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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bleeding Hemorrhoids

My hemorrhoids have started to bleed over the past week. If I call the dr is there any other test other than drinking that stuff and then having that particular test? They have been bleeding for the past four days. I spend most of my day in bed because of my back. I have an appointment with a neurosurgeon on June 16 to see what he can do. Rather than go into a long explanation I ve had the nuts and bolts surgery on my back in 1994 and this is just a continuation of the deterioration. I do take 8 oxy a day, it helps somewhat. Anyway, I want to put off doing anything about these hemorrhaids until Friday when I see my pain dr. I ve lied to my husband about the blood otherwise he would go spastic until I call the dr ......which I intend to do after seeing the pain dr on Friday. I m just so tired of pain really. Thank you for your help. It is so appreciated. Diane Lynch YYYY@YYYY
Wed, 3 Aug 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history of bleeding hemorrhoids, back pain, have appointment with Neurosurgeon on June 16, taking 8 Oxycontin a day due to surgery of spine in 1994.
Since the bleeding hemorrhoids is a semi-emergency as you are unnecessarily loosing blood and can lead to anemia needing blood transfusion.
I would advise you teh following:
Take an urgent appointment with a General Surgeon for clinical evaluation, examination , per-rectal digital examination, colonoscopy if you are an aged patient to confirm that you have bleeding piles and nothing else and may be to go for a therapy like sclerotherapy, cold therapy or excision ligations as the case may be to get removed the piles and to stop the bleeding at once.
Hemoglobin correction if required.
Sitz bath
Laxative and food alteration to have more fibers.
Keep the appointment of a Neurosurgeon or postpone it as per the possibilities generated.
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Suggest Treatment For Bleeding Hemorrhoids

Hi. Thanks for your query. Noted the history of bleeding hemorrhoids, back pain, have appointment with Neurosurgeon on June 16, taking 8 Oxycontin a day due to surgery of spine in 1994. Since the bleeding hemorrhoids is a semi-emergency as you are unnecessarily loosing blood and can lead to anemia needing blood transfusion. I would advise you teh following: Take an urgent appointment with a General Surgeon for clinical evaluation, examination , per-rectal digital examination, colonoscopy if you are an aged patient to confirm that you have bleeding piles and nothing else and may be to go for a therapy like sclerotherapy, cold therapy or excision ligations as the case may be to get removed the piles and to stop the bleeding at once. Hemoglobin correction if required. Sitz bath Laxative and food alteration to have more fibers. Keep the appointment of a Neurosurgeon or postpone it as per the possibilities generated.