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What causes bleeding from gut?

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Posted on Wed, 11 May 2016
Question: My doctor did a blood test which showed that I had iron deficiency anaemia, folic acid deficiency and vitamin D defciency. She has arranged an Endscopy and Colonoscopy for me as urgent ( although urgent means two months here.) she says the results indicate bleeding somewhere in my gut. Could there be any other reason?
doctor
Answered by Dr. Shailja Puri (55 minutes later)
Brief Answer:
Bleeding from gut is cause of iron deficiency, supplements required.

Detailed Answer:
Hello,

Thanks for positing your query on HealthcareMagic.
Bleeding from the gut explains the iron deficiency anemia.
Bleeding from any part of body leads to loss of iron and thus iron deficiency.
The cause for such bleeding needs to be determined since the loss of iron will continue till the bleeding continues.
Iron deficiency can be corrected by iron supplements but removal of underlying cause is necessary for definitive treatment.
Other causes of iron deficiency are decreased iron intake, increased requirement of iron and increased loss of iron from body as in case of blood loss.
Folic acid deficiency can result from decreased intake in diet.
Vitamin D is formed in skin after exposure to sunlight.
Less exposure to sunlight leads to vitamin D deficiency.
Folic acid and vitamin D deficiencies need to corrected by folic acid and vitamin D supplements.

Thanks and take care
Dr Shailja Puri
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Shailja Puri (50 minutes later)
I haven't had the scopes yet. So the doctor has only assumed that the iron deficiancy is due to bleeding from the gut. What I want but to know, is this the most likely reason for me to develop this deficiancy? Is there any other causes which are likely? What other symptoms should I have?
doctor
Answered by Dr. Shailja Puri (20 minutes later)
Brief Answer:
Bleeding from gut is most likely cause of iron deficiency.

Detailed Answer:
Hello and welcome again,
As I have previously mentioned that iron deficiency can develop due to low iron intake, increased iron demand and increased iron loss from body.
Chronic bleeding from any site in body results in iron loss.
This is most likely cause of iron deficiency, however, other causes like low iron intake and increased requirement can also contribute to iron deficiency.
Iron deficiency is characterised by pallor, tiredness, fatigue, lack of concentration, irritability, lack of concentration to name a few symptoms.
management consists of iron supplements and treatment of bleeding site in gut.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Shailja Puri (4 hours later)
Sorry, what are the possible causes of bleeding in the gut?
doctor
Answered by Dr. Shailja Puri (6 hours later)
Brief Answer:
Ulcers, polyps, growths etc are possible cause of bleeding from gut.

Detailed Answer:
Hello and welcome again,
The exact site of bleeding in gut is not mentioned.
Bleeding in different parts of gut have different causes and different etiology.
Bleeding from stomach can be due to ulcer.
Bleeding from intestines can be due to ulcer, polyp, growth, diseases like crohns disease, ulcerative colitis etc.
The site of bleeding is important to determine the possible cause of bleeding.

Thanks and take care
Dr Shailja Puri
Above answer was peer-reviewed by : Dr. Deepak
doctor
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Follow up: Dr. Shailja Puri (8 hours later)
Thanks for answer. The point is that it hasn't been determined that I have any bleeding from the gut at all.
All that has happened so far is that a blood test showed I have iron, folic acid and vitamin D deficiencies.
I have not been examined or anything, but doctor has ordered tests which I have not yet had.
What I really wish to know is what are the possible reasons for the blood results I have had? What do those deficiencies indicate?
doctor
Answered by Dr. Shailja Puri (6 hours later)
Brief Answer:
Deficiency indicate lack of iron, folic acid and vitamin D in body.

Detailed Answer:
Hello and welcome again dear,

Deficiency of iron can be due to low iron intake, increased demand or iron loss from body.
Low iron intake can result from lack of iron rich foods in diet.
Increased demand of iron arises in conditions like pregnancy, lactation and menstruation in females.
Iron loss from occurs due to any chronic bleeding from body.
Vitamin D deficiency can result from lack of exposure to sunlight. Vitamin D is synthesized under skin after exposure to sunlight.
Folic acid is due to low folic acid in diet.

Accordingly at this age, I would probably attribute to dietary deficiency and in adequate sun exposure as the other cause of those nutrient deficiency. But it is important to rule out bleeding source to make sure we do not miss out something else.

I will urge you to get the scopes done. If it doesn't reveal anything (which I pray for), then perhaps the cause is nutritional.

Hope this answers your question.

Take care
Dr Shailja Puri
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 8715 Questions

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What causes bleeding from gut?

Brief Answer: Bleeding from gut is cause of iron deficiency, supplements required. Detailed Answer: Hello, Thanks for positing your query on HealthcareMagic. Bleeding from the gut explains the iron deficiency anemia. Bleeding from any part of body leads to loss of iron and thus iron deficiency. The cause for such bleeding needs to be determined since the loss of iron will continue till the bleeding continues. Iron deficiency can be corrected by iron supplements but removal of underlying cause is necessary for definitive treatment. Other causes of iron deficiency are decreased iron intake, increased requirement of iron and increased loss of iron from body as in case of blood loss. Folic acid deficiency can result from decreased intake in diet. Vitamin D is formed in skin after exposure to sunlight. Less exposure to sunlight leads to vitamin D deficiency. Folic acid and vitamin D deficiencies need to corrected by folic acid and vitamin D supplements. Thanks and take care Dr Shailja Puri