How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Robert Your Own Question

Dr. Robert
Dr. Robert, Doctor
Category: Medical
Satisfied Customers: 6073
Experience:  M.B.B.S, Experienced Family Physician
8493425
Type Your Medical Question Here...
Dr. Robert is online now
A new question is answered every 9 seconds

Hello I will explain my problem, which will need special attention.

Resolved Question:

Hello I will explain my problem, which will need special attention. I have a muscular dystrophy, I am very sensitive to respiratory viruses therefore I MUST NOT go the the hospital for nothing, this is why I'm asking your help.

Sorry for my engligh, I'm french !

Since a couple of months, I sometimes have a little blood in my stool, not always only sometimes. I saw a gastroenterologis 2 months ago and am on a waiting list to pass a short colonoscopy. I am 41 and had 2 diverticulitis already.

Today I had a lot more blood then usual, more than 1 tea spoon. I have a light pain on the left side of my belly, which happens also when I have IBS (irritible bowl syndrome) which I have.

The blood in my stool worries my, what shood I do ?

OH I have to tell you that I take coumadin, my IRN is 3.1
Submitted: 11 months ago.
Category: Medical
Expert:  Dr. Robert replied 11 months ago.
Hello,
Welcome to justanswer.com and thank you for your question.
I'm so sorry to hear of your discomfort. I will do whatever I can to help answer your questions .First I need a little more information-

When are you scheduled to have short colonoscopy?
Since how long are you taking coumadin?
Any recent ultrasound scan done?

Kind Regards,
Dr. Robert




Customer: replied 11 months ago.

For the short colonoscopy : We are still wating for the date to be fixed.

Coumadin : Since 2007

No ultrasound scan done ... but a pulmunary scan 3 weeks ago, without perfusion.

Expert:  Dr. Robert replied 11 months ago.
Dear XXXXX,
Thank you for your quick reply.

I had started working your question. Please stay online, I will post your answer in 15 minutes.However I will try my best to give you answer ASAP.

Kind Regards XXXXX


Customer: replied 11 months ago.

I paid the max (detail and urgency). Why aren't we chatting live ?

Expert:  Dr. Robert replied 11 months ago.
Dear XXXXX,
Thank you for staying online.Here is your detailed answer.

The symptoms you have described seems that there can be another episode of diverticulosis/diverticulitis.

Other possibilities of these symptoms are:hemorrhoids,anal fissures,intestinal infection (such as bacterial enterocolitis),inflammatory bowel disease, ulcerative collitis,crohn's disease,Irritable bowel disease(IBS).

Although you had a lot more blood then usual, more than 1 tea spoon as described,but this is not an emergency condition for which you need to go to hospital or ER.

You need following tests:

-Stool examination,
-Anoscopy
-Ultrasound of lower abdomen,
-Rectal examination
-Colonoscopy.

As you are taking coumadin,therapeutic ranges for this test are between 2.0 to 3.0

If your INR is higher than this range, that means your blood clots more slowly than desired. A lower INR means your blood clots more quickly than desired. The most common INR target range for someone on warfarin is somewhere between 2.0 and 4.0.So your INR falls within normal range.

As you are already in wait for colonoscopy,I advice you to wait & rule out other causes that can cause blood in stool like IBS or IBD.

There is no immediate risk to life with mild, intermittent GI bleeding.

So botXXXXX XXXXXne is that although you had bleeding more than 1 tea spoon,this is not an emergency condition & there is no immediate risk,I advice that you should wait for your colonoscopy so that the underlying cause can be confirmed & then treatment will be done accordingly.

Hope this helped.

My goal is to provide you with excellent service – if you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.

Thank you XXXXX
Dr. Robert



Customer: replied 11 months ago.

I just went back to the toilet and did other stool, one little part with a little blood and the rest without.

1- Can the IBS make me bleed in stool ??

2- I am still worried, when shouId I specifictly need to consult ?

Expert:  Dr. Robert replied 11 months ago.
Dear XXXXX,
Thank you for asking follow up question.
I am happy to help you.

Yes,fresh red blood in stool is a symptom of IBS & you need to rule out other causes by colonoscopy for which you are already in waiting line.

As I said above that blood in stool is not an emergency condition.

You need to go to ER,if you have any of these symptoms:

-Shortness of breath
-Difficulty breathing
-Severe headache,
-Dizziness or vertigo
-Feeling very weak

All these symptoms usually occurs when you have excessive bleeding/bloody diarrhea or continuous bleeding since months.

So in conclusion,I would like to say,that there is nothing serious or risk here & you can wait for your colonoscopy by your gastro doctor.

Hope this helped.

My goal is to provide you with excellent service – if you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.

Thank you XXXXX
Dr. Robert






Customer: replied 11 months ago.

I am suprised because I always heard that there was never blood in IBS !? is this true ??


 


I would like to know if it is frequent that there an important hemoragy develop with symptomes like mine ?


 


Thank you for answering my questions patiently :)

Expert:  Dr. Robert replied 11 months ago.
Dear XXXXX,
Thank you for asking follow up question.

I am sorry for the confusion here.It was typed wrongly.It is IBD & not IBS that can cause blood in stool.

When ever a patient having IBS or diagnosed with IBS has blood in stool,then he/she needs to be investigated further for another condition called IBD-Inflammatory bowel disease.

IBD includes two chronic diseases that cause inflammation of the intestines: ulcerative colitis and crohn's disease. Their exact cause is not known yet.

So it is IBD (Inflammatory bowel disease) that can cause blood in stool.Exact cause of IBD is not known.

The blood in stool you are having can be due to diverticulitis/diverticulosis or IBD or other causes as described above.

This is the reason,you need colonoscopy to rule out/diagnose these causes.

Anemia can develop only when there is excessive bleeding or when there is chronic bleeding say from months & you will develop anemia symptoms as described above.

Please remember to rate my service once you have all the information you need. If you have any other questions, please ask me – I’ll be happy to respond.

Thank you! XXXXX
Dr. Robert






Dr. Robert, Doctor
Category: Medical
Satisfied Customers: 6073
Experience: M.B.B.S, Experienced Family Physician
Dr. Robert and 4 other Medical Specialists are ready to help you
Expert:  Dr. Robert replied 11 months ago.
Hi Richard

I'm just following up with you to see how everything is going. Did my answer help?

Do you still have blood in stool?
Have you got the date of colonoscopy?

Let me know,
Dr.Robert

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.