HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Hi There, I Just Had Gall Bladder Removed. Might Ne

Posted on Sat, 26 Aug 2023

Question: Hi there, I just had gall bladder removed. Might ne unrelated. But I've had rectal bleeding on and off 6 years but nothing last year. I was constipated but not in pain amd alot of. Blood, brought blood was in the tissue. I had a colonoscopy 5 years ago and a blood stool yesterday a tr ok all ok. I've had rectal itching so intense the last 6 years and tried everything. 8 finally saw a colorectal surgeon. She looked, did rectal exam and said PRURITUS ani and a fissure scar. I'm scared now I'll get more blood, always feel drs are missing something

Answered by Dr. Ramesh Kumar (2 days later)

Brief Answer:
Please go through detailed answer.

Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns,
The intense itching is because of pruritis Ani and medications called steroids would be given along with anti histaminic like cetrizine to relieve the itching.
For fissure you have to keep your stools soft and watery by using lots of laxative and no straining while defecation.
Calcium channel blockers can also be applied locally over anus to heal fissure.
Thanks!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ramesh Kumar (18 hours later)

You haven't answered my question at all. Do you know anything about high glucose?

Follow up: Dr. Ramesh Kumar (15 hours later)

I want to you to answer, I have rectal bleeding. How long for internal hemmoroid to heal and how do I know of is something serious and not to ignore symptoms. Yes I know I have prutis ani but bleeding after being constipated. Went away 3 days and strained a little now back. I'm scared

Follow up: Dr. Ramesh Kumar (3 days later)

Can smyouplease reply, been a week of bleeding after my gallbladder remival sometimes it stops then bleeding will be there again. How can I make the bleeding stop. I had a clear colonoscopy 5 years ago when is cause for concern??

Answered by Dr. Ramesh Kumar (3 minutes later)

Brief Answer:
Need few more details.

Detailed Answer:
Hi again,
Sorry but I can't get you.
Are you diabetic also?
Blood glucose?
Please clarify.
Are you diabetic or have any other comorbid condition like Hypertension etc.
Waiting!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ramesh Kumar (41 hours later)

Here are my results from my ogtt test. I'm very dizzy and nearly fainted. But no diabetes I don't think. I just want the bleeding to stop the hemmaroid and can you help in how to feel.less dizzy?

Answered by Dr. Ramesh Kumar (34 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Hi there,
To stop Hemorrhoid from bleeding usually laser surgery is required but still if you want to give medicines a try use preperation-H over the counter 3 times a day or every time after passing stools for 12 days.
Weakness is likely due to blood loss and that's causing dizziness...
I would suggest you to take over the counter iron pills to improve your hemoglobin in blood as daily body is losing blood with stool..Drink plenty of water 3 litres per day atleast
Try this for a week and then revert back.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ramesh Kumar (1 hour later)

In not losing that much blood, a few drops that won't make me dizzy dr. Lood loss is a periodI'm not sure but cam anxiety make you feel dizzy ? Pins amd needles in hands and feet , chest pain?

Answered by Dr. Ramesh Kumar (26 minutes later)

Brief Answer:
Follow up.

Detailed Answer:
Ahh pins and needles in hand..I am sorry but you are not clearly giving your history and that's why answers are not up to the mark.
You GTT was not normal.
Increase in blood sugar level if not controlled for a long time starts to destroy nerves in body.
Nerves have top most covering called myelin sheath which is attacked and destroyed by high glucose levels...This causes burning and sensation of pricking in hands and arms fingers etc.
As nerves are getting effected your brain also recieves false signals from nerve and hence causing dizziness.
I would suggest you following tests-
1)HbA1C- will tell 3 month condition of your blood sugar.
2)Serum vitamin B12 and folic acid levels.
3)Start taking Methyl covalamine 1200mcg (vitamin B12) once daily.
4)For initial control of dizziness if you can get take prochlorperazine 5 mg tablet once a day.
But you need to control your blood sugar..As diabetis is main cause of problems.
You have not mentioned your age sex duration of problem pregnancy(if female) etc.
Please provide all details for a good answer.
Regards!

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar