Conversation: The conversation between human and AI assistant.
[|Human|] I am a 62 yr old male . I had a liver transplant in 2002 and have been in very good health since it was performed. I had some labs done recently and they showed that I had anemia and low hematocrit with blood in stool . The blood was not visible to the naked eye. What is the treatment for this and how serious is it. I am going to talk to my transplant co-ordinator tomorrow but I would like some kind of idea tonite to calm my wife down. Thand
[|AI|]  Thank you for using Chat Doctor Congratulations on your 10th year of transplantation. In order to determine the cause of anemia, more laboratory studies will be required such as iron studies, thyroid panel, B12, folate level etc. your anemia may be multifactorial and review of all of the above data would be required to determine an exact cause. Since you have blood in the stool (occult blood based on what you're describing) and you are a recipient of a solid organ maintained on transplant medications, you require a colonoscopy [if not done recently] and possibly an endoscopy to delineate the source of the blood.  Your issues can not be graded as serious or not without more information.  For example blood in the stool with anemia can represent anything from peptic ulcer disease to hemorrhoids or diverticular disease.  Take care and be well