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Constipation and bloody mucus while passing stools - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Constipation
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1776 Questions
User :   hi
Doctor :   Hi
Doctor :   Iam.Dr.XXXXX
User :   hi dr. i think i already had a consultation with you a few days ago
User :   anyway new symptom
Doctor :   ok proceed please
User :   to have a bowel movement i have like no muscle control literally
User :   im not sure if its because of my spine
Doctor :   do you have watery stools
Doctor :   do you have urgency after food
User :   just a few minutes ago while i was trying to have bowel nothing comes out except for a mucus with blood
Doctor :   do you have abdominal cramps
Doctor :   do you have any fever?
User :   pls explain urgency more
User :   cramps i have fever no
User :   not watery
Doctor :   ok did you have any change of diet recently
Doctor :   did you have seafoods
User :   i am like constipated for at least 2 weeks then ist like the whole day i keep on coming back & forth in the bathroom
User :   none diet change
User :   no seafoods
Doctor :   do you ahve excess smell for stool
User :   yes specially if passing gas
Doctor :   ok
User :   when i feel i need to go to the bathroom it hurts
Doctor :   so one thing is sure you might be having any infection i
Doctor :   in the intestinal mucosa
Doctor :   like amoebiasis
User :   what would cause that?
User :   but i already had this like a month ago
User :   just this time more blood
User :   its like every month
Doctor :   Ok
Doctor :   do you have any abdominal pain?
User :   yes everyday none stop
User :   for 5 years
Doctor :   how many times you go to toilet nowadays
User :   after my hysterectomy
User :   once every after 2 weeks and a few days
Doctor :   do you have any genital infection
User :   what are the genitals?
Doctor :   i mean vaginal infections
Doctor :   the other possibi9lity is irritable bowel syndromes
Doctor :   or ulcerative colitis or crohns syndrome
User :   im not sure
User :   what thats?
Doctor :   A bacterial infection, anal fissure, or a bowel obstruction may also cause the passage of mucus.
Doctor :   In Ulcerative Colitis, the mucus membrane of the intestine becomes inflamed and develops ulcers.
Doctor :   These ulcers bleed and produce pus and mucus, which may be visible as they are passed in the stool.
User :   when i pass stool is like a stool of a goat its just bigger
Doctor :   In IBS, there may be increased mucus production by the lining of the intestine, which is then passed.
Doctor :   ok
Doctor :   Mucus is more often associated with diarrhea-predominant IBS
Doctor :   Mucus is less frequent with Crohns Disease, but may be associated with the development of an anal fissure.
User :   i did not have diarrhea for a long time now
Doctor :   Bacterial infections, such as those from Campylobacter, Salmonella, Shigella, and Yersinia may also cause mucus in the stoo
Doctor :   ok
Doctor :   did you do any blood checks
Doctor :   or colonoscopy
User :   yes
User :   colonoscopy last april 26,2010
Doctor :   was it normal
User :   ill just get the result for a while
User :   i had egd and colonoscopy
Doctor :   ok
Doctor :   were they normal
User :   in egd it says esopgagitis and gastritis
Doctor :   was biopsy done
User :   no i dont think so
User :   in colonoscopy
Doctor :   ok
Doctor :   were you given any medicines
Doctor :   since then
User :   normal
Doctor :   what about the blood investigations
Doctor :   stool test
User :   in cbc
Doctor :   yes
User :   i have higer than the normal range of WBC
Doctor :   ok
User :   MCV
Doctor :   it means some infections
User :   MCH
Doctor :   and poor absorption from your intestines of nutrients and iron
Doctor :   anemia is common in IBD
User :   what does that mean?
User :   yes i have anemia
Doctor :   yes so your blood investigations
Doctor :   are mostly doubtful
Doctor :   of IBD
User :   on dec. last year they wanted me to have blood transfusion but i refused
User :   i did not understand well
Doctor :   so what was their diagnosis
User :   my blood test points me to IBD?
User :   no diagnosis in written here
Doctor :   yes i suspect
User :   can you expalin more of IBD
User :   what causes it?
