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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Rectal Bleeding During Lupus Infection Suggest?

my husband has lupus ;and has been treated on several occasions by a gastro dr for rectal bleeding. they usually band a hemroid but with the lupus, he ends up with an infection that makes him very sick.. the bleeding is a lot.. fills the bowl solid red.. is there something that his dr is not looking for that we should ask about.. he has had a colonoscopy on several occasions, and he does take fiber supplements. After apx 2 weeks he is usually anemic and severely fatigued and on two occasions, he has needed a blood transfusion. ..Help
Fri, 12 Sep 2014
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Internal Medicine Specialist 's  Response
Hi,

Thank you for your query. I can understand your concerns.

If you are constipated and have hemorrhoids then they can get worse from straining .
Vasculitis involving the intestine as often happens in Systemic lupus erythematosus (SLE),may cause bleeding from lower gastro-intestinal tract.
Thrombocytopenia due to SLE may be a recurring problem. If platelet counts are >40,000/L, abnormal bleeding may occur from existing hemorrhoids.
Treatment such as Hydrocortisone Acetate is used both for Hemorrhoids and Lupus.

Regards

Dr. T.K. Biswas M.D.
Mumbai
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Rheumatologist Dr. Naval Mendiratta's  Response
good evening. well if he s getting anaemic again and again it is advisable to rule out haemolytic anaemia on the background of lupus. haemolytic anaemia means that the blood cells are constantly getting broken down whenever they are formed. it is a very common problem in lupus and should not be ignored. you can ask your doctor to look into it and evaluate for the same if he hasn't. hope the information was useful
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