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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Internal Bleeding Along With Low Haemoglobin Levels?

my question is on behalf of my 37yr old male cousin. He has been told he is internally bleeding, has had one blood transfusion already & has vertigo & pain so bad he can not work. They keep sending him home & he waits weeks for returned phone calls to book appointments for tests. So far they cannot find anything wrong with him, colonoscopy found nothing but blood work showed that his hemoglobin is low. He also has very dark stool. Now he was a smoker but quit about 2months ago, & he ha a pinched nerve in his shoulder so he was taking naproxen regularily but has been instructed to stop about a month ago when this all began. What could be causing this problem???
posted on Fri, 1 Jan 2016
Twitter Fri, 29 Apr 2016 Answered on
Twitter Mon, 2 May 2016 Last reviewed on
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Gastroenterologist,  's  Response
hi
thanks for posting in HCM
I have understand your concern

most probable reason for his problem is upper GI bleed only , because dark stool indicates only upper GI bleed and colonoscopy also Normal.

mostly naprosen induced ulcer bleed or some other cause.
I can suggest him to get done upper GI endoscopy , if it is already done , he can undergo capsule endoscopy which can find out bleeding spot where colonoscopy and endoscopy can't reach.

one more scan is there, that is RBC scintigraphy or bleeders scan , all these are costly

meanwhile if his HB is less than 8 gms , he needs blood transfusion.

somatostatin infusion also helps in controlling bleeding

hope this helps you

any further questions please let me know
thanks
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What Causes Internal Bleeding Along With Low Haemoglobin Levels?

hi thanks for posting in HCM I have understand your concern most probable reason for his problem is upper GI bleed only , because dark stool indicates only upper GI bleed and colonoscopy also Normal. mostly naprosen induced ulcer bleed or some other cause. I can suggest him to get done upper GI endoscopy , if it is already done , he can undergo capsule endoscopy which can find out bleeding spot where colonoscopy and endoscopy can t reach. one more scan is there, that is RBC scintigraphy or bleeders scan , all these are costly meanwhile if his HB is less than 8 gms , he needs blood transfusion. somatostatin infusion also helps in controlling bleeding hope this helps you any further questions please let me know thanks