My husband (42) is a transplant patient.. back on dialysis for 2yrs, has Lite Chain Deposition disease, has end stage emphysema, no Drs can figure out why.. just went in to Emerg with a bp of 80/41, go him stable... in 1 week.. his hemaglobin went from 109, to 98 92, 88, yesturday 82, this morning 82 and they can t find a bleed...
He needs to be urgently admitted in hospital and thorough work up is necessary before It's too late to diagnose the cause of progressive decrease in hemoglobin levels. Also, you didn't tell what ultrasound reports revealed, did he have splenomegaly or not as in some cases spleen can be hyperfunctioning or blood cells are defective. Meanwhile, keep at least 4 pints of blood arranged for an emergency purpose too