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Query about constipation and blood in 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 : 2009
Answered : 669 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi, I've been having blood when I pass stools. They have been harder than normal. This has been happening for about 2 months on and off. I was sure it was due to the fact that my stools r very hard but I just had blood without passing a stool, but I did pass one earlier that was hard.
Doctor :   So it looks like you already have a probable diagnosis
Doctor :   it is indeed due
Doctor :   to the hard stools
Doctor :   which is injuring
Doctor :   the mucosa(inner lining of the rectum/anal canal)
Doctor :   Since when are you passing hard stools?
User :   So do you think I need to be concerned? There is no blood in the stool just in the toilet water and when I wipe
User :   About 2 months or so
Doctor :   Yes, but its not an emergency
Doctor :   All you need to do is soften
Doctor :   the stools
User :   How? I have been dieting
Doctor :   & your problem could disappear
Doctor :   Rather than "dieting "
Doctor :   you need to improve the quality of your diet
Doctor :   I guess you must already be aware
Doctor :   about the foods you need to avoid & those that you must increase
User :   Yes but not sure how.
Doctor :   Foods to be avoided: Doctor :   1. High fat foods- like
User :   I eat a lot fresh fruit and veg but sometimes won't go to the toilet for 2 or 3 days
Doctor :   only meat, only cheese,
Doctor :   Thats good
Doctor :   How is your water intake?
User :   Could be better
Doctor :   You need to drink lots of water- more than 3 liters atleast
Doctor :   Have you seen a doctor?
User :   Ok I will try. No not seen a doctor
Doctor :   May I know your age, gender & occupation?
User :   I'm 26 female and a child minder during the day but I'm also a litigator
Doctor :   Do you consume alcohol?
Doctor :   Smoke?
Doctor :   Or drugs?
User :   Yes but not a lot and very rarely
Doctor :   Are you on treatment for anything else?
User :   No Durgs or smoking
User :   No other treatment
Doctor :   Do you consume a lot of junk food?

Doctor :   How is your diet?
Doctor :   or I should be asking, how was your diet?
User :   No very rarely, my diet mainly consist of yogurts fruit veg and meet. I cook with spray oil don't eat a lot of carbs.
User :   Carbs or junk
Doctor :   Thats good, you dont fit in the category of getting Constipation due to bad diet
Doctor :   So there could be some other cause
User :   My diet before was a convience diet hardly ate in the day and ready meals or take our in the evening
Doctor :   which needs to be evaluated
Doctor :   by a gastroenterologist or surgeon
Doctor :   Are you pregnant?
User :   I'm not a regular eater tho I sometimes will go all day without eating,
User :   No not pregnant but had an abortion about 6 weeks ago
Doctor :   Ah! that could be a factor- not eating a whole day
Doctor :   During such days do you also not rink water?
Doctor :   Drink water?
User :   Sometimes
Doctor :   That can cause dehydration, the next meal that you consume will be squeexed off its water content
Doctor :   & a hard stool result
Doctor :   Avoid this situation
Doctor :   drink plenty water
User :   Ok, I will try. My husband was worried about cancer, sould I be worried?
Doctor :   How many weeks did you carry before abortion?
Doctor :   Why & how aborted?
User :   9 weeks, aborted due to financial and work situation. I just had the two pills
Doctor :   Did this problem start after that?
User :   I'm not sure, maybe
Doctor :   Ok, you said that this problem is on/off since 2 months?
Doctor :   How often?
Doctor :   How often is it on?
User :   More regular recently, the abortion was the 2nd week in oct so yes it prob has
User :   Over the last week it's been most stools
Doctor :   ok
Doctor :   also i will suggest you yo take a stool softener ots called DULCOLAX take two tabs in the night
Doctor :   it will help you
Doctor :   its over the counter medication that you can get at your local pharmacy
Doctor :   also there is nothing much to worry about the blood is because of the hard stools and with the diets modifications and medication you will be fine
User :   Ok so do you think I should be worried about cancer?
Doctor :   no not at all
Doctor :   cancer does not presents like this
User :   Ok thank you very much !!
Doctor :   your welcome
Doctor :   take care
Doctor :   bye
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