a patient complaint of breathlessness on examination he was anaemic history revealed that he was alcoholic too explain relation between his anemia and alcohol causes and complications of chronic gastritis and please tell the differential and provisional diagnosis. . .its urgent plz plz answer as soon as possible
Welcome to Chat Doctor. My dear friend anemia in alcoholics results from a combination of intravascular dilution due to volume overload, shortened red cell survival, and impaired ability of the marrow to respond optimally to the anemia. Alcohol abusers can develop a sideroblastic anemia, impaired folate metabolism or may have direct suppression of hematopoiesis by alcohol. Patients with cirrhosis of any etiology are at increased risk for hemorrhage. Blood loss occurs in patients with alcoholic cirrhosis. The upper gastrointestinal tract is the major site of bleeding including chronic gastric ulcers and varices but loss of blood from the nose, hemorrhoids, and uterus occurs in association with coagulopathy of hepatic origins leading to anemia, thanx for query.