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A 25-year-old male asked:

65 yr old lady complain of chronic fatigue n anemia n blood in stool. endoscopy n colonoscopy are normal. what's it? what do next?

1 doctor answer1 doctor weighed in
Dr. Michael Thompson
Hematology and Oncology 22 years experience
Small bowel: Assuming the source of anemia is from the gut (anemia may be from other sources)...The gut includes the small bowel and large bowel (colon). Egd evaluates the esophagus and stomach. Egd can miss dieulafoy lesions or avms. Colonscopy is very good but not perfect. If both egd and colonoscopy are negative and accurate, then bleeding can be from the small bowel. Capsule endoscopy could be considered.
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Last updated Feb 13, 2019

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