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Suggest Treatment For Blood In Stool And Nosebleeds

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Posted on Wed, 17 Feb 2016
Question: Yesterday I noticed bright red blood in my stool, plus I had a nosebleed - very slow, but when I would blow my nose, the tissue was all red. It continues this morning. Should I be doing something? I am a 78 year old male, 6' tall, 160 lbs., in good shape, "take the stairs two at a time" active. My blood pressure is always a bit on the low side. My last annual check-up showed blood sugar a little high, and I was turned away at the bloodmobile for low iron.
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Answered by Dr. Shoaib Khan (4 hours later)
Brief Answer:
A couple of things; but a medical visit is mandatory at this juncture

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. Fresh blood in the stool indicates an issue with the lower half of the digestive tract, including conditions like haemorrhoids; bleed from the large intestine due to conditions like intestinal polyps, diverticulosis, irritable bowel syndrome, ulcers and several other conditions.

I would strongly recommend a visit to your doctor, and preferably a gastro-enterologist who will want to first examine the anal region, and then even order a colonoscopy to find the source of the bleed.

The epistaxis (nose bleeds) are also something that need to be reported, and the cause for the bleed needs to be found and resolved at the earliest. There are 2 more aspects of your query:

1. You have low iron, which means you are most likely also anaemic, making any form of blood loss even more concerning; so please do reach out to your doctor at the earliest

2. You are on a baby aspirin, although just a baby aspirin, it will still promote the bleeding and will have to be dealt with by a profession (risk versus benefit) at this juncture

I hope you can reach out to your doctor at the earliest and attain the medical attention you need right now.

I also hope you find my response helpful.

Please also do not hesitate to write back to me for any further clarifications, I am always here to help.

Best wishes.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest Treatment For Blood In Stool And Nosebleeds

Brief Answer: A couple of things; but a medical visit is mandatory at this juncture Detailed Answer: Hello sir and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. Fresh blood in the stool indicates an issue with the lower half of the digestive tract, including conditions like haemorrhoids; bleed from the large intestine due to conditions like intestinal polyps, diverticulosis, irritable bowel syndrome, ulcers and several other conditions. I would strongly recommend a visit to your doctor, and preferably a gastro-enterologist who will want to first examine the anal region, and then even order a colonoscopy to find the source of the bleed. The epistaxis (nose bleeds) are also something that need to be reported, and the cause for the bleed needs to be found and resolved at the earliest. There are 2 more aspects of your query: 1. You have low iron, which means you are most likely also anaemic, making any form of blood loss even more concerning; so please do reach out to your doctor at the earliest 2. You are on a baby aspirin, although just a baby aspirin, it will still promote the bleeding and will have to be dealt with by a profession (risk versus benefit) at this juncture I hope you can reach out to your doctor at the earliest and attain the medical attention you need right now. I also hope you find my response helpful. Please also do not hesitate to write back to me for any further clarifications, I am always here to help. Best wishes.