Q. There is bright red blood in my stool. What could be causing it?

Hello,

Welcome to icliniq.com.

I understand your concerns.

The most common causes of blood in stools are either piles or anal fissure and both should be painful. So please provide me with more details in order to identify the cause:

1. Is there any pain during or after defecation?
2. Do you have any constipation or diarrhea?
3. Do you have any positive family history of colon cancer?

Causes of painless blood in stools: arteriovenous malformation, painless piles, cancer. Wish you all well being.

Thank you.

Hello,

Welcome back to icliniq.com.

Most likely, you have an anal fissure (injury in the anal canal) which cause pain (sometimes very severe) during and after bowel motions. It is a very common condition. If stools are hard, it should be treated with stool softeners.I suggest:

1. Stay well hydrated.
2. Eat a lot of high-fiber foods such as green vegetables, fruits, and oats.
3. Exercise regularly.
4. Do not neglect the urge to pass motions.
5. Use stool softeners if there are hard stools.
6. Topical Lidocaine (anesthetic) is helpful in relieving pain.
7. Local GTN ointment is suitable if the pain is very severe.

In some cases, the acute anal fissure turns into chronic with long-term symptoms. This condition has no relation to asthma or Clomid you take for conception. Regarding your asthma, is it well controlled? What are the medications you currently take for it? Best wishes.

Thank you.

Hello,

Welcome back to icliniq.com.

The medications you are taking are appropriate for your asthma. You have to use the peak flow meter regularly and write down the readings to judge if everything is under control.

In case you use Ventolin frequently, it means that your medications need an upgrade.

Regarding the Clomid, it is taken in the first five days of the cycle with the dosage ranging from 50 to 150 mg according to the ovulation rate. You can follow up ovulation with the sonography. Also, you have to know that Clomid increases the risk of twins and triplets considerably.

Since when are you using Clomid?

Thank you.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Experience: 10 + Yrs

Internal Medicine

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