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What Causes Bleeding Anus With History Of Colonoscopy?
Question: My 75 year wife has blood pouring out of the anus. She had a colonoscopy around ten years ago and another less than one year ago. The last one was because she had the same problem. Both colonoscopies found nothing abnormal. For a while she was taking 4-6 Ibuprofen/day for headaches. She was also taking them when she had the problem before. Some times it is dark red and sometimes light red. This latest bout started three days ago.
Brief Answer:
Can be piles or a mass.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate:
Patient is a female of 75 year old - bleeding P/R - colonoscopy less than 1 year back for the same problem and another 10 years back ( reason ?) - taking 4 to 6 Ibuprofen per day for headache - took before too (not with the bleeding then) - Blood sometimes is dark red and sometimes light red - started 3 days ago...
The reasons for bleeding per rectum are:
Hemorrhoids (piles)
Mass in the rectum or distal (nearer the anus) colon.
Rare diseases like telangiectasia ( anomaly of the smallest blood vessels), ulceration and so on.
Since the diagnosis of the cause is possible in some cases only when the examination is done during the bleeding periods, I would advise to get her following tests ASAP.
Colonoscopy and good ano-proctoscopy to see for piles and the causes I have mentioned.
Some telangiectasia are not seen after the attack subsides.
To stop Ibuprofen, she can try Paracetamol or its combination with tramadol as it does not have bleeding tendency
Upper GI Endoscopy if warranted so, usually the bleeding from the higher up part of the intestines including the stomach and small intestines usually cause black stool called as malena as the blood changes to black during the higher passage and very rarely present as blood unless the bleeding is massive and the transit time to the rectum is very fast.
If ano-procto-colonoscopy shown the reasons, get treated appropriately as directed by the Gastroenterologist, preferably a Surgical specialist.
I hope this answer helps you and Madam to get an early and accurate diagnosis this time and get an appropriate treatment.
Please fell free to ask for more if you need to or if you feel there is a gap-of-communication.
Can be piles or a mass.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate:
Patient is a female of 75 year old - bleeding P/R - colonoscopy less than 1 year back for the same problem and another 10 years back ( reason ?) - taking 4 to 6 Ibuprofen per day for headache - took before too (not with the bleeding then) - Blood sometimes is dark red and sometimes light red - started 3 days ago...
The reasons for bleeding per rectum are:
Hemorrhoids (piles)
Mass in the rectum or distal (nearer the anus) colon.
Rare diseases like telangiectasia ( anomaly of the smallest blood vessels), ulceration and so on.
Since the diagnosis of the cause is possible in some cases only when the examination is done during the bleeding periods, I would advise to get her following tests ASAP.
Colonoscopy and good ano-proctoscopy to see for piles and the causes I have mentioned.
Some telangiectasia are not seen after the attack subsides.
To stop Ibuprofen, she can try Paracetamol or its combination with tramadol as it does not have bleeding tendency
Upper GI Endoscopy if warranted so, usually the bleeding from the higher up part of the intestines including the stomach and small intestines usually cause black stool called as malena as the blood changes to black during the higher passage and very rarely present as blood unless the bleeding is massive and the transit time to the rectum is very fast.
If ano-procto-colonoscopy shown the reasons, get treated appropriately as directed by the Gastroenterologist, preferably a Surgical specialist.
I hope this answer helps you and Madam to get an early and accurate diagnosis this time and get an appropriate treatment.
Please fell free to ask for more if you need to or if you feel there is a gap-of-communication.
Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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