Q. I have intermittent rectal bleeding with bloody mucus. Please suggest some remedies.

Hello,

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• Have you lost any weight in the last two months?
• Do you have a reduced appetite?
• Do you have any family history of colon (large bowel) polyps or cancers?

The picture you uploaded (attachment removed to protect patient identity) seems that blood is coming out of the rectum (a part of the large bowel, also called stool reservoir). Possible causes are ulcerative proctitis or ulcerative colitis, which means inflammation of the rectum and colon. Ulcerative colitis is an autoimmune disease whereby the human immune cells work against the large bowel lining. Two other possible causes for such per rectal bleeding are infections and polyps. The polyps are finger-like projections that arise from the bowel wall's lining and protrudes in the large bowel's lumen. They can turn to cancers in some instances. But do not be frightened since there is an equal possibility that this is infections or ulcerative colitis. The next best investigation is a colonoscopy. A scope with a camera fitted over one end is passed in the large bowel and sees what is inside and discusses this with your area physician and sees how he or she feels. I highly recommend you to go for it. You can do the digital scanning of your anal canal and rectum and get valuable information from that. There are other blood tests and stools tests, which I suggest you as well, but they are not gold standard and not very much helpful in establishing the diagnosis. You can take capsule Tranxemic Acid 500 mg three times daily till bleeding resolve. You can also do investigations like CBC (complete blood count), stool detail report, stool for ova and parasite, and stool for calprotectin. Let me know how you understand this.

Ulcerative proctitis or colitis.
Infections like parasitic infections, namely,
schistosomiasis, whipworm infections, and hookworm infection.
Colon polyps.
Colon cancer.

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

Dr. Ajeet Kumar

Experience: 13 + Yrs

Medical Gastroenterology

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