Follow up & Further investigation
Patient was hemotransfused with 1 unit of blood on day of admission and subsequently 2 unit of blood and oral iron supplements to manage his anemia. A repeat Hemoglobin count 3 days after depicted an increase of hemoglobin count from 5g/dL to 7.9g/dL.
An upper gastrointestinal (GI) endoscopy was then requested for further evaluation after the patient was stabilized.
The upper GI endoscopy revealed esophageal varices with mild extension of the varices to the gastric fundus. Normal appearance of the duodenum identified.
Patient was managed on oral blood supplements to further correct his anemia and was discharged from the hospital 2 weeks after. During his time of admission, he did not experience any of the initial symptoms he presented to the hospital with. Also, there was improvement in his hemoglobin count (Hb = 11.2 g/dL); with no complaints of dizziness, vomiting of blood or passage of dark-colored stool at the time of discharge.
He was then scheduled for 2 weekly review for further management by both the medical and surgical teams on out-patient basis.