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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Internal Haemorrhoids

Since having two children I ve had chronic internal hemorrhoids, for which I have had multiple laser treatments. Since the last treatment a couple months ago I ve been having more blood when wiping than before. (but not painful) Additionally, every time I sit down to have a bowel movement, I make a ridiculous amount of fart sounds, but it s not gas, more like just trapped air. It seems as though something has changed in my rectum/colon(?) that makes a bunch of trapped air come out really noisily when there s not actually any smelly gas. And this morning, I thought I needed to pass a tiny bit of gas, (just standing up, not even on the toilet) but a big blob of mucus mixed with blood came out in my underwear. It did not have an odor, like it would have had it been feces. I m pretty freaked out!
Mon, 14 Mar 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted your history of 2 pregnancies, development of internal piles/hemorrhoids that is common with pregnancy, laser treatment but yet the bleeding continues, farting and now the blob of mucus.
I would advise you the following:
- This does not looks simply internal hemorrhoids as they have been treated.
- You need a colonoscopy and ano-proctoscopy properly and biopsy.
- Tests of stool for 3 consecutive days.
- A course of an antibiotic and metronidazole.
- Long term probiotic and multivitamins
- Sitz bath.
Make a list of the foods and beverages which instigate or enhance your problems and stop them strictly.
- Proper diagnosis will lead to the proper curative treatment.
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Suggest Treatment For Chronic Internal Haemorrhoids

Hi. Thanks for your query. Noted your history of 2 pregnancies, development of internal piles/hemorrhoids that is common with pregnancy, laser treatment but yet the bleeding continues, farting and now the blob of mucus. I would advise you the following: - This does not looks simply internal hemorrhoids as they have been treated. - You need a colonoscopy and ano-proctoscopy properly and biopsy. - Tests of stool for 3 consecutive days. - A course of an antibiotic and metronidazole. - Long term probiotic and multivitamins - Sitz bath. Make a list of the foods and beverages which instigate or enhance your problems and stop them strictly. - Proper diagnosis will lead to the proper curative treatment.