<s>[INST] I have a low hemocrit and hemoglobin. I have been anemic since the twenties or before. I am 87 and was found consistently anemic. there has been a recent drop in the hemocrit and hemoglobin. I have felt in good health with some esophogeal problems, but no loss of weight or appetite. I work   10:00 am to 5:00 pm and do not feel debilitated. any suggestion as to whether  this is serious? [/INST] Hi, dear. I have gone through your question. I can understand your concern.  Most common cause of drop in hematocrit and hemoglobin is gastrointestinal bleeding.  You should search for that.  Ultrasound abdomen is also helpful to search some internal cause.  Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>