So the nurse said you should have a shunt or you had one put in because of the portal hypertension? I didn't understand that part. A nurse shouldn't be recommending surgical procedures...
As per hemolytic anemia, you should be seeing a hematologist (blood specialist) to figure out what's causing it. I ended up having a bout with that a couple of years ago. Turns out it was CMV that was causing it. That's a simple blood test to sort out if you have the virus. Also there's an autoimmune hemolytic anemia out there so you really should see a specialist! Mine resolved on its own within a couple of weeks.
Diagnosed with AIH January 2007,
CMV (cytomegalovirus) June 2008
Raynaud's February 2010
meds: Azathioprine 100mg, Ursodiol 250mg BID