from Medscape Gastroenterology eJournal [TM]
Edward LeVert, MD, Baylor College of Medicine, Houston, Texas
Series Editor: Richard Goodgame, MD, Baylor College of Medicine, Houston, Texas
Case Presentation
A 35-year-old woman was referred for esophagogastroduodenoscopy (EGD) and colonoscopy because of iron deficiency anemia.
She was diagnosed with a peptic ulcer 10 years previously and has had mild anemia for several years. She has never had any endoscopic procedures. The patient reported experiencing bloating with meals and some mild abdominal discomfort, and occasionally a mild cough, but has had no heartburn or chest pain. A severe iron deficiency anemia was noted 4 months prior to presentation (hemoglobin level = 5 g/dL; mean corpuscular volume = 70; ferritin = 7 mg/dL), and was associated with mild dyspnea on exertion. Her primary physician placed her on a proton-pump inhibitor (PPI) and iron sulfate; both her anemia and exercise tolerance improved. The patient has never noticed melena, hematemesis, or hematochezia, and menstruation has been normal.
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