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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For IBS, Diarrhea And Sore Anus

Hi. I have IBS and it seems it is spicy foods that trigger it. I have it in the form of diareah. Whenever this happens for days after my anus is really sore & there feels to be a bump that I can only describe as a white line at the bottom of my anal opening. When I have diareah and this gets irritated, it s bleeds & I sometimes have dots of bright red blood on the paper when wiping. Thank you for any advise as to what this could be
Mon, 4 May 2015
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General Surgeon 's  Response
Hi.
Thanks for your query.
Read and understood your history of IBS which gets instigated with spices, meaning spices do not suit your intestines, you get further problems of diarrhea, anal excoriation, bleeding per rectum and so on.

I would advise you the following:

I would advise the following investigations and treatment in a such a case:

Investigations:
*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.
*Urine -routine and microscopy
*Stool: routine, microscopy, occult blood, culture and sensitivity.
*Ultrasonography of abdomen,
*Colonoscopy
All these investigations should be within normal limits for one to say you have IBS.

Treatment:
''STRESS'' = stress is the most important cause of IBS. Please remember and you must have observed that when you do not have stress your problem with IBS is reduced
Change of lifestyle.
I think 'may be' you are not coping with something.
Vacation outside of your area, mobiles phones to be off.
You must have noticed already that these changes help a lot.
Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once

I hope this answer helps you.
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Suggest Treatment For IBS, Diarrhea And Sore Anus

Hi. Thanks for your query. Read and understood your history of IBS which gets instigated with spices, meaning spices do not suit your intestines, you get further problems of diarrhea, anal excoriation, bleeding per rectum and so on. I would advise you the following: I would advise the following investigations and treatment in a such a case: Investigations: *Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests. *Urine -routine and microscopy *Stool: routine, microscopy, occult blood, culture and sensitivity. *Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Treatment: STRESS = stress is the most important cause of IBS. Please remember and you must have observed that when you do not have stress your problem with IBS is reduced Change of lifestyle. I think may be you are not coping with something. Vacation outside of your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once I hope this answer helps you.