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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stomach Cramps, IBS, Stools Red. Medical Help Required?

I have had stomach cramps(left side) yesterday and today. I have IBS , and figured that was the cause because I get cramps before I have to go. However, these cramps are more intense, and are not relieved by me going to the bathroom. The scary part is that my poo is red. Bright red. There is a little bit of blood on the toilet paper when I wipe. Any clues? Do I need to rush to the ER?
Mon, 24 Jun 2013
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  User's Response
Hi, many thanks for the query!
Bright red blood in stools is suggesting "Haemorrhoides" if associated with pain in anal region on/during defaecation: External haemorrhoides or also anal fissure,
if no pain then internal haemorrhoides.
No need to rush to ER unless there is severe ongoing bleeding.
Per Rectal Examination & Proctoscopy is a must for diagnosis, to be done by a general surgeon.
Take anti-spasmodics for abdominal pain.
Do blood examination for Haemoglobin.
Appropriate management of the haemorrhoides as per their degree to be done by a general surgeon, once diagnosis is confirmed & Hb correction if deranged.
Do tests to rule out Lactose intolerance, infective etiology, parasitic infestation.
Eat high-fibre diet, green leafy vegetables, stool softners, do meditation & yoga.
Wish you a good health. Take care.
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Stomach Cramps, IBS, Stools Red. Medical Help Required?

Hi, many thanks for the query! Bright red blood in stools is suggesting Haemorrhoides if associated with pain in anal region on/during defaecation: External haemorrhoides or also anal fissure, if no pain then internal haemorrhoides. No need to rush to ER unless there is severe ongoing bleeding. Per Rectal Examination & Proctoscopy is a must for diagnosis, to be done by a general surgeon. Take anti-spasmodics for abdominal pain. Do blood examination for Haemoglobin. Appropriate management of the haemorrhoides as per their degree to be done by a general surgeon, once diagnosis is confirmed & Hb correction if deranged. Do tests to rule out Lactose intolerance, infective etiology, parasitic infestation. Eat high-fibre diet, green leafy vegetables, stool softners, do meditation & yoga. Wish you a good health. Take care.