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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is an ER visit advisable for anal blood drainage?

Hello
Have been having stomach issues, scheduled for endoscopic “Spelling ?? “ and colonoscopy on the 24th. Told to stop all dairy which I have done. Was having constant diarrhea & when go to urinate have loose
bowels at the same time. I have been taking pepto bismo to coat stomach (was taking omeprole (sp.) for years and now insurance won’t pay for it.) This past week I have bowel discharge and is black. I’m worried about bleeding....wondering if I should go to Urgent Care tomorrow and get checked (can’t get in to my Doctor, no openings.) I went w/issues to my Doctor the 1st of October but w/referrals and waits and consults this is where I’m at, keep on telling myself tests are coming up if I just can wait....but it’s like leaking out. Any advise would be appreciated.
Thank you
Mon, 19 Feb 2018
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General & Family Physician 's  Response
Hello,

Thanks for your query on HCM

"As"per your clinical history is concerned please follow like this -

1)Do a clinical examination by your treating Doctor[Gastro]and do few investigations like [CBC with differential, Capsule endoscopy, Double-balloon endoscopy and MRI scan] to confirm and know exact status of your problem.

2)Discuss with your treating Doctor about -[Ciprofloxacin and metronidazole]for secondary infection, [adalimumab] for Immune system suppressors, Corticosteroids as Anti-inflammation. Add iron, vitamin B12 and Calcium and vitamin D supplements regularly.

Do follow lifestyle modifications like this -

1)Try to limit dairy products and use an enzyme product such as [Lactaid] regularly.

2)Try low-fat foods like butter, margarine, cream sauces and fried foods.

3)Try to limit fiber like fresh fruits and vegetables and whole grains.

4)Try to avoid spicy foods, alcohol, and caffeine etc

5)Eat small meals. You may find you feel better eating five or six small meals a day rather than two or three larger ones.

6)Try to drink plenty of fluids daily. Water is best. Alcohol and beverages that contain caffeine stimulate your intestines and can make diarrhea worse, while carbonated drinks frequently produce gas.

7)Try to avoid smoking and make a plan to reduce stress.

Hope that helps
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