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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Would Be The Diagnosis For Painful Bowel Movement With Rectal Bleeding?

I have tight bowel movement. When I go to the bathroom for bowel movement I feel pain and I see a little bit of blood. For the past two days. I know there is more bowel movement but it is stuck What should I do? If I go to the doctor what would the doctor say?
Mon, 17 Jun 2019
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General Surgeon,  's  Response
Hello,

As per my surgical experience, the issue of painful bowel movement with rectal bleeding since 2 days indicate acute pathology as fissure or hemorrhoids (usually precipitated via hard stool making to strain a bit more than normal pressure).

In my clinic, I recommend the best guidelines for conservative management after clinical per rectal and proctoscopy examination on OPD basis as
- sitz bath (sitting in a tub filled with lukewarm water)
- bulk-forming laxative as ispaghula husk
- best analgesic and anti-inflammatory as tramadol hydrochloride or diclofenac
- local application of xylocaine jelly after sitz bath and toilet use
- dietary precautions
- avoidance of smoking or alcohol if consuming

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Would Be The Diagnosis For Painful Bowel Movement With Rectal Bleeding?

Hello, As per my surgical experience, the issue of painful bowel movement with rectal bleeding since 2 days indicate acute pathology as fissure or hemorrhoids (usually precipitated via hard stool making to strain a bit more than normal pressure). In my clinic, I recommend the best guidelines for conservative management after clinical per rectal and proctoscopy examination on OPD basis as - sitz bath (sitting in a tub filled with lukewarm water) - bulk-forming laxative as ispaghula husk - best analgesic and anti-inflammatory as tramadol hydrochloride or diclofenac - local application of xylocaine jelly after sitz bath and toilet use - dietary precautions - avoidance of smoking or alcohol if consuming Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon