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Forum Name: Gastroenterology Topics

Question: recurrent melena


 prabhuday - Sun Nov 02, 2003 12:29 am

my brother had an episode of melena in nov 2002. he was bleeding for 8 to 10 days and again after a gap of 4 days again for 3to4 days. his Hb levels went down till 4. In total he was given 14 units of blood. The investigations carried out were endoscopy, colonoscopy, DSA, T3 labelled isotope rbc scan all done twice and capsule endoscopy once. No evident cause was found. Surgical laparotomy was not favoured as the surgeon could not zero down on any area to investigate. His bleeding stopped thereafter and everything was uneventful for one year except evidence of body swelling off and on for which further tests were done and everything was normal. Now exactly after one year he is having same episode and is hospitalised. His Hb level is now 8.5 (from 14.5 before admission). Till now DSA and USG and colonyscopy is done without any cause found. SO what it can be because of, and how it can be treated. He was not any medication except atorvastatin. He was a chronic smoker and social drinker till 2002 only.
 Dr. Tamer Fouad - Mon Nov 03, 2003 4:38 am

User avatar Prabhuday,
Please specify all the other indices in the hemoglobin report e.g. MCV, MCHC.. etc. How about the reticulocyte count, has one been done?

Regards,

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