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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hemoglobin Reducing Constantly. How To Determine The Cause Of Anemia?

my dad is 81, his hemoglobin has gone from 13.8 to 9.4 over the course of 1 year, he has dementia but otherwise happy, comfortable and safe. i don t think i want to put him through a colonoscopy. what can i do next to determine cause of anemia? we ve checked CBC, serum iron, ferritin and cea, and he has had ct of chest, abdomin and pelvis.
posted on Sun, 9 Feb 2014
Twitter Thu, 13 Feb 2014 Answered on
Twitter Thu, 13 Feb 2014 Last reviewed on
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General & Family Physician,  's  Response
Hi,
At this age cause of chronic blood loss should be find out.
Go for ultra sound abdomen.
Go for stool test for having malina (black stool ).
If all reports are normal then go for treatment of anemia.
Give him high protein nourishing diet.
Ok and take care.
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Hemoglobin Reducing Constantly. How To Determine The Cause Of Anemia?

Hi, At this age cause of chronic blood loss should be find out. Go for ultra sound abdomen. Go for stool test for having malina (black stool ). If all reports are normal then go for treatment of anemia. Give him high protein nourishing diet. Ok and take care.