Conversation: The conversation between human and AI assistant.
[|Human|] My son was admitted to the hoapital with low hemoglobin... 5.7 two weeks ago. He had a endoscopy and colonostomy and found nothing. He had kawasaki and selling in heart and got off aspirin after two years in Feb. Now he has pain in his legs. .. blood in stoll but small amounts and stuff neck with headache plus pain in his shinns and feet. The doctors have tested his white blood cells and they seem normal. No anemia. Nothing in GI. Saw the hematologist and nothing is coming up. Normal kidneys and liver. The doctors are losing momentum. Where do I go from here. He just turned three. He is to young and healthy for this.
[|AI|]  Hi I did review your concern. I would advise a bone marrow aspirate and biopsy and rule out rare causes of anemia like sideroblastic anemia. Pure red cell aphasia childhood fibrosis plastic anemia and so on. Bone marrow study will be the best study in this case. Also, if not done, hemoglobin electrophoresis and detailed study may be undertaken afterwards followed by enzyme studies to look for obscure causes of anemia. I hope this helps. Wish you all the best. Thank you for choosing Chat Doctor.