Conversation: The conversation between human and AI assistant.
[|Human|] Friend had a large hemorrhoid surgically removed and was sent home. When he got home he had a lot of blood lost and was so weak. He had me take him back to the doctor before the doctor s office closed. He was vomiting and so weak.The doctor put four stitches in the incision from the hemorrhoid.He was ready to send him home, when my friend passed out and fell off the table.When the E.R. checked his hemoglobin it was 6.5 and his blood pressure (systolic was 77) and the blood pressure was erratic, but pretty low. He had prostate cancer two years ago followed by 39 treatments of radiation and about 8 treatments of hormone therapy. Could this have contributed to the low hemoglobin? He is tired alot.
[|AI|]  Hello and welcome to Chat Doctor, Low hemoglobin is most probably caused by side effect of radiation therapy for prostatic cancer. Radiation therapy is known to cause depression of the bone marrow and thus reduction of all blood parameters-red blood cells, white blood cells and platelets. Surgery is associated with blood loss and thus blood loss can also contribute to low hemoglobin levels. Thus, blood transfusion may be required to increase the level of hemoglobin. Consult your physician for further work up. Thanks and take care Chat Doctor.