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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Blood In Stool And Fatigue

Hi, my brother has blood in his stool and he taught he had diarrhea and it scared him to find out that there was a blood in his stool. He s loosing weight in a fast few months and continuously feeling fatigue. He can t do heavy jobs now. His BP is high, he lost appetite. He went to see a doctor. He send to have a CT scan. He had his blood test done, X-ray done. He is really scared right now because of this blood in his stool. Hope you can help me to find out what s happening to my brother. Thanks. Aleli
Tue, 12 Jan 2016
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General & Family Physician,  's  Response
Hello and welcome to healthcaremagic.
I have read your question and I can understand your concerns regarding your brother.

What is his age..??
Has he got past history of tuberculosis or family history of tuberculosis.?
Do you have family history of inflammatory bowel disease such as chrons disease or ulcerative colitis.?
Any family history of carcinoma rectum..??

If i were his treating physician i would have done his digital rectal examination to look for any haemorrhoid,polyps or any hard mass arising from anal and rectal region.i would have done proctoscopy.
Then i would have done colonoscopy to look for polyps,any mass suggestive of carcinoma,ulcers,polyps,diverticular disease and inflammatory bowel disease.

I would have done carcinoembryonic antigen to screen carcinoma of colon.

For symptomatic treatment i would have suggested blood transfusion to replenish the blood going in stools which causes anaemia.
I would have prescribed tranexemic acid for controlling haemorrhage.
I would have prescribed iron and vitamin B12 suppliments.

I would suggest you to meet a gastroenterologist for workup and remedy for the symptoms

Thanks.
Hope the answer is helpful.
Feel free to ask further questions.
Regards
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Suggest Treatment For Blood In Stool And Fatigue

Hello and welcome to healthcaremagic. I have read your question and I can understand your concerns regarding your brother. What is his age..?? Has he got past history of tuberculosis or family history of tuberculosis.? Do you have family history of inflammatory bowel disease such as chrons disease or ulcerative colitis.? Any family history of carcinoma rectum..?? If i were his treating physician i would have done his digital rectal examination to look for any haemorrhoid,polyps or any hard mass arising from anal and rectal region.i would have done proctoscopy. Then i would have done colonoscopy to look for polyps,any mass suggestive of carcinoma,ulcers,polyps,diverticular disease and inflammatory bowel disease. I would have done carcinoembryonic antigen to screen carcinoma of colon. For symptomatic treatment i would have suggested blood transfusion to replenish the blood going in stools which causes anaemia. I would have prescribed tranexemic acid for controlling haemorrhage. I would have prescribed iron and vitamin B12 suppliments. I would suggest you to meet a gastroenterologist for workup and remedy for the symptoms Thanks. Hope the answer is helpful. Feel free to ask further questions. Regards