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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bleeding And Severe Anaemia?

Hi,weight gain,bloating on noreithrasone Tds without a break to attempt to address severe anaemia - still bleed on this regime and had an adverse reaction to iron infusion so unable to have depot regime,waiting date for investigative surgery,my query is why am I still bleeding on noreithrasone regime.
Tue, 12 Aug 2014
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Geriatrics Specialist 's  Response
Hi,
Thanks for asking.
Based on your clinical history and query, my opinion is as follows:
1. Bleeding could be due to local or systemic cause.
2. Local causes include fibroid, endometrial hyperplasia, or even tumors. Norethisterone could have prevented endometrial cause, so other causes needs to be investigated.
3. Iron needs to be given through other routes, including diet to improve hemoglobin. If its severe, packed cell transfusions might be necessary.

Hope it helps.
Any further queries, happy to help again.
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What Causes Bleeding And Severe Anaemia?

Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows: 1. Bleeding could be due to local or systemic cause. 2. Local causes include fibroid, endometrial hyperplasia, or even tumors. Norethisterone could have prevented endometrial cause, so other causes needs to be investigated. 3. Iron needs to be given through other routes, including diet to improve hemoglobin. If its severe, packed cell transfusions might be necessary. Hope it helps. Any further queries, happy to help again.