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Recovering from stroke. Low levels of RBC. Colonoscopy suggested. GI bleeding?

Hi, my husband had a stroke 15 days ago. he is out of the ICU now and in inpatient rehab. for the last 4-5 days he has has had a drop in RBC. He was given 2 units of blood but it continues to drop. His body seems to be producing red blood cells from the tests done. He has an ng feeding tube still in and they are going to do an endoscopy and possibly a colonoscopy, but the GI doctor thinks it is highly unlikely he has a GI bleed.His stomach was scanned and there is no bleed there. Any ideas?
Asked On : Sun, 28 Apr 2013
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

The drop in RBC count is not related to the brain stroke.

The causes for this include poor intake of food, loss from the GI (which would be confirmed with endoscopy and clolonoscopy) and destruction of RBC in the blood (hemolytic anemia).

So, if his intake is good and there is no GI bleed, then we should investigate for hemolytic anemia.

Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)

Senior Consultant Neurologist

Apollo Hospitals, Hyderabad,

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Answered: Mon, 29 Apr 2013
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