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Ridges in stools, history of IBS - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: IBS(Irritable Bowel Syndrome)
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3160 Questions
User :   Hello
User :   I asked a question before and got cut off
Doctor :   I got the questions
User :   OK thank you. Any thoughts?
Doctor :   :: My stool has ridges on occasion espcially if I strain. This has been happening for a couple years.I have large hemmorhoids, external and definitely one large internal. Also, I have had IBS symptoms on and off for years :: User :   I Yes.
Doctor :   How old are you?
User :   48
Doctor :   You said you hemorrhoids , did you notice any blood ?
User :   Only on the toilet paper every several months.
Doctor :   ok
User :   Only the external ones bleed
Doctor :   Have you ever been has colonoscopy ?
User :   No
User :   This is an ongoing problem and not consistantly present
Doctor :   The ridges on stools are from compression from veins
User :   Makes sense
User :   Do the hemmoroids cause this?
Doctor :   The hard stools cause aggravates hemorrhoids
Doctor :   Yes
Doctor :   they do
Doctor :   Here is the management: User :   Actually, I have soft stools due to taking fiber, and the ridges only appear in soft stools. I have IBS D. That aggravates hemmorhioids for me.
User :   My hemmoroids never go away, they just don't get aggravated at times.
Doctor :   Here is the work up
Doctor :   Get the colonoscopy
Doctor :   Colonoscopy look for any polyps and abnormal areas.
User :   Not prepared to do that right now.
Doctor :   This tests is done every 10yrs
User :   Just wondering if this was likely due to the hemmorhoids.
Doctor :   Usually starts at 50 yrs for screening
User :   I am not 50
Doctor :   still blood in stool , constipation requires colonocopy
Doctor :   But this is upto your decision
User :   I do not have blood in stool, nor do I have constipation. I have IBS with diarrhea. Just the opposite.
Doctor :   Irritable bowel disease
Doctor :   or Inflammatory Bowel diease
User :   Irritable bowel disease
Doctor :   ok
User :   My gyn says I have a huge anterior internal hemmoroid
Doctor :   Because this is long standing problem(ridges), it is from hemorrhoids
User :   OK, anything to permenantly shrink the hemmorhoids?
Doctor :   There are difffernt treatment modalities
Doctor :   1. They will tie the large veins
Doctor :   2. They inject some agen which burn the veins slowly
Doctor :   8agent
Doctor :   *agent
Doctor :   Top one is called hemorrhoidectomy
User :   Is it safe to just live with them? They don't bother me that often.
User :   All sounds pretty major
Doctor :   ans it is very successful
User :   Except when they thrombose
Doctor :   they are not major
Doctor :   They are minor surgeries
Doctor :   The do not open abdomen
Doctor :   If there is anal pain, bleeding, surgery is indicated
Doctor :   I recommend you consult Surgery and get examined.
Doctor :   Do you follow ?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
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