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Upper gastrointestinal bleed

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Consider iron supplements b for patients with anaemia e.g. oral ferrous sulphate 200 mg three times a day d  

Why?

  • Iron supplementation increases haemoglobin levels (on average 70 g/l within 70 days) and improves exercise capacity b
  • Watch for constipation b

Iron supplementation increases constipation

Patient Treatment Comparison Outcome CER RRR
(95% CI)
NNT
(95% CI)
iron-deficiency anaemia b ferrous succinate placebo constipation
 
14% -150%
(-470% to -4%)
-5
(-39 to -3)

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   A   Townsend , CM   Ball
Reviewer   L   Friedman
CAT Writers   A   Townsend , CM   Ball , CJ   Wotton