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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Constipation, Blood In Urine And Lower Abdominal Pain

I haven t been able to defecate for the past two days. I had dinner tonight that was a lot higher in fiber than I m used to, and I ve defecated three different times tonight. All of my bowel movements have been solid and painless. I was passing urine earlier and I farted, and it felt like a wet fart. But when I wiped, there was a little bit of clear mucous that had a tiny bit of blood on it. Since then, I ve been having very mild pain in my lower abdomen. I m not sure if the blood was just a result of irritation from wiping too much and the mild stomachache is just anxiety, or if it s more serious?
Thu, 13 Aug 2020
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General Surgeon 's  Response
Hello,

Likely issue of posterior anal fissure from passage of hard stool. Following measures will help better recovery:
- Plenty of liquids
- High fiber diet with green leafy veg, cereals, pulses, legumes, organic fresh fruits
- Avoid all spices, non veg, junk items, dairy fat
- Bulk forming laxative such as bran or psyllium husk
- Sitz bath (sitting in tub filled with lukewarm water)
- Local application of Xylocaine jelly (5%) and Diltiazem (2%) on alternate basis
- Analgesic with anti inflammatory actions as Diclofenac or Aceclofenac
- Should also refrain from smoking and alcohol consumption if applicable

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Constipation, Blood In Urine And Lower Abdominal Pain

Hello, Likely issue of posterior anal fissure from passage of hard stool. Following measures will help better recovery: - Plenty of liquids - High fiber diet with green leafy veg, cereals, pulses, legumes, organic fresh fruits - Avoid all spices, non veg, junk items, dairy fat - Bulk forming laxative such as bran or psyllium husk - Sitz bath (sitting in tub filled with lukewarm water) - Local application of Xylocaine jelly (5%) and Diltiazem (2%) on alternate basis - Analgesic with anti inflammatory actions as Diclofenac or Aceclofenac - Should also refrain from smoking and alcohol consumption if applicable Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon