary Assessment

Evaluation of a patient’s diet to establish any potential nutritional gaps, emphasising the intake of foods rich in vitamin C.

Blood Tests

Liquid samples are tested to determine the plasma levels of this substance, hence enabling the identification of deficiencies or concentration levels.

Imaging Studies

These involve using X-rays or other imaging techniques to detect complications like subperiosteal haemorrhage in severe cases.

Medical History Review

Analysis of the patient's medical history, including any conditions or medications that may affect nutrient absorption.

Best Food Sources to Overcome Vitamin C Deficiency

Ensure a diet rich in vitamin C to prevent and address deficiency. Below are the top food sources, including fruits, vegetables, and other eatables, that provide high levels of this essential nutrient.

Fruits to Overcome Vitamin C Deficiency

Fruits are excellent sources of vitamin C, offering a range of options from citrus fruits to berries and tropical fruits. Here are a few of them:

Sr.No. 

Fruits Nutritional Value (Vitamin C per 100g)
1 Kiwi 92.7 mg
2 Lemons 53.0 mg
3 Strawberries 58.8 mg
4 Papaya 60.9 mg
5 Blackberries 21.0 mg
6 Guava 228.3 mg
7 Oranges 53.2 mg
8 Mango 36.7 mg
9 Lychee 71.5 mg
10 Pineapple 47.8 mg

Vegetables to Overcome Vitamin C Deficiency

Vegetables are another excellent source of Vitamin C, with options ranging from leafy greens to cruciferous vegetables. Several options include:

Sr.No. 

Vegetables Nutritional Value (Vitamin C per 100g)
11 Carrots 5.9 mg
12 Spinach 28.1 mg
13 Bell Peppers 127.7 mg (Red)
14 Tomatoes 13.7 mg
15 Broccoli 89.2 mg
16 Cabbage 36.6 mg
17 Potatoes 19.7 mg
18 Brussels Sprouts 85.0 mg
19 Kale 93.4 mg
20 Cauliflower 48.2 mg
21 Sweet Potatoes 2.4 mg
22 Peas 40.0 mg

Other Eatables to Overcome Vitamin C Deficiency

Apart from fruits and vegetables, other eatables also provide significant amounts of Vitamin C, which can be added to a balanced diet to maintain adequate levels, such as:

Sr. No. 

Food Items Nutritional Value (Vitamin C per 100g)
23 Oysters 30.0 mg
24 Paprika 76.4 mg
25 Chilli Peppers 143.7 mg

Note that vitamin C can disintegrate under the effect of heat during storage. This is why it is advisable to consume as many raw and fresh fruits and vegetables as possible.

On the other hand, if you have already been diagnosed with a vitamin C deficiency, you will need to consult a dietician who might suggest the following treatment methods:

  • Oral vitamin C supplements
  • Vitamin C injections

The healthcare professional will recommend the ideal dosage, depending on your deficiency level. He/she will also prescribe a diet chart to speed up recovery.

How Much Vitamin C Do You Need Daily?

The RDA for vitamin C differs according to one’s age and gender. 90 mg per day is needed for men, while women should have 75 mg daily. If someone smokes or is stressed out, 35mg more can be required daily. 

The recommended dose for children varies between 15 and 75 mg, depending on their age. Pregnant and breastfeeding women require up to 120 mg daily to support their increased metabolic needs.

Side Effects of Vitamin C Deficiency

Unchecked early symptoms of lack of vitamin C can include some of the following persistent health issues: 

  • Bleeding from nose and gums

  • Subperiosteal haemorrhage or bleeding between joints

  • Loose teeth

  • Improper and delayed wound healing

  • Weak bones

Other severe persistent symptoms due to lack of vitamin C include fever, nerve problems, shortness of breath, and convulsions.

Individuals suffering from the same might be unable to identify these due to a specific nutrient deficiency. However, a lack of vitamin C can lead to severe diseases.

Diseases Caused Due to Vitamin C Deficiency

The deficiency of vitamin C causes scurvy. The following symptoms characterise Scurvy:

  • Gingivitis or gum disease

  • Loss of teeth

  • Skin problems

  • Anaemia

  • Weak immunity

  • Shortness of breath

  • Corkscrew hairs

These signs occur along with the previously mentioned vitamin C deficiency symptoms.

In the long run, lack of vitamin C causes untreated scurvy, which can be life-threatening and may lead to the following conditions:

  • Severe jaundice

  • Neuropathy

  • Haemolysis or destruction of RBCs

  • Generalised oedema

Since pregnant women are at increased risk of developing this deficiency due to the body’s high nutrient requirement, scurvy in them may affect foetal brain development.

To prevent the adverse eventualities of this nutrient deficiency, you must ensure all necessary precautions are followed, including a balanced diet.

Treatment for Vitamin C Deficiency

Addressing vitamin C deficiency typically involves dietary changes and medical interventions to restore adequate nutrient levels. Below are the common treatments:

Treatment Method

Description
Oral Vitamin C Supplements Tablets or capsules containing vitamin C, typically prescribed to boost levels quickly, with doses ranging from 500 mg to 1,000 mg per day, depending on deficiency severity.
Vitamin C-Rich Diet Incorporating more vitamin C-rich foods, such as citrus fruits, berries, and green vegetables, helps to naturally increase vitamin C intake and prevent recurrence.
Vitamin C Injections For severe cases or when oral supplements are ineffective, intramuscular or intravenous injections are administered to raise blood vitamin C levels rapidly.
Multivitamin Supplements Multivitamin preparations containing vitamin C ensure a balanced intake of essential vitamins and minerals for those with broader nutritional deficiencies.
Regular Monitoring Continuous assessment of vitamin C levels and adjustments to dietary or supplement intake are essential for maintaining optimal levels and preventing future deficiencies.

