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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Rectal Bleeding

My father has been hospitalized for the past six days. He was admitted with sever rectal bleeding and also hemoglobin levels of 7. Two blood transfusions were done and also a colonoscopy. Drs diagnosed him with atrial venous malformations. That was yesterday however now his bleeding has changed from maroon in color to bright red and seems to be flowing at a more steady rate. Drs. Are going to do a more extensive colonoscopy. I guess my question is what other tests can be performed to determine the cause . Getting frustrated at this point that after six days really have not got any answers as to where or why bleeding severely? We don't want to think the worse as far as colon cancer but are wondering if he is misdiagnosed.
Tue, 8 Aug 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Your history has told about the diagnosis of arterio-venous A-V malformations in the colon means the cause is certainly the same and there is no way of thinking this to be due to cancer.
Your Father needs an active treatment for A-V malformations in the form of local cauterization, ligation or embolization of the feeding arteries and if all these efforts fail may need a surgery to get a proper control.
Arteriography can be done and the spot diagnosed.
May need more blood transfusions and supportive treatment.
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Suggest Treatment For Rectal Bleeding

Hi. Thanks for your query. Noted the history and understood the concerns. Your history has told about the diagnosis of arterio-venous A-V malformations in the colon means the cause is certainly the same and there is no way of thinking this to be due to cancer. Your Father needs an active treatment for A-V malformations in the form of local cauterization, ligation or embolization of the feeding arteries and if all these efforts fail may need a surgery to get a proper control. Arteriography can be done and the spot diagnosed. May need more blood transfusions and supportive treatment.