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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Bleeding In Stools?

Just looking for some advice - I'm a 20 year old female. About 4 months ago it used to hurt when I went for a poo and had a few speckles if bright red fresh blood. Since then it has been getting progressively worse to the point where I am now in agonising pain every time I go to the loo and what used to be speckles of blood when I wiped is now gushing with blood. Most times when I wipe there are a few clots of blood amongst the blood. I thought this was just a small tear but it is unbearable now. Obviously I don't want to go to the Drs unless I have too but I just need some advice. Thank you!
Tue, 13 Dec 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history of blood in stool in the form of speckles, now pain too in a female of 20 years. Does not want to go to the Doctors unless is a must.
Since you have having pain, bleeding the chances are that you have anal fissure with a bleeding vessel in it base or also an accompanying hemorrhoids.
Hence it is certain that you have a problem that is not settling and hence I would advise you the following:
Sitz bath.
Laxatives to keep stools soft.
Probiotics.
A course of an antibiotic and metronidazole.
Consult a General Surgeon for clinical evaluation, per-rectal examination and proctoscopy if the pain allows to know the exact diagnosis and to have colonoscopy if colitis also is suspected.
This will give you the correct diagnosis and a proper management.
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What Is The Cause Of Bleeding In Stools?

Hi. Thanks for your query. Noted the history of blood in stool in the form of speckles, now pain too in a female of 20 years. Does not want to go to the Doctors unless is a must. Since you have having pain, bleeding the chances are that you have anal fissure with a bleeding vessel in it base or also an accompanying hemorrhoids. Hence it is certain that you have a problem that is not settling and hence I would advise you the following: Sitz bath. Laxatives to keep stools soft. Probiotics. A course of an antibiotic and metronidazole. Consult a General Surgeon for clinical evaluation, per-rectal examination and proctoscopy if the pain allows to know the exact diagnosis and to have colonoscopy if colitis also is suspected. This will give you the correct diagnosis and a proper management.