What causes blood in stool in an elderly person?
Might be hemorrhoids; other causes to be ruled out
Welcome to HCM.
This is Dr. Swarnava Dattagupta answering your query.
I understand your concern.
Thank you for providing a detailed history.
From your description, it looks like mild internal piles which you already have a history of. The symptoms point towards it. However, other causes like fissures, diverticulitis, colitis etc should be ruled out to come to a diagnosis. It does not look like cancer or something you need to check out urgently in ER.
I would suggest the following-
High fiber diet, lots of oral fluid, avoiding spicy food, smoking and alcohol.
Stool softeners like lactulose, ispaghula etc for constipation.
If it is painful, local application of lignocaine jelly will be soothing.
I believe you can do the above and wait for some days as the symptoms are mild and the blood loss is less.
If it does not subside in few days, or symptoms increase then I would advise visiting a general surgeon for detailed clinical examination, digital and/or proctoscopic examination if required and a colonoscopy to confirm diagnosis and further management.
Dont worry as of now. It does not look very serious to me right now.
Hope this was useful.
Consult me for any further queries.
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