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Bleeding with bowel movement, severe pain, bleeding near anus, stomach cramps, fatigue. Causes for bleeding in bowels ?

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I'm 29, 6 ft., 160 lbs. and up until yesterday, I considered myself healthy as a champion, my diet is healthy, and I just started exercising regularly again, around 2 weeks ago as I made myself a goal to get my heart rate up and sweat daily.

Yesterday morning I had a bowel movement and found blood on the toilet tissue. Stool looked fine, no blood in bowl. I experienced no pain what so ever and felt great.

Later in the day yesterday, I had a second bowl movement, which is normal for me, and again found blood on the toilet tissue. Stool looked fine, no blood in bowl. Using the mirror to try and figure out what was going on, I saw blood surrounding the anus. I experienced no pain what so ever and continued to feel great the entire day. Later in the day, I even played tennis.

This morning I woke up. I didn't sleep too well, but I felt fine. I had a bowel movement right away and found no blood on the toilet tissue (which I was delighted to see that it was absent). Stool looked fine, no blood in bowl. And then someone flipped the pain switch.

I experienced a massive amount of pain in my abdomen area. Severe stomach cramps. It was extremely challenging to get off the toilet. Once I was able to, I couldn't stand up straight because it was too painful. I experienced this pain for the next 30 minutes approximately. I think it felt like there was a high amount of pressure in my abdomen somewhere. One of the most painful moments of my life, I think. The only thing I did after the bowel movement was hobble to the living room and lay down on the couch. Taking XXXXXXX breaths appeared to help greatly. Then, what seemed to be out of nowhere, after about 30 minutes of experiencing this massive discomfort, it just, disappeared.

It was as if a valve opened and pressure was able to escape. I instantly felt amazing again, back to normal. I was in disbelief because I was on the verge of going to the emergency room or urgent care since I couldn't handle the pain. I literally went from experiencing a pain level of 9 out of 10, where 10 is the worst I've ever experienced, to a pain level of zero in about a minute.

I haven't yet had a bowel movement since this morning and have been staying away from food. I've been drinking lots of water and will probably fast today, only drinking water.

I understand that I should go see a doctor, as this could be serious. I'm waiting to hear back from a few doctors offices. However, I'm curious what your professional opinion is. Please let me know. Or please let me know if I can provide any further questions to help you let me know your professional opinion.

Thank you very much.
Posted Fri, 27 Apr 2012 in Digestion and Bowels
Answered by Dr. Rakhi Tayal 1 hour later
Thanks for posting your query.
From your symptoms, the most probable causes can be-
1. Acute diverticulosis- It is usually treated conservatively, by a high fiber diet. In acute attack, might need hospitalization for treatment with antibiotics etc.

Foods XXXXXXX in fiber will help you. You can try liquid based diet for some days. Avoid carbohydrates after evening hours. Avoid constipation as much as you can.

2.Irritable bowel syndrome- IBS can be helped by eating a proper diet and taking medication.
3.Crohn's Disease or UC- These are autoimmune gut disorders. This causes sores in your intestines, stomach, and/or throat which causes blood and mucus in the stool.
Other causes include- Lactose intolerance or gluten sensitivity, intestinal polyp or gastritis.
Please visit your gastroenterologist to undergo physical check up and also to undergo relevant investigations required in your case so that proper treatment can be initiated early.

Hope this answers your query. I will be glad to answer the follow up queries that you have.
Wishing you good health.

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