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Rectal bleeding, appetite loss, lost huge weight. Put on Methotrexate, Prednisone. Has low blood count. What else to do ?

My cowrkers son is 14. in the past 3 months he has lost 4 pant sizes. he has no appetite . He was bleeding rectally. She took him to the doctors at Texas Children s Hospital. 2/12 they had him in hosptial and stopped bleeding with steroids. Released him with methotrexate He was released 2/12. He hasnt had rectal bleeding or any other visible bleeding since 2/12.They ran tests yesterday and the only thing that has come back positive is that he has a low blood count and told her he is still losing blood. They put him on prednisone and methotrexate and folic acid . The doctors have not been able to tell her what is causing the bleeding, where the blood is going or what is going on. Where else can she get help?
Asked On : Sun, 3 Mar 2013
Answers:  1 Views:  49
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Pediatrician 's  Response
thanks for your query
i can feel your concerns
the first thing to establish is cause of rectal bleed and to find out whether it is a local bleed or some bleeding disorder
rectal bleed can due to lower as well as upper gastrointestinal bleed
Her local examination for any fissure or fistula should be done by surgeon .moreover proctoscopy ,sigmoidoscopy or colonoscopy to establish cause of bleed should be carried out
rectal bleed with weight loss and appetite loss is usually associated with carcinoma of gastrointestinal tract
i advise you to give her hematenics after consulting your doctor
wishing her a speedy recovery
Answered: Thu, 27 Jun 2013
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