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Diagnosis of pain in the anus and ulcerative colitis - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
User :   Hi
User :   Are u there
Doctor :   yes
Doctor :   please post your query
User :   I have been getting really sharp pain in my anus for couple of days.its worser in morning and when i lie on my stomach.also stool are watery and smelly
Doctor :   did you have loose stools
User :   Yes
Doctor :   ok
Doctor :   do you have fever?
User :   No
Doctor :   did you have any piles?
User :   No not that i no of
Doctor :   ok
Doctor :   do you have similar history
Doctor :   you might need an rectal examination
User :   What do u mean
Doctor :   digitally and using colonoscope
Doctor :   i mean your anal region to be exmined
User :   Why
Doctor :   to rule out local infection like
Doctor :   amoebic ulcer,ulcerative colitis
Doctor :   etc
Doctor :   Do you have pain during urination?
User :   Are u stil there
Doctor :   did you try changing your diet?
User :   I cant read any of you replys for sme reason
Doctor :   what happened?
Doctor :   The clinical presentationof ulcerative colitis depends on the extent of the disease process. Patients usually present with diarrhea mixed with blood and mucus, of gradual onset
Doctor :   They also may have signs of weight loss, and blood on rectal examination. The disease is usually accompanied with different degrees of abdominal pain, from mild discomfort to severely painful cramps.
Doctor :   The initial diagnostic workup for ulcerative colitis includes the following: Doctor :   A complete blood count is done to check for anemia; thrombocytosis, a high platelet count, is occasionally seen
Doctor :   Electrolyte studies and renal function tests are done, as chronic diarrhea may be associated with hypokalemia, hypomagnesemia and pre-renal failure.
Doctor :   Liver function tests a
Doctor :   # X-ray
# Urinalysis
# Stool culture, to rule out parasites and infectious causes.
# Erythrocyte sedimentation rate
Doctor :   Biopsies of the mucosa are taken to definitively diagnose UC
Doctor :   did you understand?
Doctor :   are you there/
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