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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hemoglobin Down. Had Numerous Colonoscopy And Endoscopy. Stools Were Black And Tary And Vomiting Coffee Grinds. What Dose It Indicate ?

I have been admitted to the hospital 4x since the end of November with a GI Bleed. My hemaglobin went down to 5.
I have had numerous colonoscopy and endoscopy to find out what is wrong, But all of the test comes back normal except for the hemaglobin. My stools were Black and tary and was vomiting coffee grinds. Help me, this has been going on too long and no one can tell me why. I have stayed away from any type of asprin.
Thu, 25 Apr 2013
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General Surgeon 's  Response
Hi and welcome to HCM.
This sounds like upper gastrointestinal bleeding which usually occurs in stomachsuch as ulcers and erosions but can be found in duodenum too. SOmetimes it is hard to evaluate the acurrate bleeding location because it can bleed for short time and then it is not visible. ALso you should consider some other cause of anaemia. The best approach is to take iron supplements and blood transfusion if neccessary and repeat endoscopic tests if anaemia persist. ALso check your clotting factors and haematological findings to see is there any clotting abnormality. WIsh you good health.
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Hemoglobin Down. Had Numerous Colonoscopy And Endoscopy. Stools Were Black And Tary And Vomiting Coffee Grinds. What Dose It Indicate ?

Hi and welcome to HCM. This sounds like upper gastrointestinal bleeding which usually occurs in stomachsuch as ulcers and erosions but can be found in duodenum too. SOmetimes it is hard to evaluate the acurrate bleeding location because it can bleed for short time and then it is not visible. ALso you should consider some other cause of anaemia. The best approach is to take iron supplements and blood transfusion if neccessary and repeat endoscopic tests if anaemia persist. ALso check your clotting factors and haematological findings to see is there any clotting abnormality. WIsh you good health.