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Why do I have consistent bleeding during bowel movements?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ajeet Kumar

Medically reviewed by

Dr. Sneha Kannan

Published At May 19, 2020
Reviewed AtNovember 30, 2023

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

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

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

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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