Hi,I am Dr. Robert Galamaga (Hematologist). I will be looking into your question and guiding you through the process. Please write your question below.
67 male has been w/u for anemia in past with no solid finding. He has started having tarry stools. feels ok except maybe a little tired. His pcp wants him to go to the ED. Is this really necessary, especially now with the ED being so busy. Cant this be handled as outpt workup. thank you for your time
Based on the history, you seem to be having some sort of bleeding from the upper gastrointestinal tract and which could be due to stomach or duodenal ulcers, esophageal varices, Mallory-Weiss tear, and sometime due to cancers arising from oesophagus, stomach, intestines.
You are advised to visit the ED immediately for further evaluation and to find out the cause of bleeding by doing certain lab tests such as CBC, stool analysis, ESR, endoscopy, etcetera.
Hope I have answered your query. Let me know if I can assist you further.
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
What Causes Anemia And Black Stool?
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Suggestive of upper gastrointestinal bleeding. Based on the history, you seem to be having some sort of bleeding from the upper gastrointestinal tract and which could be due to stomach or duodenal ulcers, esophageal varices, Mallory-Weiss tear, and sometime due to cancers arising from oesophagus, stomach, intestines. You are advised to visit the ED immediately for further evaluation and to find out the cause of bleeding by doing certain lab tests such as CBC, stool analysis, ESR, endoscopy, etcetera. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali