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Doctor insights on: Anemia And Colonoscopy

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Normocytic Anemia - Prominent Spleen 'seen' during colonoscopy - CT Scan (2weekslater) spleen normal - left up ab pain, further investigation needed?

Normocytic Anemia - Prominent Spleen 'seen' during colonoscopy - CT Scan (2weekslater) spleen normal -  left up ab pain, further investigation needed?

Yes: Anemia in a 23 year male needs investigation as it suggests blood loss, lack of dietary iron or malabsorption. For the spleen size, I would trust the CT finding. Abdominal pain is an additional reason for further investigation. ...Read more

Dr. Steven Ginsberg
1,239 doctors shared insights

Anemia (Definition)

Anemia refers to any condition where there is a decrease in the red blood cells in the body. There are numerous causes of anemia but they can basically be broken down into 3 categories: decreased production of red blood cells increased destruction of red ...Read more


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I am a 34-yr-old female diagnosed with iron deficiency anemia two years ago. GI has not recommended colonoscopy. Should I be concerned?

Yes. Get checked.: If you have iron deficiency anemia, there can be several causes: 1) Diet-you could be iron deficient if you are a vegetarian 2) Heavy periods or irregular vaginal bleeding 3) GI bleeding from gastritis (inflammation in your stomach) or a growth in your colon. I would recommend checking stool cards for occult (microscopic) blood. If these are positive, you definitely need a colonoscopy. ...Read more

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7negative stool test done at different times, have anemia, not bleeding, endoscopy negative doc still wants colonoscopy. Why when all negative?

7negative stool test done at different times, have anemia, not bleeding, endoscopy negative doc still wants colonoscopy. Why when all negative?

Bleeding can be...: ...intermittent, from any source. If there is clinical evidence that points to the GI tract as a likely source of your anemia then colonoscopy is indeed warranted. ...Read more

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How accurate are occult blood stool IA tests? I had 7 done, all negative, have anemia, I know its from food, not bleeding, doc still wants colonoscopy

How accurate are occult blood stool IA tests? I had 7 done, all negative, have anemia, I know its from food, not bleeding, doc still wants colonoscopy

Investigate iron def: If an adult has anemia DUE TO IRON DEFICIENCY, the cause is almost always blood loss. In men and non-menstruating women, the blood loss is almost always from the gastrointestinal tract. If iron deficiency (not just anemia) has been well proven, and the patient does not menstruate, endoscopy is warranted no matter what the occult blood stool test shows. ...Read more

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Lab results: hight tibc, normal range iron and saturation. Have been passing mucus and blood(few times in past few months) even without stool. Awaiting colonoscopy. Could my lab results mean anemia?

Lab results: hight tibc, normal range iron and saturation. Have been passing mucus and blood(few times in past few months) even without stool. Awaiting colonoscopy. Could my lab results mean anemia?

Depends on your Hemo: Anemia, by definition, means low hemoglobin level. So we need to know your hemoglobin(hb) in order to answer your question. If it is over 12 grams, you do not need to worry about your iron and TIBC etc. ...Read more

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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?

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. ...Read more

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Chronic iron def & anemia (5 yrs) . Iv iron good for 6 months. No endometriosis, fibroids, colon polyps, etc. Wth? (3 endoscopes, 2 colonoscopies)

Chronic  iron def & anemia (5 yrs) . Iv iron good for 6 months. No endometriosis, fibroids, colon polyps, etc. Wth? (3 endoscopes, 2 colonoscopies)

May not be colon: You do not mention that you have seen a hematologist. You may need to do that for further workup, if no cause for bleeding is found. Also, there is a way to look at the small bowel to make sure the bleeding is not coming from there, called a capsule endoscopy, where you swallow a capsule with a camera in it. See your gastroenterologist. ...Read more

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Bad gas/urination/anemia for over 2 years. Endoscopy/colonoscopy clean. Was told stress. Now I have a late period. Could it be a UTI or bad thyroid?

Bad gas/urination/anemia for over 2 years. Endoscopy/colonoscopy clean. Was told stress. Now I have a late period. Could it be a UTI or bad thyroid?

Seemingly unrelated: I'm not sure what the urination problem is, but "bad gas" is usually dietary related and anemia in a young woman such as yourself is often due to excessive menstrual bleeding. Stress may contribute to digestive issues and a late period. If you are having painful or frequent urination, then be checked for a UTI.You should be taking iron supplements; with late period check for pregnancy. Good wishes ...Read more

Dr. Charles Cattano
1,990 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more