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Why do I have consistent bleeding during bowel movements?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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.
Answered by Dr. Ajeet Kumar

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

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
Medically reviewed by Dr. Sneha Kannan
Published At May 19, 2020
Reviewed At November 30, 2023

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

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