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Blood during defecation due to fissures - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3620 Questions
User :   Hi, may I answer your health qu
User :   Hello
User :   Are you there?
Doctor :   hello
Doctor :   i am Dr here
User :   Hi thank you for your time
Doctor :   yes i am here
Doctor :   tell me how can i help you ?
User :   I have a health issue i was hoping to inquire with you about
User :   for at least a month I have been having some rectal bleeding
User :   not a lot of blood
User :   im a 19 year old male athlete
User :   trying to diagnose it
User :   what do you think it could be? probable causes? do you need more information?
Doctor :   when do you notice it ?
Doctor :   when you defecate ?
User :   I want to say a month ago but it may have been longer
Doctor :   how much blood have you noticed ?
User :   yes
User :   usually a few drops when i defecate, but once there was a lot more
Doctor :   can you tell me the color of the blood? is it bright colored ? or dark ?
User :   bright red
Doctor :   is it painful when you defecate ?
User :   it was more painful today but usually not any noticeable pain, maybe a little burning
Doctor :   ok
Doctor :   well what you have is a fissure
User :   okay what do you advise i do?
Doctor :   what you need to do it for it
User :   what would that be?
Doctor :   is first get a stool softener
Doctor :   DULCOLOX can be bought over the counter
Doctor :   without prescription
Doctor :   take 2 tabs in the night before you go to sleep
Doctor :   also
Doctor :   1) Drink 8-10 glasses of water per day.
Doctor :   2) Bathe or shower daily to cleanse the skin around the anus.
Doctor :   3) Increase fiber in the diet with supplements such as Metamucil or foods such as prunes.
Doctor :   4) Avoid sitting on the toilet too long.
Doctor :   5) Apply ice packs to the affected area to decrease pain.
Doctor :   and i want to STRESS again to please take in more fiber in your diet
User :   okay
User :   is this something i should be extremely concerned about?
Doctor :   no its extremely common
Doctor :   dont worry
Doctor :   just with proper diet you can cure it
User :   okay i often eat eggs and ketchup in the morning for breakfast. is that okay to eat or does it make bowl movements worse?
Doctor :   no thats fine
Doctor :   but do avoid spicy food
User :   okay thank you
User :   also can i run and exercise like usual or should i moderate it or do less?
Doctor :   no you can carry on with your normal activities
User :   okay thank you for your time, and just to clarify, is it pretty obvious based on the symptoms that i presented you that my situation is just a fissure and is not likely cancer or something like that?
Doctor :   no not at alll
Doctor :   you dont have any symptoms suggesting that i can ASSURE YOU
User :   okay thank you very much i really appreciate it, you helped alleviate a lot of stress and worry that I was having over this
Doctor :   no problem
Doctor :   take care
Doctor :   good bye
User :   good bye
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