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Low Haemoglobin and Rbc count
My father was suffering from blood in stool last week for 2-3 days and due to this his Haemoglobin level is reduced, feelings extreme weakness, shortness of breath while doing day to day activities and his skin and nails look pale. After consulting dr he is taking iron and folic acid supplements along with his regular medication as he has stent in his heart.( Ecosprin is stopped by his dr for sometime).But even after dietary modification and oral supplements his symptoms are not improving.I am attaching his report. Please suggest what can be done as he is becoming very week.
Answers (30)
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Ensure that the cause of blood loss is investigated properly and treated.
Supplement with dietary fibre-chia /flax seeds.
Consume iron and B12 rich foods-meat,green leafy vegetables etc.
Medication-
TAB. 2B12 Once a day
TAB. Orofer XT Once a day
If there is no improvement even after 3 to 4 weeks consider iv iron sucrose at hospital.
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Hi ,
Kind of need more information and some more history to be able to give more precise advice.
But we can try some iv injections if it's persistent anemia even after tablets and dietary modifications.
But treating the cause of the anemia remains our mainstay treatment .
Feel free to reach out if you have any more questions.
Take care
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Dr sankar santhosh here ,
Firstly oral supplementation that the patient has been started on will take a couple of weeks for the patient to show improvements in symptoms , as hemoglobin tends to rise at a slow pace ….
Next Steps
Continue the oral medications for the time being , and withhold the ecospirin
I would advise you to have an endoscopy and a colonoscopy to be done to rule out any gastrointestinal causes for the bleed .
Health Tips
Drink plenty of water , avoid straining while passing motion , use a laxative if necessary
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Take a glass of milk daily.
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You need to check the cause of blood in stools as it is possible that bleeding is still there but not visible to naked eye. It is usually not possible to have such a low Hb with small blood in stools for 2 to 3 days.
Next Steps
get stool examination for presence of occult and fresh blood
further evaluation if the answer is yes to above
keep taking iron ,folic acid and B complex suppliments
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Your father has severe anemia likely from GI bleeding. Blood in stool indicates ongoing blood loss despite stopping Ecosprin. Iron supplements alone won't help if bleeding continues. He needs urgent evaluation for the source of bleeding (colonoscopy/endoscopy), possible blood transfusion given his severe symptoms, and treatment of underlying cause. This requires immediate medical attention.
Next Steps
Visit gastroenterologist urgently with reports Get colonoscopy/endoscopy to find bleeding source Check hemoglobin levels - may need blood transfusion Continue iron supplements as prescribed Monitor for increased weakness or dizziness
Health Tips
This is urgent - don't delay seeking medical care. If he experiences severe weakness, chest pain, or difficulty breathing, go to ER immediately. Blood transfusion may be life-saving.
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Patient can have 2 things, if the blood in the stool is red bright, this is hemorrhoids
If the blood is dark/maroon, this can be due to ulcers in stomach or duodenum, for both of them, you urgently need to see a general surgeon atleast. Please go to a surgeon as early as you can.
Get well soon.
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Looking at his hemogram, I can see that he doesn’t have any iron deficiency or any blood related disorder which would lead to his reduced Hb. Which means the issue is related to the gut.
And since he has a stent I don’t think stopping Ecosprin ( which is the blood thinner given so that blood does not clump in that stent) will not do any good to him.
I would like you give me a little bit more history like if he vomited? If yes was there blood in it. Any stomach aches? If yes where? Also the quality ( how much blood, constipated or watery stool) of stool he passed.
Has it happened before?
Has he undergone any surgeries? Or is there any other medical condition associated?
Also tell me what other medications is he on currently or previously.
Next Steps
To clearly know the cause, a regular stool examination will be required which includes stool OB(occult blood).
Along with platelet analysis test that is PT-INR for that blood clumping part.
Also he should undergo a colonoscopy if stool examination comes positive to confirm the actual cause
Health Tips
He might be needing a transfusion considering a quite low Hb. But for that a fresh CBC report would be required.
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