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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Regular Blood Loss, Low Haemoglobin Levels, All Reports Normal. Suggestions?

hello dr , i am abhishek from india (u.p),i want advice for my 61 yrs old uncle who is suffering from regular blood loss and hemoglobin counts below 6 due to blood loss,we have consult the local gastrologist and all the tests like ct scan , indioscopy,chlonoscopy, biopsy ,urine test,stool tests, liver function test etc. but all the reports are normal and there are no symptoms of blood loss. kindly please suggests us regarding with our problem for future consultation.
Thu, 1 Nov 2012
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Pediatrician, Cardiology,  's  Response
Hello
How did you know that his low hemoglobin is due to loss of blood. If there is no visible bleeding from any site that may cause low hemoglobin then proper workup for the cause of anemia should be done first.
Evaluation of anemia needs a battery of test like Complete blood count, RBC indices, peripheral smear, reticulocyte count and may be bone marrow examination. Low Hb may be due to blood loss, decreased blood production or increased destruction of RBCs. Already possibility of blood loss has been ruled out by various test. So I would suggest you to consult a physician for proper clinical evaluation for signs of any chronic disease ( like chronic kidney disease), any infection and lab evaluation also for the cause of anemia.
With regards
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Endocrinologist,  Dr. Om Lakhani's  Response
Hi Abhisheik,

Where is the blood loss from ? Is it from the motions ? If yes and the endoscopy and colonoscopy are normal then you need to go for something that is known as capsule endoscopy. In UP , SGPGI lucknow probably has it ... if the hemoglobin is really



Hope I have answered your query. If you have any further questions I will be happy to help

Regards
Dr. Om Lakhani
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Suffering From Regular Blood Loss, Low Haemoglobin Levels, All Reports Normal. Suggestions?

Hello How did you know that his low hemoglobin is due to loss of blood. If there is no visible bleeding from any site that may cause low hemoglobin then proper workup for the cause of anemia should be done first. Evaluation of anemia needs a battery of test like Complete blood count, RBC indices, peripheral smear, reticulocyte count and may be bone marrow examination. Low Hb may be due to blood loss, decreased blood production or increased destruction of RBCs. Already possibility of blood loss has been ruled out by various test. So I would suggest you to consult a physician for proper clinical evaluation for signs of any chronic disease ( like chronic kidney disease), any infection and lab evaluation also for the cause of anemia. With regards