Conversation: The conversation between human and AI assistant.
[|Human|] Hi Samuel. I am due to travel from Scotland to Tunisia tomorrow, however, I have had problems with my hemoglobin levels . Approx. 3 weeks ago a routine blood test discovered my level was 57. I was admitted to hospital and received blood transfusions. The results have since decreased fro 80, 79 & 79. I have an appointment for investigations on 15th May as it is believed I am suffering internal bleeding. I would be greatful for your advice as to if I should travel tomorrow or not. Many thanks. Lorraine PLEASE NOTE IF THIS SERVICE HAS A FEE UNDER NO CIRCUMSTANCES SHOULD YOU PROCEED WITH MY ENQUIRY.
[|AI|]  Hi, Thanks for using Chat Doctor, You have low hemoglobin level that is anemia, because it was very low you have received transfusion. We need to know the cause of anemia and blood loss causes iron deficiency anemia which requires source by stool for occult blood and endoscopy to search for cause and would need serum iron, Ferritin level with TBC. Common cause for blood loss is hemorrhoids, but other causes could be there. If necessary bone marrow examination may be required. You should be able to travel but take care to investigate and treat the cause as suggested by treating doctor. Peripheral smear could be useful in typing anemia and then relevant investigations for hemolysis or B12 deficiency may be done. Take care. Good Luck Chat Doctor. D.