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Rectal bleeding with frequent urination - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2568 Questions
User :   Hi I have rectal bleeding when I go the bathroom sometimes.
Also I have urgent neeeds to use the toilet very frequently, in small amounts. Stools are not necessarily loose but they are sometimes. Also I have gas when this urgency flares up. I told my doctor about this and he told me to take over the counter AD medicine. This controls the symptoms, except the bleeding, but one problem here is that I am forced to take very high doses. Thanks for your response. Be well.
Doctor :   Hi,
Doctor :   Dr XXX here
User :   hello
Doctor :   Since when are you suffering with this problem ?
User :   a long time, more than a year. it may be getting worse. also i am on psychiatric meds, forgot to say that
Doctor :   ok, may i know what medicine are you on ? and what medicine have you taken for thr stool problem?
Doctor :   the*
User :   I have taken CVS antidiarheal (spelling?) and Immodium AD
User :   also take Risperdal Depakote Lithium and Benztropine
Doctor :   ok, its not wise to take antidiarrheal when with bleeding rectum
User :   oh
Doctor :   they harden the stool and cause heavy friction in the rectum and aggrevate the bleeding
User :   ok
Doctor :   You have to take medicine to loosen the stool so that everything comes out at once and do not irritate the rectum
User :   is there no way to heal the bleeding problem?
Doctor :   yes,
Doctor :   since you are on the psychiatric medicine which do can aggrevate the situation
Doctor :   so , consult your psychiatrist and inform about the rectal bleedin so that he can alter the drug or the dose
Doctor :   and take 10ml of syp LACTULOSE twice daily after food both in morning and night , this will loosen the stool
User :   what exactly is causing my problem do you think? Could it be serious?
Doctor :   helping in easy bowel evacuation and reduce the rectal irritation and bleeding
Doctor :   I think this is because of hemorrhoids but has to be confirmed by physical examination
Doctor :   hence consult a surgeon too for the same
User :   if i had hemorrhoids wouldn't it hurt to sit?
Doctor :   not always
User :   as far as frequency, you think that could be due to meds?
Doctor :   som times the hemorrhoidal tags break open leading to bleed , but painless
Doctor :   may be due to medicine , also0 due to the antidiarrheal you were taking
User :   well thank you Dr. XXX and have a good day.
Doctor :   Thanks for consultin me , kindly provide your feedback
Doctor :   bye for now
Doctor :   take care
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