Hello and thanks for the query.
This is an excellent question. It does appear that you have a significant anemia
. I am not sure that your doctors can conclude that you have actual bleeding going on. It is possible that your body is somehow destroying the red blood cells. This can sometimes happen through an autoimmune process. I am, sure you're hematologist
has considered this. He may have requested some special laboratory studies to rule this out.
It is important that you continue to receive your iron supplementation. As long as the other blood cells in your body, including platelets and white blood cells are within normal limits. It is most likely, your bone marrow
is functioning normally and that some type of processes going on whether it is some type of bleeding that has yet to be discovered or whether your body is actively breaking red blood cells apart somehow through this immune process.
Thanks again for sending your question. I can appreciate, that you're dealing with a very stressful and frustrating situation. Please let me know if you have any additional specific concerns.