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Cancer patient with unknown blood loss
My brother has testicular choriocarcinoma cancer. 3 regimens of chemo, 2 surgeries, bone marrow transplant and head radiation.   Metastasis everywhere including the brain after 2 years.  Highly anemic needing blood transfusions every 2-3 days with fever.  No hemolysis, bone marrow still producing, no internal bleeding.   Doctors cannot find source of infection or the reason for continuous blood loss. Does anyone have any ideas why he keeps losing blood?
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1711789 tn?1361311607
Hi there!

Well, there can be just three causes of low red blood cell count. 1. Low production, 2. Increased destruction/ haemolysis and 3. Haemorrhage/ bleeding. There is no other possibility described in medical litrature. I would suggest discussing the situation and the suggested management plan in detail with his treating doctor.
Hope this is helpful.

Take care!
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