Hi, 54 yr. old female with no other health history concerns than periodic episodes of anaemia and in 1983 underwent cholecystectomy. Currently concerned with a two+ week period of bloating/loud rumbling gas, and smaller than typical bowel movements which appear like type 5 & 6 on the Bristol scale but also accompanied with yellow-tinged mucus. Thoughts?
Hi there, Your anemia is not related to the cholecystectomy which you underwent in 1983. Periodic episodes of anemia could be due to inadequate supplementation of hepatitis or could also be due to destruction of RBC's because of self reacting antibodies. Please do complete hologram, peripheral smear examination, LDH, vitamin B12 and iron studies. If reason for anemia is not clear from above tests, you will need second set of investigations. Hope I have answered your question. If you have any further questions I will be happy to help. With regards,