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Passing blood along with motion with farting, intestinal gas after meals, anxiety disorder. Reason?

I often see blood in toilet. It comes after I finish in the toilet, and it is not mixed with scat. It often happens with farting. I have some discomfort with too much intestinal gas after meals too. The excess gas issue started since about two years ago, and the bleeding started one year ago. What could be the reason for this? I am a 21 year-old male, and haven t had any other health issue for the past five years except for this one. (I also experienced some degree of Generalized Anxiety Disorder and two Panic Attacks during the year of 2012, which is going away rapidly by now) Please help, I live in a city in a third-world country where I can t find a real doctor who can help, or at least be able to diagnose the issue and causes! I really need to know about this issue since I am very concerned. Thank you so very much, in advance. Nn
Asked On : Sun, 6 Jan 2013
Answers:  1 Views:  259
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General & Family Physician 's  Response
Hi! you have mentioned about bleeding with motion but not about any other associated symptoms like abdominal pain, change in defecation habit, nature of stool liquid or semisolid, nature of bleeding fresh or mixed with stool.
Blood in stool without pain during defecation can be due to many causes like hemorrhoid, diverticolosis, duodenal ulcer , gastric ulcer, ulcerative colitis, portal hypertension etc. To rule out others and to reach the exact diagnosis you should go for following investigation if possible USG whole abdomen, X ray abdomen, upper G.I. endoscopy, rectosigmoidoscopy , CT scan of abdomen and urea breath test for H.Pylori infection.
According to your present complain of abdominal discomfort and bloating associated with meal together ,associated anxiety and panic attack during night points toward stress ulcer(peptic ulcer). Untill not daignosed for the relief of symptoms you can take pantoprazole 40 mg half an hour before meal once a day or antacid two tab or two tea spoon, avoid NSAIDs, avoid fried foods, chillies, pickles, alcohol, strong coffee and tea and smoking, take rest.For the management of anxiety and panic attack you can go with diazepam 5 mg at bed time.
Bleeding for such a long time may result in development of anemia, so get your complete hemogram and consult a physician for its proper management or if found anemic then take ferrous sulphate tab.
Consult a specialist with report of all investigation for proper management.
Answered: Mon, 7 Jan 2013
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