Brief Answer:
IBM with Painful Blood Streak with Hemorrhoids/Under Investigation

Detailed Answer:
Brief Ans-IBM with Painful Blood Streak with Hemorrhoids/Under Investigation

Hi,Welcome with your query to HCM.
I studied your query with all the details you narrated and understood your health concern.
I will try to resolve your medical and insurance issues in one go.
Remedy for the Painful blood streak with hemorrhoids you had-
Before Remedy -Diagnosis of your Painful hemorrhoids is very important,as the remedy depends on it-
Diagnosis-
Consult a Surgeon when you are in States/USA.
Inspection and Proctosopy-would confirm the diagnosis.

Diagnostic Possibilities in your case-
Based on the facts you seem to have-IBM with Fissure In Ano with Sentinel Piles
Proctoscopy is a must with the local application of xylocaine-aneasthetic jelly,to rule out other possibilities of Painful blood streak,for your advanced age of 72 yrs-Rectal/Anal Cancer / or Proctitis with IBM/or Divreticulosis with IBM are the possibilities.
As you have hemorrhoids/piles with painful bleed, chances of Rectal Cancer needs to be ruled out and hence Proctoscopy.
Colonscopy and CT Contrast with Barium would rule out and or/ fix accompanying Diverticulosis and Polyposis Coli as the cause of your Painful blood in stool with hemorrhoids.

Explanation for your current symptoms-
Fissure in Ano with Sentinel pile,has caused the streak of blood in one of the 2 stools you had.
You had a hard large stool,as you are taking Diecetele and Metamucil for the IBM or IBS-caused due to irritable bowel syndrome.
This has stretched out the Fissure In Ano-with Setinel Pile,which got painful Streak of Blood as you did.

Remedies advised-
In the given scenario of your case needs following suggestions-
Drink Plenty of fluids with Mutamucil,so as to have softened stools,
Bland diet without spices.
High fiber,high veg diet as a routine /with reduction of non-veg frequency and with alcohol.
Reduce tea/coffee/ tobacco if any.
Bplex Vit with Folic acid / and B12 supplements to maintain health of bowels
Continue with Dicetel and metamucil when you get constipation ONLY and not as a regular dosage.

Change the life style-is Important suggestion
If follow this you could avoid going to doctors frequently,as your problem needs change in lifestyle on the lines suggested.
If need be proper treatment to rule out the Cancer possibility at this age would keep you healthy,with your IBM in your full controls.
Therefore A visit to GI Surgeon would be bliss to you.

Welcome for any further query in this regard,to be attended in the next session,while you may be in the States.

Hope this would help you to understand your disease and reduce the worries and anxiety you had.This also would increase the respect for the medical profession and would reduce the rejection and hatred and fear for medical professionals due to the complex medical insurance laws,with which you are stuck up currently and can't go to your doctor due to lack of insurance facilities on travel.

Will appreciate You to write excellent feedback comment of yours,to help the needy patients like you at HCM services.

Wishing you happy and painless trip to States and enjoyable journey.
Welcome for any further query in this regard.

Good day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist and Thorasic Consultant
M.S.Genl-CVTS.

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