A 78-year-old man came to the clinic with complaints of fatigue and weakness along with a 4-week history of maroon-colored stools. Medical history Recent admission to another hospital for the treatment of pulmonary infection Atrial fibrillation (AF) and non-ischemic cardiomyopathy Rivaroxaban was prescribed (for AF) Hypertension, hematuria, type-2 diabetes mellitus, mild aortic stenosis, and arterio-venous malformations in the gastrointestinal tract Investigations Hemoglobin level dropped down from 4.1 g/dL to 3.1 g/dL on the third day of admission. Rivaroxaban was discontinued and aspirin 325 mg/day was started. The upper GI endoscopy report was normal.
Colonoscopy revealed a transverse colon polyp with no active bleeding. Echocardiogram showed 40% of left-ventricular ejection fraction. Treatment plan Apart from using neonatal tubes to minimize phlebotomy blood loss, his treatment…
