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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Sharp Pains In The Upper Rectum

SYMPTOMS.
Generally have a high fiber diet and good exercise. Had a big job come in and got out of the rutein. Really blew it about 2 weeks ago with large fry's and onion rings. Also ate burgers when I usually have meat about 2 times a week. Next day had a hard bowl movement. Stool was larger than normal and hard and mucus on it had blood in it. No blood appeared in stool. Just bright red blood on mucus. Back on high fiber diet. For the next few days I had smaller soft stools and a little blood was in the mucus. Had very sharp pains it appears in upper rectum as bowels moved down. Then I had a extreme sense of urgency for bowl movement with very little coming out. The more pain I had usually followed more gas in the wet expulsion. This went on for about 3 days. Then I decided to start working out again and get exercise. The elliptical running machines 45 min. sessions. I came home and had a bowl movement and there was a lot of blood in it. Bright red and it looked like coagulated pockets of blood within it. Ever since this movement I have had no blood in either the stool or mucus or when I wipe. Went well for a while as long as I keep on the high fiber diet. felt real good.
A few days ago had a Birthday party. Cooked brisket, had ice cream, ate a small cheese cake. Still feeling good I could eat again I celebrated and went to red Lobster for the ultimate shrimp. Bad decision. Now. Bad sharp pain like under tail bone or upper rectum as food passes down and then a since of urgency with very little coming out. No blood but very little and this happened about 18 times on the day that followed the two day eating feast. Again back on high fiber diet. Eating substantially less food and exercising so less food moving threw digestive tract. No blood in mucus on stool or when wiping in this period unlike the last time. However same very sharp pains as food moves down. However once again it is getting better since eating less and better foods..
Hemorrhoids ran in family and mine would flair up time to time but they were always near the rectum. This feel more up. Should I be concerned or simply have more discipline in my eating and exercise patters. I and 59 Years old. thanks. Jack
Wed, 23 Dec 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,

First, if you were having slight blood in your stool during bowel evacuation and if one doctor has examined per anum then yes it might be because of internal or external haemorrhoids.

However,haemorrhoids do not run in family,so you should not bother about it until you get examined by the doctor and ruled out the problem.

It needs to be rechecked by proctoscopy test by a general surgeon if you have still any doubt.

Anal fissures are nothing but the ulcers as a result a tearing of tissue around anus which causes burning sensation during and after passing of stool.

The reason could be your hard stools passing for the past few days which actually causes excess straining during defecation which in turn lead to tearing of the anal skin or mucosa.

These fissures or ulcers causes burning sensations around the anus and anal canal and haemorrhoids might cause the blood during stool passing.

You should go for routine blood with electrolytes, stool examination (you have already done before) with proctosopy by an experienced surgeon to have a correct diagnosis and the positions of piles.

You may require,

1) Antibiotics (quinolones like ofloxacin or norfloxacin with antiprotozoals like metronidazole or ornidazole) with
2) Topical application of steroids with lignociane creams or ointments to reduce pain and inflammation with
3) Hot seitz bath,
4) Laxatives or purgatives to have a soft and effortless stool evacuation.
5) Vitamin b complex with folic acid to have a rapid healing of ulcer.

You must consult general surgeon for complete history, thoroughly examination and treatment for suspected piles and anal fissure.

Thanks and Regards,
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Suggest Remedy For Sharp Pains In The Upper Rectum

Hi, Welcome to health care magic, First, if you were having slight blood in your stool during bowel evacuation and if one doctor has examined per anum then yes it might be because of internal or external haemorrhoids. However,haemorrhoids do not run in family,so you should not bother about it until you get examined by the doctor and ruled out the problem. It needs to be rechecked by proctoscopy test by a general surgeon if you have still any doubt. Anal fissures are nothing but the ulcers as a result a tearing of tissue around anus which causes burning sensation during and after passing of stool. The reason could be your hard stools passing for the past few days which actually causes excess straining during defecation which in turn lead to tearing of the anal skin or mucosa. These fissures or ulcers causes burning sensations around the anus and anal canal and haemorrhoids might cause the blood during stool passing. You should go for routine blood with electrolytes, stool examination (you have already done before) with proctosopy by an experienced surgeon to have a correct diagnosis and the positions of piles. You may require, 1) Antibiotics (quinolones like ofloxacin or norfloxacin with antiprotozoals like metronidazole or ornidazole) with 2) Topical application of steroids with lignociane creams or ointments to reduce pain and inflammation with 3) Hot seitz bath, 4) Laxatives or purgatives to have a soft and effortless stool evacuation. 5) Vitamin b complex with folic acid to have a rapid healing of ulcer. You must consult general surgeon for complete history, thoroughly examination and treatment for suspected piles and anal fissure. Thanks and Regards,