Hello doctor,
I had diarrhea two years back, and since then I had gastrointestinal problems. But, I never had mucous or blood in the stools, so I thought it is because of IBS and did not take any medication. My stool test reports showed no signs of parasites or any other organisms in the stools. Later, I had alternate constipation and diarrhea, and sometimes the stools come hard and later soft. I have been straining to defecate, and I saw bright red blood along with the stool yesterday. I had a little bleeding before also, but yesterday I lost almost 30 ml of blood. I do not have any pain, fever, or any other associated symptoms.
Hi,
Welcome to icliniq.com.
Thanks a lot for the detailed description of your problem. I think you have the following issues.
- The blood in stools that you are describing appears to originate from some disease in your rectum or sigmoid part of your large intestine.
- Few drops of painless blood in stools during constipation is most likely from hemorrhoids. It is not a big issue to manage.
- However, repeated 20 to 30 ml of painless, bright red blood in stools is a bit concerning. It would need an examination of the rectum, to look at what is the problem.
- Following are the possibilities:
- Hemorrhoid.
- Polyp inside the rectum.
- Ulceration on walls of the rectum, because of repeated straining for constipation.
- Some tumors can also have such presentation. But, because of your age, I would advise you not to worry much about this right now.
- You need to see a general surgeon or a gastro surgeon in your town. The doctor would examine you and do a proctoscopy examination to look for hemorrhoids or other diseases. If there is nothing found in proctoscopy, then you may need to see a gastroenterologist for a sigmoidoscopy or colonoscopy.
- Until then, I suggest you do the following.
- Consume a lot of salads, sprouts, and Isabgol (two teaspoons, three times a day).
- Take 3 to 4 liters of water every day.
I hope that helps in addressing your concerns.
For more information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist
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