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Dr. Andrew Rynne

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yesterday i woke up and went to the bathroom and

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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2040 Questions

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Posted on Sat, 26 Jan 2019 in Digestion and Bowels
Question: yesterday i woke up and went to the bathroom and when i wiped there was pale pink blood covering the toliet paper after i went pee. throughout the day i had cramps and brown blood. this morning i woke up and i still have cramping and red blood when i wipe. there is nothing on the pad only when i go to the bathroom and wipe. feels like a period but i am not due for my period just got over it on December 26th. I am taking budesodine 9mg er for crohnes disease for the past month and started amoxicillen 875mg twice a day for tonsillitis. It has been two days and i am worried do you know what can cause this and do i need to go to the doctor right away. i am 38 years old. Last time i had sex was Dec 31st which was after my period and do not believe i could be pregnant. i have not had an issue with irregular periods.
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Answered by Dr. Ramesh Kumar 1 hour later
Brief Answer:
Stool for occult blood test to be done.

Detailed Answer:
Hi,
Thanks for query,
Have read your details,

There are a few things to consider when a person says she has blood in the stool or wiping paper.

Is there is bright red blood (which is clear that it is blood). Unless it's bright red the way to know if you are bleeding or not is having a stool occult blood test or a stool microscopy done that will confirm the presence of blood with the stools.This is to confirm first that what you are seeing is blood only and not any thing related to color of food etc.

Generally, blood coming from higher levels (stomach and small bowel) converts into a dark coal black colour due to the changes the blood has in the bowel. It is the bleeding from lower parts (colon) that will show as bright red blood.

Have you ever had a colonoscopy done? After the age of 50, it is recommended that all people should have a colonoscopy every 5-10 years. Even if you have had this test in the last 5 years it might be recommended to repeat it along with it Proctoscopic examination has to be done by a MD to rule out presence of hemorrhoids/fissure etc.
If things are normal Endoscopy would be done to rule out the presence of ulcers or bleeding points in upper g.i tract.


So to conclude:
1. we need to be sure you are bleeding or not- a stool test like fecal occult blood test and or stool microscopy for blood will help in this.

2.If it is confirmed that you are bleeding then you will need a colonoscopy endoscopic and Proctoscopic examination to find the cause of it.

3.If you have bright red blood while defecating (passing stools) this might also be due to haemorrhoids which are mostly due to constipation so in meantime please make sure you take extra fibre with diet and drink plenty of water.

4. if you had any massive rectal bleeding than an urgent visit to a doctor is needed.

5. Dont feel it's related to amoxicillin or budesodine etc.


I hope this is helpful and answers your questions but please feel free to reply in case any more clarification is needed on this.

Kind regards,
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Ramesh Kumar 1 hour later
thank you. the blood is not in my stool it is like i have a period but i am not due for it
doctor
Answered by Dr. Ramesh Kumar 25 minutes later
Brief Answer:
Follow up.

Detailed Answer:
Hello,
It could be stress, changes in your lifestyles, or a hormonal imbalance triggering irregular cycles. On the other hand, rarely an early period could be a sign of early pregnancy or miscarriage.
Would suggest you to go for specialist in obstetrics and gynecology for further consultation.
Hope I was helpful.
Thanks
Above answer was peer-reviewed by : Dr. Prasad
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