Conversation: The conversation between human and AI assistant.
[|Human|] my husband has lupus ;and has been treated on several occasions by a gastro dr for rectal bleeding. they usually band a hemroid but with the lupus, he ends up with an infection that makes him very sick.. the bleeding is a lot.. fills the bowl solid red.. is there something that his dr is not looking for that we should ask about.. he has had a colonoscopy on several occasions, and he does take fiber supplements. After apx 2 weeks he is usually anemic and severely fatigued and on two occasions, he has needed a blood transfusion. ..Help
[|AI|]  Hi, Thank you for your query. I can understand your concerns. If you are constipated and have hemorrhoids then they can get worse from straining. Vasculitis involving the intestine as often happens in Systemic lupus erythematous (SHE), may cause bleeding from lower gastrointestinal tract. Thrombocytopenia due to SHE may be a recurring problem. If platelet counts are >40,000/L, abnormal bleeding may occur from existing hemorrhoids. Treatment such as HY Chat Doctor. Regards