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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Rectal Bleeding, Constipation, Hard Stools, Growth Outside Anus. Haemorrhoids Or Cancer Polyps?

I have had rectal bleeding off and on since I was 15, and I m 50 now and have been bleeding almost everyday for a month now. Its bright red and my stools are very hard and constipated. I can feel 2 little grape like things on outside of anus .is this hemorrhoids or cancer polyps? You can see blood on toilet paper in the toilet and running down side of stool. I m on a lot of narcotics because of injuries from bull riding,so I know that s why I m constipated. I m afraid of cancer but can live with hemorrhoids.What do you think it is?
Thu, 20 Dec 2012
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Pathologist and Microbiologist,  's  Response
hi there,the description suggests that you are suffering from 3rd degree haemarrhoids and the bleeding in from that. The constipation is making matters worse and you may also be having concurrent fissures. But it would still be wise to visit a surgeon and get a colonoscopy done to rule out anal polyp and cancer as you fear. You could take some stool softeners and laxatives to relieve you of the symptoms at present and include lots of fiberous food in your diet. Avoid refined and stored food products and take plenty of fluids. Discuss with your physician about the continued use of narcotics and if they can be avoided.. Get your hemoglobin levels done and if you are anemic start on iron suppliments and you have to compensate for the loss of blood in stools. Take care.
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Critical Care Specialist,  Dr. Sadiq Mughal's  Response
Hi thanks for your question.
You are having this problem since 15 years of age.
Most probably these could be rectal polyps,that bleed while passing hard stool due to constipation.
Since these polpys are there for long time ,chances of malignant changes in these polyps are high.
The second possibility is of course haemorrides.
Consult a general surgeon who will perform proctoscopy/sigmoidoscopy(examinition of your rectum/sigmoid colon with a cope) on you to differentiate between polyps and haemorrides.
Get them removed whether these are haemorrides or polyps and send these for histopathological examination to rule out malignant changes.
Hope this answers your question.
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Rectal Bleeding, Constipation, Hard Stools, Growth Outside Anus. Haemorrhoids Or Cancer Polyps?

hi there,the description suggests that you are suffering from 3rd degree haemarrhoids and the bleeding in from that. The constipation is making matters worse and you may also be having concurrent fissures. But it would still be wise to visit a surgeon and get a colonoscopy done to rule out anal polyp and cancer as you fear. You could take some stool softeners and laxatives to relieve you of the symptoms at present and include lots of fiberous food in your diet. Avoid refined and stored food products and take plenty of fluids. Discuss with your physician about the continued use of narcotics and if they can be avoided.. Get your hemoglobin levels done and if you are anemic start on iron suppliments and you have to compensate for the loss of blood in stools. Take care.