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Noticed bleeding from anus, frequent and uncontrollable bowel movement. Is there any permanent cure for this?

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Pathologist and Microbiologist
Practicing since : 2006
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Doctor, I am suffering from bleeding from my anus after passing of tools. Also I have go to the toilet frequently. At times 6 times in a day. Also I am unable to control bowel movement. I need to run & go. Else I spoil my underwear. This causes problems when I am outside. Do you have a permanent cure for this? I also need to stop bleeding. I have taken tablets like Enzaar Forte, Flaggyl 400, Immodium & Daflon 500. After which I have started getting XXXXXXX itching of skin on the entire body. So I started taking Cetzine which gives temporary relief. After another 2 days itching starts. Please suggest medicines for permanent relief from itching & bleeding.
Posted Sun, 5 May 2013 in Digestion and Bowels
Answered by Dr. Shailja Puri 1 hour later

Thanks for posting your query on Health Care Magic.

You have mentioned that you are suffering from bleeding from anus, frequent and uncontrollable bowel movement.
These symptoms at your age suggest an IBS) or Inflammatory bowel disease (IBD).
You need to visit a gastroenterologist for a hemogram, an ultrasound/ CT scan abdomen and colonoscopy.
Colonoscopy will help to find out a bleeding site which can be an ulcer, polyp, growth, etc.

The medication that you have taken are pancreatic enzyme preparation, metronidazole (for controlling infection) and anti-diarrheal (to control frequency of diarrhea).

The itching that you are experiencing can be due to side effect of any of the drugs or due to the primary disease process.

A permanent cure can only be planned after clinical examination and relevant investigations.

If you have more concerns, I will be glad to answer.
Dr Shailja P Wahal
Above answer was peer-reviewed by
Follow-up: Noticed bleeding from anus, frequent and uncontrollable bowel movement. Is there any permanent cure for this? 8 hours later
Dear Doctor,

I had visited a surgeon at a nearby hospital who had inserted a device in my anus and performed a Camera Test & these medicines were suggested only after this test. I wonder if this is the same as colonoscopy. I had also undergone a complete blood test like RBC, CBC, HIV/HBSAG, X-Ray, ECG. Is this hemogram? If not what are these & how are they different? Where can they be done & what would be the approximate cost? Would that be covered by Bajaj Allianz Health Insurance?

Also I am not able to differentiate between a gas discharge & stool discharge. There might be an unexpected stool discharge along with gas. Also it is foul smelling. Bowels are also foul smelling. After using the toilet also the smell remains. Anus gives a strange smell, due to which it becomes very embarrassing in the office.


Answered by Dr. Shailja Puri 2 hours later
Hello and welcome again,

Yes colonoscopy is the procedure of inserting a flexible scope with camera on its head. The camera views the colonic mucosa. The view of the mucosa can be viewed on the a computer screen.

Hemogram is same as RBC and CBC.
You have had all the relevant investigations.
What are the findings of these tests?

Besides, a stool routine examination and culture should also be done, if not done.
It you have reports of all these tests, kindly post them for interpretation.

The problem of passing stools with flatus and bad odourous flatus and stools point towards the large intestinal problem.
The colonoscopy and stool will find out the cause for these symptoms.

Thanks and take care.
Dr Shailja P Wahal
Above answer was peer-reviewed by
Follow-up: Noticed bleeding from anus, frequent and uncontrollable bowel movement. Is there any permanent cure for this? 28 hours later
Dear Doctor,

I did have a camera test like this but there wasn’t a monitor or computer screen on which I could view. It was a small device & only the doctor could view.

Is colonoscopy Painful? How long does it take in the hospital? How many days?

The Doctor just viewed the reports & never told me anything. The Reports were Normal as told to me by the doctor, when I questioned. However the findings of the tests have been placed below if the attached report is not visible: (I have typed the entire thing for you.)


Test Done                Observed Value

Fasting Blood Sugar          105
Urine Sugar               Nil
Ketone Bodies                Nil
Post Prandial (2 hrs)          108
Urine Sugar               Nil
Ketone Bodies               Nil

Leucocytes               6200
Erythrocytes               4.86
Haemoglobin               14.4
Packed Cell Volume          42.8
MCV                    88.1
MCH                    29.6
MCHC                    33.6
RDW                    12.3
Disc Function               66
Platelets               0000
Differential WBC Count
Neutrophils               66
Eosinophils               06
Basophils               00
Monocytes               03
Lymphocytes               25
Abnormalities of Leucocytes     Nil
Abnormalities of Erythrocytes     Nil
ESR                    07
Serum Creatinine          1.3

Physical Examination
Colour                    Greenish
Consistency               Semi Solid
Blood (Frank)               Absent
Mucus                    Absent
Chemical Examination
Ocult Blood               Positive
Microscopic               ++
Pus Cells                ++
Starch                    Not in Excess
Fat                     Not in Excess
Trophozoite               Absent
Cysts                    Absent
Ova (Faeces)               Absent

Physical Examination
Quantity                60ml
Colour                    Pale Yellow
Appearance               Slight Turbid
Specific Gravity               1.010
Reaction               Acidic
Chemical Examination
Albumin               Nil
Sugar                    Nil
Ketone Bodies               Absent
Bile Salts               Absent
Bile Pigment                Absent
Occult Blood               Nil
Microscopic Examination
Epithelial Cells               Present
Pus Cells                1-2/HPF
Red Blood Cells                Absent
Casts                    Nil
Crystals                    Nil
Amorphous Deposit          Nil
Bacteria               Nil
Yeast                    Nil

Answered by Dr. Shailja Puri 3 hours later
Hello and welcome back,

All the investigations that you have attached are absolutely normal.
The hemogram (blood investigations) are within normal limits. The urine and stool parameters are also normal.

You have already had colonoscopy. It is the same procedure that you have described.

If the colonoscopy findings are normal, then it seems that you are suffering from irritable bowel disease (IBS).

It is a disease in which bowel movements are abnormal, but without any lesion in the body.

It is managed by making dietary modifications and by certain drugs.

You need to consult your gastroenterologist for further management.

Thanks and take care.
Dr Shailja P Wahal
Above answer was peer-reviewed by
Follow-up: Noticed bleeding from anus, frequent and uncontrollable bowel movement. Is there any permanent cure for this? 40 minutes later
Dear Doctor,

The results of the camera test performed by the doctor on me, was XXXXXXX piles & proctitis (Swelling of the rectum). And the doctor suggested the medicines Enzaar Forte, Flaggyl 400, Immodium & Daflon 500 for 15 days. Exended upto 1 month. After which there was no improvement in the condition & the symptoms continued. So he straight away suggested surgery.

Now I wonder whether am I suffering from proctitis or XXXXXXX piles. Because bleeding due to proctitis is often confused with XXXXXXX piles. Whether I am supposed to get operated for XXXXXXX piles or proctitis. If XXXXXXX piles, then how would proctitis be cured?

If the same can be cured without surgery, why not now itself? Why wait for surgery? What is the non surgical remedy for it? Can you suggest a permanent cure for it?

Answered by Dr. Shailja Puri 1 hour later
Hello and welcome again,
XXXXXXX piles are dilated and thrombosed veins in the lower most end of intestinal tract. The lower most end is the anal canal.

Proctitis is inflammation of the rectal mucosa.

The management of the XXXXXXX piles is surgical.

So, surgery is the option for this problem.

Thanks and take care.
Dr Shailja P Wahal
Above answer was peer-reviewed by
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