National Center for Advancing and Translational Sciences Genetic and Rare Diseases Information Center, a program of the National Center for Advancing and Translational Sciences

Hereditary spherocytosis



My son has hereditary spherocytosis and I am trying to learn more about it. Are their any restrictions that I should be aware of, such as dietary or physical activities?


Is activity restriction recommended for children with hereditary spherocytosis?

Doctors may recommend that children with hereditary spherocytosis (HS) avoid activities that could result in blunt injuries to the abdomen. This is to reduce the risk of injury to the spleen, which is often enlarged in people with HS.[1] This remains an area of controversy however, since there is limited data demonstrating that people with HS are in fact at an increased risk for injury.[1] People with hereditary spherocytosis may experience fatigue, exercise intolerance, and weakness.[2] These symptoms and your son's activities should be discussed with your son's healthcare provider.
Last updated: 8/13/2014

Is there a particular diet that is recommended for children with hereditary spherocytosis?

We are not aware of specific diet recommendations for children with hereditary spherocytosis, however folic acid supplements may be recommended in some cases (for example in young children who have not undergone spleenectomy). The folic acid may help your child's body produce red blood cells.[3] We recommend that you talk to your son's doctor about folic acid supplements and his diet.
Last updated: 8/13/2014

We hope this information is helpful. We strongly recommend you discuss this information with your doctor. If you still have questions, please contact us.

Warm regards,
GARD Information Specialist

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  1. Hsiao M et al.,. Is activity restriction appropriate for patients with hereditary spherocytosis? A population-based analysis. Ann Hematol. April 2014; 92(4):523-5. http://www.ncbi.nlm.nih.gov/pubmed/23307599.
  2. Bolton-Maggs PH, Langer JC, Iolascon A, Tittensor P, King MJ and General Haematology Task Force of the British Committee for Standards in Haematology. Guidelines for the diagnosis and management of hereditary spherocytosis. British Journal of Haematology. January 2012; 156(1):37-49. http://www.ncbi.nlm.nih.gov/pubmed/22055020.
  3. Hereditary Spherocytosis Treatment Options. Seattle Children's Hospital. http://www.seattlechildrens.org/medical-conditions/heart-blood-conditions/hereditary-spherocytosis-treatment/. Accessed 8/13/2014.