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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood In Urine And Stools?

Hi, Every time I have gone to the bathroom today, whether to pee or poo, the toilet bowl fills with blood. I do have a hemorrhoid on the outside of my rectum, however my poo is filled woth blood as well. It s not just a few drops of blood either because the toilet bowl is full of blood and I can t see any clear water. When I wipe the toilet paper is also full of blood.. I also have minor cramping but im supposed to be starting my period soon so I don t think much of it. It s this something I should be concerned about?
Wed, 27 Jan 2016
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General & Family Physician 's  Response
Hello and welcome to Healthcaremagic.
I am Dr Asad Sami.I have read your question and I can understand your concerns.I will be answering you.

What is your age..??
For how long these symptoms are present..??
Do you have any bleeding disorder.. ??
Are you running fever..??
Any history of flank pain..??
Any history of kidney stones..??
What is the grade of your haemorrhoids..??
Any history of liver disease..??
Any history of diabetes or hypertension..??

If I were treating you in my clinic i would have done your general physical examination to look for anaemia and jaundice..bleeding can cause anaemia which can be treated by transfusing blood if it is severe but cause of bleeding should be addressed properly.I would have done your digital rectal exam to look for the haemorrhoids and ascertain their grade.There are 4 grades of haemorrhoids.grade one and two are usually treated conservatively.I would have prescribed tab daflon 500mg two tablets three times a day for 4 days,then two tablets two times a day for three days and then one tablet two times a day for one month.this drug has shown promise in treating haemorrhoids in some clinical trials.grade 3 and 4 haemorrhoids can also be given trial of tablet daflon.however surgery is the modality of choice for 3rd and 4rth grade haemorrhoids.surgical choice include BANDING of haemorrhoids,INJECTION OF SCLEROSANT ie ALMOND OIL into the haemorrhoidal tissue,STAPLED HAEMORRHOIDOPEXY,OPEN HAEMORRHOIDECTOMY AND CLOSE HAEMORRHOIDECTOMY.

For blood in urine a proper workup will be needed to ascertain the cause.I would have done urine ruotine examination to look for microscopic or macroscopic haematuria.I would have done X ray kidney ureter and bladder to look for a stone which can cause bleeding.I would have done ultrasound kidney ureter and bladder to look for any anatomical abnormality,any stone or mass arising from the afore mentioned structures,look for thickness of the bladder to ruleout Cystits which is infection of bladder.I would have done intra venous Pyelography or Cystoscopy or and Ureteroscopy under specific indications.

I would also have looked for the platelets in your blood.Deficiency of these can cause bleeding.I would have done prothrombin time and activated partial thromboplastin time to look for deficiencies of some clotting factors..

I would suggest you to meet a general surgeon and a urologist immediately as bleeding is an emergency..mean while remain calm and hydrate yourself adequately.take tablet tranexamic acid 500mg for bleeding.

Thanks.
Hope the answer is helpful.
Feel free to ask further questions.
Regards.Dr Asad Sami
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What Causes Blood In Urine And Stools?

Hello and welcome to Healthcaremagic. I am Dr Asad Sami.I have read your question and I can understand your concerns.I will be answering you. What is your age..?? For how long these symptoms are present..?? Do you have any bleeding disorder.. ?? Are you running fever..?? Any history of flank pain..?? Any history of kidney stones..?? What is the grade of your haemorrhoids..?? Any history of liver disease..?? Any history of diabetes or hypertension..?? If I were treating you in my clinic i would have done your general physical examination to look for anaemia and jaundice..bleeding can cause anaemia which can be treated by transfusing blood if it is severe but cause of bleeding should be addressed properly.I would have done your digital rectal exam to look for the haemorrhoids and ascertain their grade.There are 4 grades of haemorrhoids.grade one and two are usually treated conservatively.I would have prescribed tab daflon 500mg two tablets three times a day for 4 days,then two tablets two times a day for three days and then one tablet two times a day for one month.this drug has shown promise in treating haemorrhoids in some clinical trials.grade 3 and 4 haemorrhoids can also be given trial of tablet daflon.however surgery is the modality of choice for 3rd and 4rth grade haemorrhoids.surgical choice include BANDING of haemorrhoids,INJECTION OF SCLEROSANT ie ALMOND OIL into the haemorrhoidal tissue,STAPLED HAEMORRHOIDOPEXY,OPEN HAEMORRHOIDECTOMY AND CLOSE HAEMORRHOIDECTOMY. For blood in urine a proper workup will be needed to ascertain the cause.I would have done urine ruotine examination to look for microscopic or macroscopic haematuria.I would have done X ray kidney ureter and bladder to look for a stone which can cause bleeding.I would have done ultrasound kidney ureter and bladder to look for any anatomical abnormality,any stone or mass arising from the afore mentioned structures,look for thickness of the bladder to ruleout Cystits which is infection of bladder.I would have done intra venous Pyelography or Cystoscopy or and Ureteroscopy under specific indications. I would also have looked for the platelets in your blood.Deficiency of these can cause bleeding.I would have done prothrombin time and activated partial thromboplastin time to look for deficiencies of some clotting factors.. I would suggest you to meet a general surgeon and a urologist immediately as bleeding is an emergency..mean while remain calm and hydrate yourself adequately.take tablet tranexamic acid 500mg for bleeding. Thanks. Hope the answer is helpful. Feel free to ask further questions. Regards.Dr Asad Sami