Hi, I feel that there should be some cause of bleed. In case your endoscopy
is normal,it is unlikely that the bleed is from GIT.According to your history , it seems to me that the source of bleed might be from the respiratory tract
. For that you need to get her chest X Ray
, ESR,CBC,INR etc.She might need a invasive test like bronchoscopy
to look for the source of bleed.Hope it helps.