Question

Frequent occult blood in the stool of a child, around 7 months old, with a persistent black stool phenomenon. The doctor suspected intestinal bleeding, but no abnormalities were found after colonoscopy, chest X-ray, and ECT examination. After taking herbal medicine, the stool color returned to normal, but occasional occult blood appeared, and hemoglobin continued to decrease. The child’s mental state is good. How should it be handled?

Answer

It is recommended to first determine the cause of the anemia before starting medication treatment. If iron supplementation is ineffective, consider the possibility of iron metabolism abnormalities, and also use some small Chinese herbal medicine to assist in treatment.