Based upon the information that you have provided, I would be concerned about the possibility of leukemia, or of some other bone marrow abnormality.
He should be evaluated by a Hematologist/Oncologist, and he may need to undergo a bone marrow biopsy (an outpatient procedure) in order to make an accurate diagnosis.
Different types of leukemias have different treatments, and the prognosis for each type of leukemia is different as well.
Sincerely/ Robert A. Wascher,MD, FACS
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