Dr. Anshul Varshney
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
A year ago, my dad was diagnosed with anemia after his hemoglobin levels dropped to 4 g/L. Since then, he has received two blood transfusions and several iron infusions. He has had several tests done to rule out any major illnesses, and all came back normal. For the time being, the transfusions and infusions help, but his iron levels keep dropping significantly again, and the doctors cannot figure out why. Can anyone help me as I am concerned?
He has had a colonoscopy, gastroscopy, EKG, echocardiogram, stress monitor test, kidney test, capsule camera test, urea breath test, H.pylori stool test, coeliac screen, hemoglobin, electrophoresis, TSH, and nuclear medicine procedure. He is 71 years old with hypertension and type 2 diabetes.
Hi,
Welcome to icliniq.com.
Now see anemia iron deficiency is due to two factors. First is that body is losing the iron stores through some bleeding, and for that, endoscopy and colonoscopy have been performed, and no reasons are found.
So, we should concentrate on the second factor: production and absorption of iron are at fault inside the body. For that description, I need to see his blood reports if you have. If you do not have them, let me know, I would mention what causes should be considered to discuss with your treating doctor.
Patient's Query
Thank you doctor,
I do not have any of the reports. His GP keeps them. Can you tell me the causes you are thinking of, so I can discuss with his doctor.
Hello,
Welcome back to icliniq.com.
However, I am sure your GP must be looking into these factors. Still, you may discuss Thalassemia, celiac disease, neoplasms, and chronic kidney disease. I would strongly recommend workup for all these conditions. Let me know what your GP says.
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Internal Medicine
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