instruction: hello doctor my mother has been diagnosed with probability of lower gi bleed in proximal jejunal small bowel loops through nuclear scan she is a heart patient and had been operated in the past and got her two valves replaced she has to take blood thinning medications like warfarin my mother had low hemoglobin due to blood loss in stool but it used to get resolved with changing the dosage of warfarin but this time she is getting blood loss on more frequent duration and thus doctors asked to do nuclear scan to check for any gi bleeding she has been advised to undergo surgery to get gi bleeding treated please advise if there are still possibilities to cure her with medications if surgery is required as a last resort then which one would be less threatening
output: hi warfarin induced bleeding once stool color changed to normal from black can proceed with it scan abdomen to find out the cause jejunal ulcer medical management if general condition is stable if general condition is unstable then required more than bottles of blood transfusion if active bleeding is continued even after dosage modification of warfarin then consider surgery with high risk for further information consult a surgical gastroenterologist online