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Bowel bleeding due to Anal fissure - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 351 Questions
Doctor :   Hi
Doctor :   how can I help you
User :   hi there hope u can help me
Doctor :   Yes
User :   i have noticed for about 5 days already pain during defactation.for the past two days i have seen some red blood spots in my underwear
Doctor :   Ok
User :   it feels as if some discomfort is "inside"..would this be anal fissure or hemmorhoids
Doctor :   Ok
Doctor :   hwo long have yoiu got this problem
User :   around 5 or 6 days ago only...i started seeing blood only twice...yesterday and today
User :   would this be a worry for cancer?
Doctor :   Is this only during defecatin
Doctor :   or during normal times
Doctor :   too
User :   no blood during defacation but there is a sharp pain when i pass
Doctor :   IS the blood mixed with the stool or before the stool or after the stool
User :   the blood i saw was during the day..stained on my underwear
User :   no blood mixed during the stool
Doctor :   Does the pain relieve after the defecation?
User :   somehow it persists until half of the day but the pain isn't really bothersome
Doctor :   Is the stool hard or soft or watery
User :   just normal stool...not rock hard, not watery
Doctor :   Did you ever notice the blood earlier
User :   the feeling for most of the day is that somehow there is wound inside
User :   no blood earlier...this is the first time
Doctor :   I mean any pr episode
Doctor :   Ok
User :   no prior episode
Doctor :   How are your daily bowel movements
Doctor :   irregular/ regular and timely
User :   very regular...every morning
Doctor :   Ok
Doctor :   So you mean to say you see frank blood in your underwear
Doctor :   any color change in the blood rather than the bright red
Doctor :   To get a better picture I need this information--
Age: ; Occupation: ; Marital Status:
User :   very tiny droplets of blood...much like two pencil points...just bright red...but somehow not that bright when it dries
User :   i am 35 years....corporate manager.. married at 5'7" overweight at 220 lbs
Doctor :   Do you smoke/drink alcohol/Any other habits?
If yes how much/how often?
Doctor :   Do you have any other health problems?
High Blood sugar/ high blood pressure/ Asthma/allergies etc?
User :   no alcohol...smoke yes..but occassionally... only once a week....i stopped already though not completely
Doctor :   Ok AAAAAAA
User :   btw i have been using colchicine for the past 5 years to treat chronic gout...i get diarhhea...
Doctor :   O
User :   i've read somewhere it causes fissures...the diarhea
Doctor :   Yes
Doctor :   How frequent is yoiur diarrhoes
User :   only when i take colchicine around the 7th time in 2 days...
User :   last time i had it was 4 weeks ago
User :   when i had an attack...i'd normally have an attack once a month
Doctor :   Ok
Doctor :   are you using any other medication
User :   none.
Doctor :   Colchicine per se has the potential to cause the bleed in the digestive tract
User :   oh ok. u think this migh have caused my rectal pain
User :   that was 4 weeks ago
Doctor :   See listening to yoiur history till now
Doctor :   i think of thede conditions
Doctor :   one is anal fissure, Colchicine side effect, Diarrhoea causing the local inflmmation and bleed
Doctor :   and the hemorrhoids too
Doctor :   (Piles)
Doctor :   So i would say you get the physical examination done
User :   oh ok...i' m a bit worried..would it be anythign close to a cancer
Doctor :   No
Doctor :   it is very rare in this age
User :   god bless
User :   thats a relied
User :   releif
Doctor :   Please fill the fee back form i am sending you
Doctor :   I sahll be waiting yoiu to come back
User :   yes....thanks very much...i will have a checkup asap ...btw
User :   colorectal cancer is something long term right? I mean the symptoms?
Doctor :   yes usually there would be a family history
Doctor :   and the ethnic group prevalance
Doctor :   because of our fibrous diet
Doctor :   Ok
Doctor :   O
User :   but i am also a vegetarian for two years already...i just have hi uric acid
User :   oh yes...but i stay away from fastfoods
Doctor :   I want you to get the PE done
Doctor :   asap
Doctor :   to denote the cause
Doctor :   OK
User :   thanks as i only needed reassurance that the symptoms weren't cancer associated....i saw in the internet that cancer would have blood in the stool itself right?
Doctor :   I think i have helped you
Doctor :   do you want something
Doctor :   ru there
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