Doctor :   An elevated WBC count is common in patients with active inflammatory disease and does not necessarily indicate infection. Anemia is common and may be either an anemia of chronic disease (usually normal mean corpuscular volume [MCV]) or an iron deficiency anemia (MCV is often low)
Doctor :   Inflammatory bowel disease (IBD) is an idiopathic disease, probably involving an immune reaction of the body to its own intestinal tract.
User :   what test should i have to confirm what kind of anemia i have?
Doctor :   : Vitamin B-12 deficiency can occur in patients
Doctor :   you will have vit b12 deficiency anemia
Doctor :   whcih will show increase in MCV
User :   what should i take to treat it?
User :   is this the reason i get dizzi and fatigue?
Doctor :   YES
Doctor :   it can also cause iron deficiency anemia
Doctor :   as i said early
Doctor :   your iron absorption will be poor
Doctor :   from intestine
Doctor :   due to inflammation
Doctor :   Because active IBD is a source for gastrointestinal blood loss, iron deficiency is common. A microcytic hypochromic anemia suggests iron deficiency; if confirmed with serum iron/total iron-binding capacity, iron can be replaced either enterally or parenterally.
Doctor :   For parenteral replacement, intravenous iron dextran can be used and is dosed based on the table in the package insert, with a maximum of 30 mL (1500 mg) at once.
Doctor :   The care of a patient with IBD can be either medical or surgical in nature, or commonly a combination of both
User :   what is this thru IV?
Doctor :   intra venous
Doctor :   to the vein
Doctor :   The medical approach for patients with IBD is symptomatic (flaring) care and generally follows a step-wise approach to medication therapy, with progression of the medical regimen until a response is achieved.
User :   what may be the risk of untreated IBD
Doctor :   ulcer perforation
Doctor :   even a risk of cancer too
User :   is that bad? in my egd what does the diagnosis means?
Doctor :   stricture fissure bleeding too
User :   what causes IBD?
Doctor :   it is autoimmune
Doctor :   so is genetic in some
Doctor :   Researchers do not yet know what causes inflammatory bowel disease. Therefore, IBD is called an idiopathic disease (disease with an unknown cause).
Doctor :   As a result of the inflammatory reaction, the intestinal wall is damaged leading to bloody diarrhea and abdominal pain.
Doctor :   Genetic, infectious, immunologic, and psychological factors have all been implicated in influencing the development of IBD.
Doctor :   There is a genetic predisposition (or perhaps susceptibility) to the development of IBD.
User :   OH what are the steps for treatment?
Doctor :   Diet has little or no influence on the inflammatory activity in ulcerative colitis.
Doctor :   However, diet may influence symptoms.
Doctor :   For this reason, people with inflammatory bowel disease often are placed on a variety of diet interventions, especially low-residue diets.
Doctor :   The goal of medical treatment is to suppress the abnormal inflammatory response.
Doctor :   This allows the intestinal tissue to heal, thereby relieving the symptoms of diarrhea and abdominal pain
Doctor :   Once the symptoms are under control, medical treatment is used to decrease the frequency of flare-ups and to maintain remission.
User :   does IBD has any connection with ESOPHAGITIS OR GASTRITIS?
Doctor :   not commonly
Doctor :   as it involves mostly the intestines
Doctor :   although crohns can cause some ulcers in stomach
User :   oh so IBD is a problem of the intestines
Doctor :   yes
Doctor :   it is called a inflammtory bowel(intestine) disease
User :   doctor another question but why do i dont have muscle control in bowel movement and in urinating?
Doctor :   D o you have any neurological disease?
User :   i cant force it out or hold it
Doctor :   do you have diabetes?
User :   no i dont have
User :   sipnal yes
Doctor :   it can be either neuromuscular dysfunction from nerve damage
Doctor :   explain your spinal
User :   nerve damage that could be where?
