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Intense pain on defecation, blood in stools, no relief with fiber diet and plenty intake of water. What treatment is advisable?

Hi, I have experienced blood in my fecal matter for about a week now. Attempting to defecate is accompanied by a lot of pain, sometimes almost to the point I am worried about passing out. I have been eating a lot of fiber and drinking a lot of water and it doesn t seem to be getting better. Also, there are no external symptoms.
Asked On : Fri, 15 Jun 2012
Answers:  1 Views:  54
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Internal Medicine Specialist 's  Response
Hello.Thanks for the question.

There are many cause of such rectal bleed and bleed can occur from different sites of GIT. the usual causes are constipation,anal fissure,haemorroids,polyps, colitis/proctitis and cancer. Even blood coagulations and some medications can cause such bleeding.

Before treatment is started cause and site of the bleed has to determined and then only a specific treatment can be proposed. usually treatment is directed towards stopping bleeding and preventing rebleeding.

If sometimes bleeding is chronic then you may need evaluation for hemoglobin. I think most likely cause in your case is bleeding through lower GIT as blood is fresh that is red in color.

I strongly suggest you to get a clinical evaluation done by a doctor, who will locate site of bleed and its likely cause. Investigations like colonoscopy ,sonogram and scan may also be needed. The issue can be serious if the bleeding increase or leads to anemia.

Answered: Fri, 15 Jun 2012
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