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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Anemia After Colon Removal?

Hi, my 44y/o sister has had most of her large colon removed about 5yrs ago due to some inflamatory condition. Since then, she experiences chronic severe anemia and has to get iron infusions every 3 or so months. She is having severe reactions to the injections and must be medicated and kept in hospital overnight. Is this common, what causes the anemia, (drs. have no answers) and what might be a better way to treat this condition. My sister is a critical care nurse for 10yrs, alcoholic as well and her bowels move very rapidly, perhaps hindering better absorption of iron? I'm a nuclear med tech, with not much medical intuition. I live in Tallahassee, Fl. My sister is a new live in for 2yrs now, and I really don't have much faith in medical care here in this town. Any advice would be greatly appreciated. YYYY@YYYY
Tue, 27 Jan 2015
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Hematologist 's  Response
Hi,
Sorry to hear that. The newer iron preparations like intravenous ferric carboxymaltose is known to be very safe much larger doses up to 1000mg can be given at one sitting. She should consult her physician and consider it after undergoing tests like peripheral smear and serum iron studies.







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What Causes Severe Anemia After Colon Removal?

Hi, Sorry to hear that. The newer iron preparations like intravenous ferric carboxymaltose is known to be very safe much larger doses up to 1000mg can be given at one sitting. She should consult her physician and consider it after undergoing tests like peripheral smear and serum iron studies.