What Is Acute Anemia Due to Blood Loss?
Acute anemia due to blood loss happens when you lose a significant volume of blood over a short time, leading
to a rapid drop in red blood cells and reduced oxygen delivery throughout your body. This condition is coded
as D62 in ICD-10. Prompt evaluation and treatment are vital to prevent complications and speed up recovery.
Common Causes and Risk Factors
- Bleeding in the stomach or intestines from ulcers or NSAID use (ICD-10: K92.2)
- Traumatic injuries or major surgical procedures
- Heavy or recurrent nosebleeds
- Complications during childbirth (postpartum hemorrhage)
- Use of blood-thinning medications such as aspirin or warfarin
Signs and Symptoms
- Unusual fatigue or generalized weakness
- Pale or ashen skin, lips, and nail beds
- Rapid heartbeat (tachycardia) or shortness of breath
- Dizziness, lightheadedness, or fainting on standing
- Cold, clammy hands and feet
How Dr. Rishi Diagnoses Acute Anemia Due to Blood Loss?
Dr. Chadha uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptoms (dizziness, weakness), past GI issues, use of NSAIDs or blood thinners, and examines for signs of active bleeding or pallor.
Blood Tests
He orders a Complete Blood Count (CBC) to check hemoglobin and hematocrit, a reticulocyte count to assess marrow response, and iron studies (ferritin, TIBC).
Endoscopic Evaluation
- Upper endoscopy (EGD) to locate ulcers, erosions, or varices in the esophagus, stomach, and duodenum.
- Colonoscopy to identify polyps, tumors, or inflammation in the colon and rectum.
- Capsule endoscopy for suspected bleeding in the small intestine.
Imaging Studies (if needed)
- CT angiography to pinpoint active bleeding sites in the GI tract.
- Nuclear medicine bleeding scan for intermittent or slow bleeds that aren't seen on endoscopy.
Advanced Testing and Intervention
When endoscopy and imaging are inconclusive, interventional angiography can both diagnose and embolize bleeding vessels, stopping blood loss in real time.
Frequently Asked Questions
What causes acute anemia from blood loss?
Bleeding from the stomach or intestines (ulcers, NSAIDs), trauma or major surgery, childbirth complications, or heavy nosebleeds.
How fast do symptoms show up?
Symptoms usually appear within hours to a few days after significant blood loss.
What tests are used to diagnose it?
Blood tests like a complete blood count (CBC), iron studies, reticulocyte count, and imaging or endoscopy if internal bleeding is suspected.
Will I need a blood transfusion?
Only if your hemoglobin is too low to carry enough oxygen safely; your doctor will decide based on your levels and symptoms.
Can I recover with diet alone?
Dietary changes help, but many patients also need oral or IV iron supplements and sometimes a transfusion.
How soon will I feel better?
Most patients notice improvement within a few days to a couple of weeks with proper treatment.
Are the procedures safe?
Yes. Endoscopies and imaging studies have a low risk of complications and are routinely performed outpatient.
Does insurance cover this treatment?
Most health plans cover diagnostic tests and treatments for anemia, including iron therapy and procedures.
How can I prevent this in the future?
Manage ulcers, avoid or monitor NSAID use, control any bleeding disorders, and maintain regular check-ups.
When should I go to the ER?
If you experience severe dizziness, chest pain, syncope, or heavy bleeding, seek emergency care immediately.