2units of pack volume immediately.followed by iron suppliment.
investigate for oesophagial varices and haemorhoids.upper G.I.endoscopy
,proctoscopy to rule out bleeding varices.since pt. is alcoholic absorption is also disturbed.In alcoholics portal hypertension
gives rise to bleeding varises and haemoroids if pressure exeeds 12 mm vessel bleeds so in this case anaemia
is secondary to alcoholism
.pt.is to be hospitalised and investigated in detail.
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