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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood In Stool, Itching, Lump, Back Ache, Pelvic Pain. Taking Treatment For Sacroillitis

hello, my name is stephan dyer. I am am thirty years old and am quite worried as i am 5.5 and weigh 7st 12 i dont go to the toilet sometimes for day and when i do i have blood in stool and on tissue i constantly have itching and when i do scratch i can feel a fluid coming out and sometimes a lump which sometimes i can feel and sometimes i cant , i have really bad back ache and problems walking and pains in the pelvis i am worried as my rhumetholigist has picked up inflamation in my blood tests and is treating me for sacroillitis i am worried that my bowel problems and mobility problems are conected as my rhumertholigist does not know. this has been going on for atlest three years.
Thu, 25 Oct 2012
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General Surgeon,  's  Response
Hello!

Thank you for the query.

The most probable reason of your sufferings are hemorrhoids. It would explain blood in stool, lump and anus itching. But before such diagnosis some other blood in stool reasons should be ruled out. As you do suffer from sacroilitis I assume that you do use a lot of nonsteroidal anti-inflammatory drugs. Such medicines can cause peptic ulceration what can cause blood in stool as well (such blood is dark or black). Moreover, blood in stool can be caused by colon cancer that is why it should be ruled out as well.
In conclusion, if you do suffer from upper abdominal pain, acid reflux, nausea, and the blood in stool is dark or even black, you should have upper GI endoscopy.
If your blood in stool is bright or red and mixed with stool, you should have colonoscopy first.
If this bright or red blood is only on the surface of the stool it is most probably caused by hemorrhoids but colonoscopy is still advisable as such blood in stool can be caused by rectum tumor as well.

Hope this will help.
Regards.
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Blood In Stool, Itching, Lump, Back Ache, Pelvic Pain. Taking Treatment For Sacroillitis

Hello! Thank you for the query. The most probable reason of your sufferings are hemorrhoids. It would explain blood in stool, lump and anus itching. But before such diagnosis some other blood in stool reasons should be ruled out. As you do suffer from sacroilitis I assume that you do use a lot of nonsteroidal anti-inflammatory drugs. Such medicines can cause peptic ulceration what can cause blood in stool as well (such blood is dark or black). Moreover, blood in stool can be caused by colon cancer that is why it should be ruled out as well. In conclusion, if you do suffer from upper abdominal pain, acid reflux, nausea, and the blood in stool is dark or even black, you should have upper GI endoscopy. If your blood in stool is bright or red and mixed with stool, you should have colonoscopy first. If this bright or red blood is only on the surface of the stool it is most probably caused by hemorrhoids but colonoscopy is still advisable as such blood in stool can be caused by rectum tumor as well. Hope this will help. Regards.