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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Constipation And Rectal Bleeding Need Immediate Medical Attention?

I've been on warfarin for four months due to bi lateral pulmonary embolisms which arose from an adverse reaction to voriconaole(vfend). I have been constipated since this occurred and have had blood with my stools when I do go. I have been taking 4 coloxyl a day with lactalose most days just to keep things barely moving along. It is a public holiday here. Can it wait until next Friday to go to the Dr.
Wed, 11 Oct 2017
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Internal Medicine Specialist 's  Response
Constipation can cause bleeding in two common ways:
1. Hemorrhoids
2. Stercoral ulcers (erosions of the lining of the rectum caused by hard stools passing)

Normally these do not cause severe bleeding, however, because you are on a blood thinner (warfarin), you should have your doctor evaluate you and check your blood counts to determine what needs to be done next.
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Does Constipation And Rectal Bleeding Need Immediate Medical Attention?

Constipation can cause bleeding in two common ways: 1. Hemorrhoids 2. Stercoral ulcers (erosions of the lining of the rectum caused by hard stools passing) Normally these do not cause severe bleeding, however, because you are on a blood thinner (warfarin), you should have your doctor evaluate you and check your blood counts to determine what needs to be done next.