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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood In Urine Post Bowel Movement?

over the past six months i have noticed blood in my urine after a bowel movement. I am 71 yrs old not taking meds and in good health with normal blood pressure. I have always had a history of occasional blood in my urine the past 35 years but infrequent.
Thu, 7 Dec 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted history and understood the concerns.
35 years is a long time to suffer from blood n urine and since you are 71 years old now and are getting blood in urine after bowel movements it is of utmost importance to get a proper evaluation in the following ways:
Consult an Urologist.
Ask for MRI angiography of the pelvis area to see for any aneurysm, A-V Malformation.
Urethrocystoscopy to see for possible cause of bleeding.
Per-rectal digital examination.
All these things will lead to a proper diagnosis.
Some of the investigations may need doing again and again as the bleeding is occasional and the lesion may be found out only on multiple examinations.
The treatment will obviously depend upon the cause thus found.
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What Causes Blood In Urine Post Bowel Movement?

Hi. Thanks for your query. Noted history and understood the concerns. 35 years is a long time to suffer from blood n urine and since you are 71 years old now and are getting blood in urine after bowel movements it is of utmost importance to get a proper evaluation in the following ways: Consult an Urologist. Ask for MRI angiography of the pelvis area to see for any aneurysm, A-V Malformation. Urethrocystoscopy to see for possible cause of bleeding. Per-rectal digital examination. All these things will lead to a proper diagnosis. Some of the investigations may need doing again and again as the bleeding is occasional and the lesion may be found out only on multiple examinations. The treatment will obviously depend upon the cause thus found.