How Long Does it Take to Fix Vitamin C Deficiency?

Vitamin C deficiency patients can observe significant improvement in their health condition after starting to replenish the nutrient.

However, if you are wondering exactly how long it will take to fix vitamin C deficiency, here is a list of the symptoms and the probable time they might take to disappear.

Symptom Resolution Timeline

Symptoms
24 hours Pain, brain fog, fatigue, anorexia, and lethargy.
1-2 weeks Severe weakness, bleeding, and bruising.
3 months Complete recovery.

Note that this timeline may vary across individuals, depending on the extent of deficiency and other health conditions.

However, permanent damages like severe tooth deformation or tooth loss are irreversible. This is why you should prioritise taking good care of your health to prevent vitamin C deficiency before it is too late.

Who is at Risk of Suffering from Vitamin C Deficiency?

Some vulnerable groups may develop vitamin C deficiency because of various issues, including dietary habits, lifestyles, or medical conditions that restrict vitamin C intake in the body. Recognition of such risk factors is imperative for targeted prevention and early intervention.

FAQs about Vitamin C Deficiency

Can vitamin C deficiency lead to other health conditions?

Yes, prolonged vitamin C deficiency is a primary contributor to degenerative diseases like heart disease that shorten an individual’s life expectancy.

What is the recommended vitamin C intake for an adult individual?

RDA recommendations mention the daily vitamin C intake for an adult male is 90 mg, and that for adult women is 75 mg.

What are the effects of consuming too much Vitamin C?

Yes, consuming vitamin C in excessive doses can lead to gastrointestinal problems like abdominal cramps, diarrhoea, and stomach inflammation. More severe consequences include malabsorption of other nutrients, kidney stones, altered acid-base balance and insulin response.

What are the symptoms of low vitamin C?

Early symptoms include fatigue, muscle weakness, easy bruising, and dry skin. Advanced stages may lead to scurvy with severe symptoms like bleeding gums and joint pain.

What are the side effects of vitamin C?

Excessive intake can cause digestive issues like diarrhoea, abdominal cramps, and potentially kidney stones due to increased oxalate levels.

How to increase vitamin C?

Consume vitamin C-rich foods such as citrus fruits, strawberries, bell peppers, and broccoli, or take supplements as a healthcare professional advises.

What happens if your vitamin C is low?

Low levels can impair collagen production, weaken the immune system, delay wound healing, and lead to more severe conditions like scurvy if untreated.

What foods are high in vitamin C?

Citrus fruits (oranges, lemons), strawberries, kiwi, bell peppers, broccoli, and leafy greens are excellent sources of vitamin C.

What happens if You have too much vitamin C?

Excessive intake can lead to gastrointestinal discomfort, such as diarrhoea and stomach cramps, particularly in sensitive individuals.

How much vitamin C do you need?

The recommended daily intake is 90 mg for adult men, 75 mg for adult women, and higher for certain groups like smokers and pregnant women.

How common is vitamin C deficiency?

Although less common in developed nations, vitamin C deficiency can affect up to 7% of the population due to factors including diet, lifestyle, and medical conditions.

What are the three symptoms of scurvy?

The three symptoms of scurvy include swollen and bleeding gums, joint pain, and skin changes like petechiae (small red or purple spots).

Does a lack of Vitamin C result in hair loss?

Yes, severe vitamin C deficiency can lead to dry, brittle hair, which is prone to breakage and hair loss.

When using Vitamin C, what should you avoid?

Avoid excessive heat during food preparation. Vitamin C is sensitive to heat and can degrade, reducing its nutritional value.

Is Vitamin C a source of energy?

No, vitamin C does not directly provide energy but is crucial in various metabolic processes and immune functions.

What effects does Vitamin C have on your skin?

Vitamin C promotes collagen production, which helps maintain skin elasticity, reduces wrinkles, and protects against UV damage.

Who is most at risk for vitamin C deficiency?

Individuals with poor diets, smokers, alcoholics, pregnant women, and those with malabsorption conditions like Crohn's disease are at higher risk.

What age group needs more vitamin C?

Older adults and pregnant or breastfeeding women have increased vitamin C requirements due to age-related changes or higher metabolic demands.

What drink is high in vitamin C?

Orange, grapefruit, and lemonade are naturally high in vitamin C.

Is lemon high in vitamin C?

Yes, lemons are a good source of vitamin C, providing about 53 mg per 100 grams of fruit.

Which Indian food is rich in vitamin C?

Indian foods rich in vitamin C include amla (Indian gooseberry), guava, and bell peppers, which are used in various regional cuisines.

Do symptoms of Vitamin C deficiency are similar in all skin types?

While symptoms like fatigue and bruising are universal, the appearance of skin-related symptoms may vary depending on individual skin characteristics and conditions.