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Blood in stool, constipation, liver and kidney enlargement - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi
User :   When motion is passed and blood is seen in the motion slightly
User :   is there any major problem
Doctor :   Presence of blood in the stool is not normal.
Doctor :   The seriousness of the problem depends on various factors.
Doctor :   If you meant that you see blood once in a while associated with hard stools/constipation without pain
User :   yes
User :   it is not for me
User :   one of my family member
Doctor :   Then it is not a major problem.
Doctor :   It occurs because of trauma to the lower rectum.
Doctor :   which heals in a few days without complications.
User :   is body heat one of the reason
Doctor :   Though people relate body heat or high metabolic state as a reason, it is not the scientific cause.
Doctor :   The primary cause is constipation.
Doctor :   If measures to prevent constipation is taken
Doctor :   further episodes of blood stools can be prevented in the future.
Doctor :   Watch out for pain while passing stools
User :   k
Doctor :   or appearance of mass in the anal region.
User :   k
Doctor :   If such symptoms develop, then it could be a concerning problem.
Doctor :   Do you follow?
User :   yes
Doctor :   I would like to suggest few measures to prevent constipation here so that it helps the patient.
User :   k
Doctor :   1. Drink plenty of water - atleast 6-8 glasses or 1-2 litres of water per day is absolutely essential
Doctor :   2. Increase fibre rich diet in her food.
Doctor :   This can be achieved by consuming plenty of fruits and vegetables.
Doctor :   Restrict the use of refined cereals and grains.
Doctor :   3. Restrict consumption of spicy food.
Doctor :   4. Laxative such as Syp Lactulose 1-2 teaspoons at night can be used for a few days (not more than a week), if constipation is severe.
User :   k
Doctor :   5. Stool softeners such as banana, mineral oil can be used as an alternative to laxative syrups.
Doctor :   These measures will prevent constipation, thus prevent bleeding.
Doctor :   Hope it is clear to you.
Doctor :   Do you have any other query?
User :   k
User :   Yes
User :   I am in 4th month ending
User :   preg
Doctor :   Ok
User :   When will the baby start moving in the stomach
User :   on 15th of this month will complete 4month
Doctor :   Fetal movement is expected to occur between 18 to 22 weeks if it is your first pregnancy and
Doctor :   between 20 to 24 weeks
User :   i had 2 miscarriage
User :   my first baby
Doctor :   Since you had been pregnant twice, it is expected to occur between 20 to 24 weeks.
Doctor :   Since you have completed 4 months/more than 24 weeks, if there are no fetal movement, you may need an ultrasound scan.
Doctor :   Consult a gynecologist for examination and ultrasound scan.
Doctor :   Do you follow?
Doctor :   I do not suggest you to worry,
User :   scan was done when 4th month started
User :   then i didnt feel any fetal movement
Doctor :   since occasionally some conditions such as increased liquor or other associated condition
Doctor :   fetal movements are less perceived.
User :   but in scan there were movement of hands and legs were seen
Doctor :   Presence of fetal heart sounds sounds on auscultation and ultrasound is much more important than fetal movements.
User :   fetal heart sound was also heard
Doctor :   That are good sign.
Doctor :   I would suggest you to consult a gynecologist now, since you report that you are not feeling fetal movements yet.
User :   I had typoid last year....during that time my liver was enlarged
Doctor :   Presence of fetal heart sound on auscultation (which can be felt by a gynecologist only)
User :   k
Doctor :   will mean that thing sare fine.
Doctor :   *are fine.
Doctor :   Hope it is clear to you.
User :   yes
User :   When i had egg and dall
User :   i had severe pain in the upper stomach then scan was done
Doctor :   Ok
User :   the report said my kidney and liver has enlarged
Doctor :   Ok
User :   Will this affect the baby
Doctor :   Since this report is an year old, I cannot give any valuable comments if this will be a problem now.
User :   this year when i was in 4th month scan was done when i had upper stomach pain
Doctor :   Ok
Doctor :   Can you type the final impression on the scan report?
User :   consulted the doctor they said that nothing problem
User :   but they wanted to check why it is
User :   they also said protein is seen in urine
Doctor :   May I know your age?
Doctor :   Do you have symptoms of diabetes, high blood pressure in the past?
Doctor :   Are you there?
User :   yes
User :   30yrs started from 9th April 2011
Doctor :   Started fro 9th April??
User :   yes
Doctor :   Can you specify what started from 9th April?
User :   2011
User :   My age
Doctor :   Do you have history of diabetes, high blood pressure in the past?
User :   no
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Liver and kidney enlargement can be associated with abnormalities in liver as well as kidney functions.
User :   u take long time to type
Doctor :   Hi
User :   why did you close the chat
Doctor :   I am sorry, there was some technical issues with the internet.
User :   i was waiting for your answer
User :   ok
Doctor :   I was mentioning that if liver and kidney functions are within normal limits
Doctor :   then I do not foresee pregnancy problems.
Doctor :   However with access to your reports and without a physical examination, I cannot give a conclusive statement with regards to this query.
Doctor :   Since you report of presence of protein in the urine,
Doctor :   you will need regular BP and urine protein monitoring.
User :   yes i do
Doctor :   Watch out for symptoms such as jaundice, swelling of the limbs and body.
User :   nothing
Doctor :   Regular follow up doctor's will also be needed.
Doctor :   Hope it is clear to you.
Doctor :   Do you have any other query?
User :   k
User :   ty
Doctor :   Do you have any other query?
User :   no
User :   ty
Doctor :   Thanks for consulting me.
Doctor :   Wish you healthy pregnancy
Doctor :   Bye for now.
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