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Suggest Treatment For Chronic Diarrhea

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Posted on Fri, 13 Oct 2017
Question: I have had chronic diarreaha since May, today I had fresh blood when I wiped, what do you think this may be?
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Investigations to be done.

Detailed Answer:

Hello,
Thank you for choosing HealthcareMagic for your query.
I've gone through your details.
I am a Gastroenterologist and would be addressing your concerns.
As per your queries answers are-

There are a few things to consider when a person says he has blood in the stool.

The first thing is if it is really blood. There are some food and industrial chemicals that might be in stool and give the impression it is blood and in fact, it is not. Unless it bright red blood (which is clear that it is blood). Other times the way to know if you are bleeding or not is having a stool occult blood test or a stool microscopy that will confirm the presence of blood with the stools.

Generally, blood coming from higher levels (stomach and small bowel) converts into a dark coal black colour due to the changes the blood has in the bowel. It is the bleeding from lower parts (colon) that will show as bright red blood.

Have you ever had a colonoscopy done? After the age of 50, it is recommended that all people should have a colonoscopy every 5-10 years. Even if you have had this test in the last 5 years it might be recommended to repeat it as you are having this bleeding if the stool tests confirm you are really bleeding.

A CBC would be a good test to be done if you suspect bleeding to see if you are developing anaemia as a complication of bleeding and need treatment for it or not.

So to conclude:
1. we need to be sure you are bleeding or not- a stool test like faecal occult blood test and or stool microscopy for blood will help in this.

2. if it is confirmed that you are bleeding then you will need a colonoscopy to find the cause of it.

3. if you have bright red blood while defecating (passing stools) this might also be due to haemorrhoids which are mostly due to constipation so in meantime please make sure you take extra fibre with diet and drink plenty of water.

4. if you had any massive rectal bleeding than an urgent visit to a doctor is needed.

I hope this is helpful and answers your questions but please feel free to reply in case any more clarification is needed on this.

Kind regards,
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ramesh Kumar (29 minutes later)
Does the chronic diarrhea cause any concern, it actually pours out of my rectum.
doctor
Answered by Dr. Ramesh Kumar (19 minutes later)
Brief Answer:
follow up.

Detailed Answer:
See dear patient it could be suggestive of irritable bowel syndrome also,as you are having this problem from many months.
But initially i would suggest you to go for colonoscopy thereafter we have to treat you on guidelines if chronic gastroenteritis however if not relieved after that also then you would be investigated for irritable bowel syndrome and fecal impaction.
As of now take imodium 4 mg thrice to control loose motions.
Thanks!
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2807 Questions

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Suggest Treatment For Chronic Diarrhea

Brief Answer: Investigations to be done. Detailed Answer: Hello, Thank you for choosing HealthcareMagic for your query. I've gone through your details. I am a Gastroenterologist and would be addressing your concerns. As per your queries answers are- There are a few things to consider when a person says he has blood in the stool. The first thing is if it is really blood. There are some food and industrial chemicals that might be in stool and give the impression it is blood and in fact, it is not. Unless it bright red blood (which is clear that it is blood). Other times the way to know if you are bleeding or not is having a stool occult blood test or a stool microscopy that will confirm the presence of blood with the stools. Generally, blood coming from higher levels (stomach and small bowel) converts into a dark coal black colour due to the changes the blood has in the bowel. It is the bleeding from lower parts (colon) that will show as bright red blood. Have you ever had a colonoscopy done? After the age of 50, it is recommended that all people should have a colonoscopy every 5-10 years. Even if you have had this test in the last 5 years it might be recommended to repeat it as you are having this bleeding if the stool tests confirm you are really bleeding. A CBC would be a good test to be done if you suspect bleeding to see if you are developing anaemia as a complication of bleeding and need treatment for it or not. So to conclude: 1. we need to be sure you are bleeding or not- a stool test like faecal occult blood test and or stool microscopy for blood will help in this. 2. if it is confirmed that you are bleeding then you will need a colonoscopy to find the cause of it. 3. if you have bright red blood while defecating (passing stools) this might also be due to haemorrhoids which are mostly due to constipation so in meantime please make sure you take extra fibre with diet and drink plenty of water. 4. if you had any massive rectal bleeding than an urgent visit to a doctor is needed. I hope this is helpful and answers your questions but please feel free to reply in case any more clarification is needed on this. Kind regards,