HomeAnswersInternal MedicineanemiaIs it enough to take iron pills for 3 months for anemia due to rectal bleeding?

Due to rectal bleeding, I end up in anemia. How long can I take iron tablets?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At April 18, 2020
Reviewed AtApril 18, 2020

Patient's Query

Hello doctor,

My height is 5'7" and I weigh about 159 pounds. I am a male with anemia. I got a colonoscopy but they could not stop the bleeding, so I got a transfusion, and I also got another colonoscopy to make sure that the bleeding stopped. I have to get another colonoscopy between 3-6 months from the first colonoscopy. I went to see my primary care doctor and they gave me some iron pills to be taken for three months which are over the counter called Ferrous Sulfate. I went to see the gastroenterologist last month, and they told me to come back this month to make an appointment to get another colonoscopy. I cannot get in touch with my doctor right now because of the COVID 19. I wanted to know that if I still have symptoms of anemia, could I take some more iron pills or three months is enough?

Hi,

Welcome to icliniq.com.

You have mentioned that you had bleeding per rectum and you had gone for the colonoscopy. Can you share the report of colonoscopy so that I can know what was the cause of bleeding? It is perfectly safe for you to continue the iron medicines until the time you get an appointment with your regular doctor.

Patient's Query

Thank you doctor,

I have attached the file.

Hi,

Welcome back to icliniq.com.

Thanks for sharing the previous reports. I have reviewed your reports (attachment removed to protect patient identity) and the condition that you have been diagnosed with is tubular adenoma which is growth of some cells in the rectal area that caused you to bleed which your GI doctor would have explained to you.

Right now you can continue taking iron tablets. Along with that, I would suggest you to maintain a healthy diet with lots of green vegetables which help the body to produce more blood.

Have a diet with high fiber content. There is no urgency for you to see a doctor unless you have fresh bleeding or any symptoms of blood loss like giddiness, too much fatigue, difficulty breathing, etc.

Investigations to be done

Repeat complete blood count. MCV (mean corpuscular volume), MCHC (mean corpuscular hemoglobin concentration), serum iron, serum ferritin levels.

Treatment plan

Surveillance colonoscopies frequency as recommended by GI specialist. Hematinics stool softeners.

Preventive measures

Avoid constipation. Avoid dehydration.

Regarding follow up

Follow up with the blood reports whenever you get them done.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kapil Kumar Gupta
Dr. Kapil Kumar Gupta

General Medicine

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