That recovery may rapidly follow a severe acute hemorrhage is well known. Even repeated severe hemorrhages may cause no permanent deviation from health, if the intervals between hemorrhages be sufficiently long to permit regeneration of blood to take place. The body may also stand repeated small losses of blood at shorter, even daily, intervals, with little or no perceptible change in the blood or in the performance of function on the part of any organ. Repeated hemorrhages from the nose, from hemorrhoids, from uterine fibroids may thus be endured for months or for years, the tolerance of the individual to the loss of blood and his power of blood regeneration being sufficient to withstand and make up for the daily drain. But in other instances, the daily loss of small amounts of blood produces the most severe and even fatal forms of anemia. It is my purpose in this brief
HERRICK JB. REPEATED SMALL HEMORRHAGES AS A CAUSE OF SEVERE ANEMIA. JAMA. 1902;XXXIX(13):767–768. doi:10.1001/jama.1902.52480390033002f
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