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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause A Depressed Hemoglobin Level(4.8) In 78 Years Old Female?

78 year old female with hemoglobin of 4.8, able to drive to md office. Sent immediately to er and hospitialized for transfusion. Given 4 units of blood along with b12 injections. Hemoglobin now at 9.6. Colonoscopy and egd performed with good results. What would be the most likely culprit?
Tue, 4 Feb 2014
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Internal Medicine Specialist 's  Response
hello
the causes of blood loss in the elderly are upper gastrointestinal bleed and next lower gastrointestinal bleed, worm infestations etc., and anaemia may also may be due to undiagnosed malignancy, deficient in iron and vitamins in diet.
I will advise you to get upper GI endoscopy also and take the opinion of the local physician and take care.
I hope you got it, take care and get well soon.
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What Could Cause A Depressed Hemoglobin Level(4.8) In 78 Years Old Female?

hello the causes of blood loss in the elderly are upper gastrointestinal bleed and next lower gastrointestinal bleed, worm infestations etc., and anaemia may also may be due to undiagnosed malignancy, deficient in iron and vitamins in diet. I will advise you to get upper GI endoscopy also and take the opinion of the local physician and take care. I hope you got it, take care and get well soon.