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Dr. Khaled Tantawi

Dr. Khaled Tantawi

Licensed Physician

الأسئلة المجابة 10424 | نسبة الرضا 98.1%

Doctor

Hi my father has been having a continuous issue of...

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Hi my father has been having a continuous issue of blood loss due to some bleeding in the upper gi he’s elderly and a cardiac patient we want to take him to mayo for further investigation is it advisable for him to travel with some bleeding and a blood count of 8.6?
Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?
Yes he’s been in and out of the hospital for the pass two months but we are not getting a definite diagnosis and the issue keeps reacuring within 2 days his rbc drops by 2 dL
Doctor's Assistant: Anything else in your medical history you think the doctor should know?
He has a pace maker and he’s diabetic along with some signs of dementia

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إجابة الخبير: Dr. Ayman Rushdi

Dr. Ayman Rushdi

Dr. Ayman Rushdi

Licensed Physician

الأسئلة المجابة 7322 | نسبة الرضا 98.1%

Dear Customer
Welcome, and thank you for trusting us
Regarding your question
Based on your father's condition(diabetic,BLoodloss , dementia and cardiac problems it is totally not recommended for him to travel because it is too risky especially for far away distances like united states first our recommendation to be to finish all the investigations required and if traveling is necessary travel to a closer country like england or germany since they are both specialized in GI diseases.
The required investigations for upper GI bleeding are:
1.Upper endoscopy
2.Colonoscopy
3.Capsule endoscopy
4.Balloon-assisted enteroscopy
5.Endoscopic ultrasound
6.Endoscopic retrograde cholangiopancreatography (ERCP)
7.Multiphase CT enterography or magnetic resonance (MR) enterography
8.Angiography
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Kind Regards

الرد من العميل

What are the complications if travel to America? He’s had endoscopy done with and without cap.

الرد من العميل

I still awaiting the response to my last question

إجابة الخبير: Dr. Khaled Tantawi

Dr. Khaled Tantawi

Dr. Khaled Tantawi

Licensed Physician

الأسئلة المجابة 10424 | نسبة الرضا 98.1%

dear customer
regarding the complication of travelling the most important issue here is the anemia
his Hb level is 8.6 mg/dl and with high altitude in the plane with the long distance , this will aggravate the anemia and might get him into life threatinning complication as: hypovolemia that might cause shock 
however if the blood count corrected and all of his vitals are stabilized , you can flight him into the states
but preferably , under medical supervision as if a doctor or nurse supervised his health during the flight
regards

إسأل Licensed Physician

Dr. Khaled Tantawi

Dr. Khaled Tantawi

Licensed Physician

الأسئلة المجابة 10424 | نسبة الرضا 98.1%

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