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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Diarrhea With Blood?

I had lap bad surgery a little over two weeks ago, My recovery has been swift with no complications. However over the weekend my bowel movements have been semi painful, today it was running and there was some blood that i noticed. should i be concerned
Tue, 26 Sep 2017
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General Surgeon 's  Response
Hi.
Thanks for your query, albeit short and specific.
Noted the history and understood the concerns.
It is good that the Lap band surgery was uneventful.
Semi-painful bowel movements along with blood in stool indicates that there is a possibility of fissure-in-ano a condition in which there is crack in the anal verge and thus the bleeding ans pain.
I would advise you the following in such a situation:
Get a clinical examination done by your Surgeon to get a confirmed diagnosis so that a proper management will help you to heal this up sooner.
Take Sitz bath before and after passing motion.
Take laxatives if there are hard stools.
Antibiotic and metronidazole cover will be given if your surgeon feels so.
And an anti-inflammatory medications will help with swelling and pain.
Ano-proctoscopy if the pain allows will help to rule out other causes like piles and polyp.
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What Causes Diarrhea With Blood?

Hi. Thanks for your query, albeit short and specific. Noted the history and understood the concerns. It is good that the Lap band surgery was uneventful. Semi-painful bowel movements along with blood in stool indicates that there is a possibility of fissure-in-ano a condition in which there is crack in the anal verge and thus the bleeding ans pain. I would advise you the following in such a situation: Get a clinical examination done by your Surgeon to get a confirmed diagnosis so that a proper management will help you to heal this up sooner. Take Sitz bath before and after passing motion. Take laxatives if there are hard stools. Antibiotic and metronidazole cover will be given if your surgeon feels so. And an anti-inflammatory medications will help with swelling and pain. Ano-proctoscopy if the pain allows will help to rule out other causes like piles and polyp.