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Suggest treatment for diarrhea and blood in stool

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Posted on Sat, 30 May 2015
Question: Hi Doctor

For two weeks I've had a lot of wind before a loose stool (not diahorea), which also includes some blood ( I do have a fissure) and mucous. I've been going to the bathroom a couple of times a day.

The symptoms aren't getting any worse and I've just had a stool sample returned that was negative to parasites.

Can you please give me any advice on what your may think this could be?

Thanks!
doctor
Answered by Dr. Grzegorz Stanko (4 hours later)
Brief Answer:
Bacterial infection or inflammatory bowels disease.

Detailed Answer:
Hello!

Thank you for the query.

The most probable reasons are gastrointestinal infection or inflammatory bowels disease.
Gastrointestinal infection can be caused by bacterial infection (which is the most probable source of infection at your case). Intestines are covered with good intestinal bacteria in normal conditions. Due to weakening this good intestinal bacteria (due to antibiotic intake for example) bad bacteria start to grow. Loose stool and gas are typical symptoms of such infection. Fever is not necessary.

Inflammatory bowels disease (like Crohns disease) can give all mentioned by you symptoms as well. You may have some joint pains and skin changes with this condition.

I suggest you to consult gastroenterologist. Stool test, stool culture test (to detect bacterial infection) should be done at first. Colonoscopy should be second.
In a meanwhile please start probiotic intake. You may also discuss with gastroenterologist Rifaximine treatment.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (43 hours later)
Hi doctor

Thank you for your answer!

I'm happy to report my stools are getting better, however I'm still passing small flakes that include mucous and a small amount of blood. Could this be due to the infection?

I have no other symptoms besides these expect excessive gas when I go to the toilet.

Regards
XXXX
doctor
Answered by Dr. Grzegorz Stanko (6 hours later)
Brief Answer:
Yes, this can be an infection.

Detailed Answer:
Yes, this can be due to an infection. But like I have mentioned before, inflammatory bowels disease can be the case as well. So please follow as advised above.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5769 Questions

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Suggest treatment for diarrhea and blood in stool

Brief Answer: Bacterial infection or inflammatory bowels disease. Detailed Answer: Hello! Thank you for the query. The most probable reasons are gastrointestinal infection or inflammatory bowels disease. Gastrointestinal infection can be caused by bacterial infection (which is the most probable source of infection at your case). Intestines are covered with good intestinal bacteria in normal conditions. Due to weakening this good intestinal bacteria (due to antibiotic intake for example) bad bacteria start to grow. Loose stool and gas are typical symptoms of such infection. Fever is not necessary. Inflammatory bowels disease (like Crohns disease) can give all mentioned by you symptoms as well. You may have some joint pains and skin changes with this condition. I suggest you to consult gastroenterologist. Stool test, stool culture test (to detect bacterial infection) should be done at first. Colonoscopy should be second. In a meanwhile please start probiotic intake. You may also discuss with gastroenterologist Rifaximine treatment. Hope this will help. Feel free to ask further questions. Regards.