A detailed history to be taken and further investigation to be done before a conclusion can be made. No need for urgent transfusion at least. Get a complete hemogram /
ferritin/
crp/stool for obt x 2 samples / hb electrophiresis done at least and consult with a gp/internal medicine specialist
Next Steps
U may discuss the case with me over practo app/ whatsapp 833*5980348