Q. Why do I have consistent bleeding during bowel movements?

Answered by
Dr. Ajeet Kumar Lohana
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on May 19, 2020 and last reviewed on: Jun 02, 2020
Having blood with bowel movements, this has been occurring for the last 5 days with a consistent bleed, some bowel movements have a heavier bleed and i have a wipe there is an excessive amount of blood. The bleeding only occurs during my bowel movements. I am not feeling lightheaded/dizzy, nauseous or vomiting. No rectal pain but having lower quadrant tightness. No history hemorrhoids.

Dr. Ajeet Kumar Lohana

Medical Gastroenterology
#

Hello. I welcome you to icliniq.

I can understand you might have terrible time because of your condition.

The quantity of blood is very important to understand before a list of diagnosis can be made. Since you said it is heavier, and that all started 5 days back, it seem most commonly due to acute large bowel infection. Some parasites and some bacterial can causes inflammation of the large bowel and bleeding. I suggest you some treatment at the moment, and want that you should get following blood and stool tests, and inform me in 3 days about your condition. The investigation will give us clue and we can better narrow down list of differentials.

Meanwhile make sure you take only home cooked meals, take plenty of boiled or mineral water. Stomach tightness are rather non specific symptoms, can occur if large bowel is inflamed. I hope this will help


The Probable causes:

GI bleeding

Investigations to be done:

Complete blood count
Bun creatinine lytes
IHA titer for E.histolytica
Urine Detail report. for ova and parasitis
Stool detail report
Stool culture and sensitivity
Fecal calprotectin

Differential diagnosis:

Acute hemorrhagic colitis
diverticulitis
rectal ulcers
Inflammatory bowel disease

Probable diagnosis:

Acute infectious colitis

Treatment plan:

Tab Flagyl 400 mg 2 tablets three times daily (6 tablets daily) for 5 days. It may cause metallic taste in mouth
Tab. Cefspan 400 mg once daily for 7 days

Regarding follow up:

Follow up in 3 days with investigations


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