Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Blood In Stool In An Elderly Man?
Question: my husband is 85-- drinks alot of coffee Last night he passed a lot of blood bright red I think it was from urine but there was only a microscopic clot in the bowl several hours later--he feels fine--He's been in rehab twice weekly for strenghening and gait training. The blood was on the front part of his underwear -again not noticeable in the toilet bowl
Brief Answer:
Needs to consult Urologist and investigate source of bleeding .
Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that your husband has XXXXXXX painless hematuria.
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Does he have other urinary symptoms like frequency for urination ,urgency,nocturnal frequency etc suggestive of Enlarged Prostate ?
2) Does he have pain in abdomen or loin ?
3) Is he taking Aspirin ?
The hematuria that he has could be due to one of the following few reasons
1) Mass in the either kidney or Bladder
2) infection in the bladder
3) Enlarged Prostate
Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.
In the mean while give him broad spectrum antibiotics like Cefotaxime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report.
Get the prescription of medicines from your family Physician.
Ensure he drinks more water .To keep his urine dilute .
Further treatment will depend upon result of these tests and final diagnosis.
Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.
Needs to consult Urologist and investigate source of bleeding .
Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that your husband has XXXXXXX painless hematuria.
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Does he have other urinary symptoms like frequency for urination ,urgency,nocturnal frequency etc suggestive of Enlarged Prostate ?
2) Does he have pain in abdomen or loin ?
3) Is he taking Aspirin ?
The hematuria that he has could be due to one of the following few reasons
1) Mass in the either kidney or Bladder
2) infection in the bladder
3) Enlarged Prostate
Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.
In the mean while give him broad spectrum antibiotics like Cefotaxime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report.
Get the prescription of medicines from your family Physician.
Ensure he drinks more water .To keep his urine dilute .
Further treatment will depend upon result of these tests and final diagnosis.
Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
