Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have been suffering from mycrocytic anemia for 3 years, I have been treated with a yearly iron infusion, however I spend 6 months of every year, totally exhausted, cold with my fingers turning white,breathlessness, loss of appetite , decreased memory and feeling generally depressed that I can t seem to get anything done. I do take iron tablets, on one occasion my iron levels were so low, I collapsed and had to have blood transfusions. I do not understand why I can t get anything done about the situation until I hit rock bottom. What would be your recommendation? I am 69 and female
[|AI|]  Hello! Thank you for the query. The first steps with such anemia should be diagnostics of digestive tract as it can be caused by large intestine polyps or cancer bleeding, stomach or duodenum inflammation or even cancer. That is why, you should have upper GI endoscopy and colonoscopy performed. If any bleeding from vagina, also transvaginal ultrasound should be performed. Hope this will help. Regards.