Doctor :   near your lower back spine
User :   at L5-S1 there is a central and left paracentral disc protrusion abutting the traversing left S1 nerve root
Doctor :   ok
User :   Mild L3-4 and L4-5 disc bulges mildly compressing the thecal sac
Doctor :   so you have some nerve dysfucntion
Doctor :   it can cause this
Doctor :   Urge incontinence is the strong, sudden need to urinate due to bladder spasms or contractions
User :   nerve dysfunction?
User :   yes exactly
Doctor :   A person's ability to hold urine depends on normal function of the lower urinary tract, kidneys, and nervous system.
Doctor :   Urge incontinence may result from: Doctor :   # Neurological diseases (such as multiple sclerosis)
# Neurological injuries (such as spinal cord injury or stroke)
Doctor :   Medications used to treat urge incontinence relax the involuntary bladder contractions and help improve bladder function.
User :   yes i also have problem with my urinary bladder that led to moderate hydronephrosis of the right kidney
Doctor :   Anticholinergic medicines help relax the muscles of the bladder.
Doctor :   ok
Doctor :   Pelvic muscle training exercises called Kegel exercises are primarily used to treat people with stress incontinence.
Doctor :   However, these exercises may also be beneficial in relieving the symptoms of urge incontinence.
Doctor :   The principle behind Kegel exercises is to strengthen the muscles of the pelvic floor to improve the function of the urethral sphincter.
Doctor :   Another approach is to use vaginal cones to strengthen the muscles of the pelvic floor. A vaginal cone is a weighted device that is inserted into the vagina
Doctor :   The woman contracts the pelvic floor muscles in an effort to hold the device the place. The contraction should be held for up to 15 minutes and should be performed twice daily.
Doctor :   Within 4 - 6 weeks, about 70% of women trying this method had some improvement in symptoms.
Doctor :   The other one is
Doctor :   Biofeedback and electrical stimulation
Doctor :   Electrical stimulation involves using low-voltage electric current to stimulate the correct group of muscles
Doctor :   The current may be delivered using an anal or vaginal probe
Doctor :   The electrical stimulation therapy may be performed in the clinic or at home. Treatment sessions usually last 20 minutes and may be performed every 1 - 4 days.
Doctor :   The other one is surgery
Doctor :   Augmentation cystoplasty is the most often performed surgical procedure for severe urge incontinence
User :   with this electrical method are there no down falls for this/
Doctor :   In this surgery, a segment of the bowel is added to the bladder to increase bladder size and allow the bladder to store more urine.
Doctor :   i didnt get you
Doctor :   It cannot completely cure
Doctor :   it only helps to some extend
Doctor :   ok sure
User :   whta method has low risk
Doctor :   you might need some pelvic muscle strengthening exercises
Doctor :   that has low risk
User :   what did caused this?
Doctor :   so please get yourself examined
User :   is it the hysterectomy?
Doctor :   it might be sacral nerve dysfunction
Doctor :   yes sometimes
User :   oh another thing docotr
User :   if the uterus and urinary bladder was perforated will that cause massive hemorrhage?
Doctor :   yes sometimes
User :   may right ureter after my hysterectomy became super thin that only super few urine pass through it
Doctor :   ok
Doctor :   was it injured
User :   that was the cause of my hydronephrosis
Doctor :   then it can have stenosis
User :   we think so
User :   what is stenosis?
Doctor :   stenosis is reduced internal space
Doctor :   or narrowing
User :   oh my urologist placed a stent and its still here
Doctor :   ok that is good for your
Doctor :   kidney
User :   doctor i im looking for a medical expert witness to review my case do you know someone to recommend?
Doctor :   i can help from our panel of specialist only from india
User :   can they do it abroad? like philippines?
Doctor :   you may contact our customer executive
Doctor :   at YYYY@YYYY
User :   is it possib;le that you would be the one even to review it
Doctor :   not necessary
Doctor :   as iam involved with consulatation online only
User :   oh i see
Doctor :   is there anything else i can help you with now?
User :   do you have a private consultation?
Doctor :   no
User :   ok anyway thank you very much
Doctor :   Thanks for consulting...
Doctor :   Nice talking to you...
User :   nice talking to you too
Doctor :   Bye fro now...
Doctor :   Take care....
User :   bye
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