What causes bleeding in anal and vagina in a hemorrhoids patient?
Proper examination and investigations.
Thanks for your query.
To recapitulate: Female/60 - have hemorrhoids - bleeding in the back when wiping - also had bleeding in the front - wants to know whether this can be due to hemorrhoids.
The hemorrhoids can bleed in the back, if you mean by is anus or rectum.
The bleeding in the front- if you mean by vaginal is not possible due to hemorrhoids.
Hence it is very important to have clinical examination, per-rectal digital examination, proctoscopy to see if there is any mass, fissure, polyp or hemorrhoid alone, Per-vaginal examination and further examination, ultrasonography and so if you had vaginal bleeding also.
I hope this answers your query, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
To know the grades of hemorrhoids.
Thanks for your feedback.
Noted about your examination in ER, hemorrhoids, call to Gynecologist, Gynecological exam and PAP smear in XXXXXXX Abdominal CT in Oct.
I would advise you the following:
Get Examined by a General Surgeon to know the grade of hemorrhoid. And to get a decision whether need conservative management or Surgery depending upon the grades and your willingness.
Laxative to keep bowel movement smooth.
Lots of green leafy vegetables in diet
Drink plenty of water
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