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What causes bleeding in anal and vagina in a hemorrhoids patient?

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Posted on Tue, 10 May 2016
Question: I have hemmorroids and this morning as well as bleeding in the back when wiping I also had bleeding in front. Could this all be from the hemmorroid?
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Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Proper examination and investigations.

Detailed Answer:
Hi.
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.

Above answer was peer-reviewed by : Dr. Naveen Kumar
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Follow up: Dr. T Chandrakant (3 hours later)
I was examined in theER on Friday, and they did feel hemmorroids. I did call my Gynocologist this morning, and he said just keep an eye on it for the day, and if bleeding recurred he wanted to see me. I did have my gynocological exam and pap smear in January and all was fine. Also had Abdominal CT scan in October to check for diverticulitis. All organs were fine.
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Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
To know the grades of hemorrhoids.

Detailed Answer:
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.
Sitz bath
Lots of green leafy vegetables in diet
Drink plenty of water

Take Care
Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19230 Questions

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What causes bleeding in anal and vagina in a hemorrhoids patient?

Brief Answer: Proper examination and investigations. Detailed Answer: Hi. 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.