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Dr Basu
Dr Basu, Experienced Specialist
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Experience:  MD
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hI I'M A trainee GP. Worried about 29 yr old female patient

Resolved Question:

hI I'M A trainee GP. Worried about 29 yr old female patient who presented with tiredness 10 days ago. On routine bloods - HB was 8.7 , IRON DEFICIENCY, FERRITIN -6, low haematocrit. hB WAS 8.2 WHEN RECHECKED 1/52 LATER - LAST WEDNESDAY. Noticed results yesterday afternoon. Requested retics count and blood film but results not available. Not particularly heavy periods, no other symptoms. Appears to be tolerating it well, phoned her today, she feels tired, no dizziness/ dyspnea. On re,viewing notes, BP was low c. 96/60 at first visit, baseline is low. Dont recall tachycardia but not recorded in notes. Am arranging admission on Monday but worried that she is actively bleeding - source not identified, should i send her to emergency now?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.
Dr Basu :

Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.

Dr Basu :

Did you check for any GI bleeding with stool occult blood test or guaiac?

Dr Basu :

besides heavy period, GI bleeding is the common cause.

Dr Basu :

Another possibility is chronic iron deficiency.

Dr Basu :

Given the lack of significant symptoms that is moe likely.

Dr Basu :

Iron deficient diet or absorption problem due to the inflammatory bowel disease, or chronic heavy periods are such examples.

Dr Basu :

Usually Hgb above 6 in that case should be ok.

Dr Basu :

Blood transfusion is not required Above Hgb 7 or in the absence of significant hemofynamic instability.

Dr Basu :

So, you may wait till Monday.

Dr Basu :

Best wishes,

Dr Basu :

It was my pleasure to help you today.
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