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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood In Stool. Taking Ibuprofen Frequently For Back Pain. Reason?

Hi, Lately (twice two weeks ago, and then again the last two days), I have had very bright red blood on my stool . To describe it graphically, there is blood on the stool and in the toilet bowel, as well as dripping into the bowel afterward. I don’t believe there is any inside the stool and the color is bright red. When I wipe afterward, the tissue is more red than brown. I have not been constipated and do not experience any pain. However, I have been taking a lot of Ibuprofen . I will frequently take 3~4 pills close to bed time (10PM~11PM) always with water and usually with a snack but sometimes with just water, and then sometimes 3~4 more pills around 5AM because of back pain when I sleep. I also have mild anxiety . Oh, and I have had two colds in the last month (chills, cough). I’m almost certain the colds came about because of travel fatigue at the Christmas season. I am 26 and in good health – don’t smoke or drink. My guess is that it’s the Ibuprofen. Is this a safe guess? Could it be something else? What do you think it most likely is? What do you recommend I do/try? If not taking ibuprofen is the answer, is there anything I can do to speed the healing process? Thanks, -J
Mon, 21 Jan 2013
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General & Family Physician 's  Response
Hello,
In very general terms, bloody stool means that there's some sort of injury or disorder located somewhere in your digestive tract. 

As a rule, the closer the source of bleeding is to the anus, the brighter red the blood will be. This is because the bacteria in your digestive system works to break down the blood as it passes through. So the longer blood stays in your digestive tract, the darker it will become. The color of the bloody stool can range from bright red through maroon and black.
If the bloody stool is bright red, then there's a good chance the blood was essentially added on the way out by hemorrhoids or anal fissures.

Since you are not complaining of any pain while defecating,it means it is not anal fissure and most likely it should be due to hemorrhoids.

Ibuprofen can not cause bright red blood in the stool as it can cause only dark stool because bleeding due to ibuprofen would come from stomach and tnis blood will turn dark by the time stool passes out.
Consult a surgeon and get the diagnosis made.
Thanks
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Blood In Stool. Taking Ibuprofen Frequently For Back Pain. Reason?

Hello, In very general terms, bloody stool means that there s some sort of injury or disorder located somewhere in your digestive tract.  As a rule, the closer the source of bleeding is to the anus, the brighter red the blood will be. This is because the bacteria in your digestive system works to break down the blood as it passes through. So the longer blood stays in your digestive tract, the darker it will become. The color of the bloody stool can range from bright red through maroon and black. If the bloody stool is bright red, then there s a good chance the blood was essentially added on the way out by hemorrhoids or anal fissures. Since you are not complaining of any pain while defecating,it means it is not anal fissure and most likely it should be due to hemorrhoids. Ibuprofen can not cause bright red blood in the stool as it can cause only dark stool because bleeding due to ibuprofen would come from stomach and tnis blood will turn dark by the time stool passes out. Consult a surgeon and get the diagnosis made. Thanks