Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
192 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction
  • question-icon

    Anemia, low hematocrit with blood in stools. Had liver transplant previously. Treatment?

I am a 62 yr old male . I had a liver transplant in 2002 and have been in very good health since it was performed. I had some labs done recently and they showed that I had anemia and low hematocrit with blood in stool . The blood was not visible to the naked eye. What is the treatment for this and how serious is it. I am going to talk to my transplant co-ordinator tomorrow but I would like some kind of idea tonite to calm my wife down. Thand
Mon, 11 Feb 2013
Report Abuse
Nephrologist 's  Response
Thank you for using healthcare magic

Congratulations on your 10th year of transplantation. In order to determine the cause of anemia, more laboratory studies will be required such as iron studies, thyroid panel, B12, folate level etc. your anemia may be multi-factorial and review of all of the above data would be required to determine an exact cause.

Since you have blood in the stool (occult blood based on what you're describing) and you are a recipient of a solid organ maintained on transplant medications, you require a colonoscopy [if not done recently] and possibly an endoscopy to delineate the source of the blood.

Your issues can not be graded as serious or not without more information. For example blood in the stool with anemia can represent anything from peptic ulcer disease to hemorrhoids or diverticular disease.

Take care and be well
I find this answer helpful
General Surgeon Dr. Grzegorz Stanko's  Response
Hello!

Thank you for the query.

It seems that this result has nothing in common to your liver transplant history. Anemia with positive FOBT usually is the sign of either large intestine polyp or large intestine cancer. Especially if there is no black stools or fresh blood in stool. Some other symptoms of colorectal cancer are abdominal pain, weight lost, constipations or diarrheas.
It is advisable for you to have colonoscopy performed to rule it out.

Hope this will help.
Regards.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

Sir, My dad is having Chronic Liver Disease past 8 months. He is non-alcoholic. He is having jaundice (Bilirubin=4.5), Ascites, Spleenomegaly. He...

Recent questions on  Colorectal cancer

doctor1 MD

My father was diagnosed with creatinine level 3.6, he was treated with wysolone, after that his creatine level dropped to 2.6, doctor told it will...

doctor1 MD

Recommended medications for alopecia. Are they effective? Do they have any side effect? 0 answers, 5 views Posted in: Hair Loss Edited 3 minutes...

doctor1 MD

My mother is 94 and just had a ct scan. The CT was negative. Her doctor wants to perform colonoscopy but there is a big concern with possible...

doctor1 MD

I am 24 y and had a trauma disection of the small bowel and the colon.I am left with 51 cm of the small bowel and all rectum and sigmoid colon (35...

doctor1 MD

Hi Doctor Rommstein, I am at a turning point in my treatment and time is not my friend.Chemotherapy for now unfortunately is my only option..So my...

doctor1 MD

Hi Doctor Rommstein, I think my options now are quite limited.Because chemotheraphy was not administered post operative I have seven small tumors...

doctor1 MD

my mum has rectal cancer . she has had 25 sessions of chemoradiotherapy . I have creamed my mum's bottom and today there is like a visible lump at...