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Suffering from Blood in urine and Constipation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 538 Questions
User :   about 6 months ago i had a blatter infection, uti and a prostate infection all at once. i seen a doctor and got the proper meds to take care of it. but ever since then every time i am constpated i get a little blood at the end of my pee but only when i am constipated. whats going on with me?
Doctor :   Hello.
User :   morning
Doctor :   Since when are you having this problem?
User :   ever since the above mentioned set of infections
Doctor :   Ok.
Doctor :   how often do you get these complaints?
User :   when ever i am constipated but only when i am constipated
Doctor :   Do you have any bleeding during/ after passing stools?
User :   only when i am constipated more while i am passing stools and less when just urinating
Doctor :   Ok.
Doctor :   Constipation can led to trauma to the anal region, causing bleeding.
Doctor :   Any you taken any medication for constipation?
User :   no medication for constipation, and the trauma can be every time i am constipated? i am 35 so ive been constipated a few times and never had this troble until the set of infections
Doctor :   Is the blood bright red or dark color?
User :   its actually kind of a diluted color like a pinkish color
User :   if i sit on the stool to long though it will get darker
Doctor :   How about in the stool?
Doctor :   Did you have the same intensity of constipation every time?
User :   no blood in my stool since my prostate exam
Doctor :   Ok.
Doctor :   Then you have to get a urine analysis.
User :   yes, its pretty similar every time
Doctor :   It looks like it may not be blood.
Doctor :   Are you on any medication right now?
User :   thats the problem, i have gotten 4 analysis since the set of infections and the doctor just keeps telling me that there is nothing wrong, but it is still happening but only during constipation
User :   no meds since 5 months ago
Doctor :   Ok.
Doctor :   Then it is probably not blood in the urine.
Doctor :   It could be just red colorization of the urine.
Doctor :   The causes include
Doctor :   1) Foods: beets, berries, and rhubarb in large amounts
User :   ok then why would that happen and only during constipation?
Doctor :   2) Food colorings
User :   i dont eat any of the above mentioned
Doctor :   Ok.
User :   and it only happens during constipation
Doctor :   Since it is not blood.
Doctor :   We have to look into other causes.
Doctor :   What other investigation have you done?
User :   see the analysis says that there is blood if i get it on the day of constipation, but if i go the day after, then nothing clean as a whistle
Doctor :   Ok.
Doctor :   Is it consistently the same color throughout the day?
Doctor :   That is one the day of the constipation.
Doctor :   'on
User :   yes, it is usually normal urine if urinating, slight pinish if a mild constipation and darker the harder and longer the stool time
Doctor :   What other investigation have you done?
User :   and its only a couple of drops at the end of urination no color difference during urination only at the end
Doctor :   Do you have any other associated symptoms like pain when urinating, abdominal pain,back pain or fever?
User :   just what ever the doctors have done but they keep saying i am ok just stop getting constipated
User :   i had those symptoms when i had the 3 infections but not anymore and they were extremely mild almost to the point of not noticeing
Doctor :   Ok.
User :   no fever during any of this
Doctor :   It would have been seen on the ultrasound.
Doctor :   One of the reasons for blood at the end of the urination is due to bladder stone.
User :   ok
Doctor :   If the ultrasound does not show any stones, then we have to look at other options.
Doctor :   Have you got ultrasound done?
User :   its just really wierd, its always only 1 or 2 drops, and only when i have to push more than normal to get a stool out, they did one when they diagnosed the 3 infections but not since
Doctor :   May be it is due to compression of the urinary system when overexertions
Doctor :   That is while you are trying to push the stool out.
User :   only when i am trying to push a stool out (more than a normal push)
Doctor :   Yes.
Doctor :   Over exertion can lead to such symptom.
Doctor :   It would be better to avoid constipation/ over exertion?
Doctor :   Did you follow what i have said?
User :   well just so you know my constipation is probably a normal persons stool, because i usually have a stool 4 to 5 times a day but its really loose, and i consider constipation when my stool is solid
Doctor :   Do you have to exert any additional pressure while passing hard stool?
User :   anytime my stool is solid, like i said my stool gets solid about once every couple of months but the rest of the time its loose with no exurtion
User :   well very mild exertion
Doctor :   Ok.
Doctor :   That option is also ruled out.
Doctor :   Do you have any past history of diabetes or hypertension?
User :   no i do not have those but diabetes ran on the female side of my family
Doctor :   When was the last time you checked your blood glucose?
User :   6 months ago when they did the blood culture and all the other test to detirmine the infections
Doctor :   Ok.
Doctor :   Bleeding after urination causes include pathology of the prostate or the bladder neck.
User :   and that means?
Doctor :   Any injury to the bladder neck.
Doctor :   Or tear in one of the fragile veins of the prostate.
User :   could that have happened during the prostate exame and if so is it repaiable
Doctor :   Mild injury will heal by it self.
Doctor :   Did you consult a urologist in this regard?
User :   no.
Doctor :   If possible you can get a consultation from a urologist.
User :   after my prostate exam i bled in both my urine and my stool, the stool went away eventually and so did the3 blood until i have to aply more than normal pressure for a stool
User :   thats why i was wondering if maybe some damage was done in the prostate exam
Doctor :   As it told applying more than normal pressure can led to compression of the urinary tract and hence bleed in the urine.
Doctor :   You take medication for constipation for couple of weeks.
User :   no i dont take any type of medication unless a doctor prescribes it
Doctor :   See if there is any improvement in your condition.
User :   ok
User :   so just like a laxative or a stool softner, which is better?
Doctor :   Laxative would be better.
User :   well i know it will go away when my stool goes back to normal, well it always has to this point anyway
User :   ok i will try a laxative then
Doctor :   Is there anything else i can help you with?
User :   nope youve been great thanks
Doctor :   Thanks for consulting healthcaremagic.
Doctor :   Bye for now.
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