Anemia: There is a long work up for anemia but with the nose bleeds evaluation for a bleeding disorder is usually performed . Since she is 50, she would be recommended a screening colonoscopy and if her stool shows that it has blood then also an upper endoscopy (looking in stomach and colon for blood loss). The other source commonly in premenopausal women is due to abnormal menstruation.
Answered 2/16/2016
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