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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Anemia And Black Stool?

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
Tue, 24 Apr 2018
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General & Family Physician 's  Response
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
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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