How can blood in stool be treated?

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Frequent motions along with blood for weeks is not due to dysentry. Also a small papilla causing this amount of symptoms is very unlikely. So what else it could be? It can be inflammatory bowel disease, malignancy, chronic infections, tuberculosis. My advise is get stool routine and culture sensitivity test now. Also, please upload all the reports of test that have been done including colonoscopy. Till then you can take tablet Rifagut (Rifaximin) 1-0-1 for one week, tablet Pause 500 mg three times a day for five days. Kindly revert back with report.

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I went throught the reports, all normal except the small anal papilla (attachment removed to protect patient identity), which I do not think is causing the problem (it may cause bleeding but not bowel irregularities). Three things malignancy, chronic infections and tuberculosis are ruled out. Left with us is inflammatory bowel disease, irritable bowel syndrome and also chronic malabsorption problem. Among these inflammatory bowel disease is a serious diagnosis and should be ruled out first. A normal colonoscopy almost say there is no IBD but I still advise you get one stool calprotectin test done. If that comes normal then it narrows our diagnosis to irritable bowel syndrome or chronic malabsortion problem. There are no tests to prove irritable bowel syndrome. But some tests are there for detecting malabsorption syndrome (like celiac disease or lactose intolerance).

Antiendomysial antibodies of the immunoglobulin A (IgA) type can detect celiac disease and I advise you to get this test also. Also, for a few days stop all the milk and milk products and observe what happens to your bowel movements.

Hi,

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I went through your report, it is normal. A normal Calprotectin means that there is no physical problem or disease in your gut- Intestine so whatever problems you are having is functional disorder of your gut (hypermotility of your gut), which is very much characteristic of irritable bowel syndrome (IBS). There are many proposed theories for the causes if IBS but most importantly IBS is a stress-related disease, it is usually seen in people who are under lot of stress either due to professional or due to personal causes, so the most important thing in the management of IBS is relief of stress by whatever method that helps (Yoga,meditation,psychiatry counseling).

Apart from this, diet plays an important role in the management of IBS, increase the amount of fiber in your diet, that is more of vegetables, more of cereals, legumes, oats. Also, you can use external fiber supplements like Ispagul 10-20 grams per day, avoid high fat diet, avoid carbonated beverages.

You can start some of these medications for a month:

1. Capsule Enterogermina (Bacillus clausii) -3 times a day before meals.

2. Capsule Redotril - 2 times day for two weeks before food.

3. Tablet Emeset (Ondansetron) 4 mg - 2 times day before food.

4. Tablet Normaxin (Clidinium, Chlordiazepoxide and Dicyclomine) - 2 times a day after food for 3 to 4 days when ever you experience pain abdomen.

Continue avoiding milk and other dairy products. Again I emphasis you on stress management. Get a psychiatric counseling even if you start getting yoga or meditation.