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Ask Dr. D. Love Your Own Question
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17520
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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I was discharged out of hosp 3 days ago after being there

Customer Question

Hello
I was discharged out of hosp 3 days ago after being there for 5 days
I was tesred for gall bladdee and fall stones but it showed negative
I have been told i possibly have bowel issues and colin issues so i have been asked to unblock them with meds -
I have been going everyday but today i have been bleeding after i empty my bowel.
The pain is still really bad and mt meds r just masking the painAttached r some pics of fhe bloodWhat could this be ?
Submitted: 3 months ago.
Category: Medical
Expert:  Dr. D. Love replied 3 months ago.

Hello from JustAnswer.

Bright red blood is a sign of bleeding either from the anal canal or low in the colon. Bleeding from higher in the colon would be a darker red, commonly described as maroon colored. If the blood is not integrated into the stool, that would also indicate that the bleeding is in the anal canal or very low in the colon.

The most common cause of bright red blood when you have a bowel movement are benign anal conditions, such as hemorrhoids or anal fissures. Hemorrhoids are dilated veins that can occur inside or outside the anus, and the external hemorrhoids can be felt, so if you do not feel anything, it could be an internal hemorrhoid. An anal fissure is a superficial tear along the lining of the anal canal. Both of these conditions can happen secondary to changes in bowel habits, and could be related to the efforts to clean the colon of stool. Both hemorrhoids and anal fissures are problems because they cause symptoms, but they are not otherwise serious conditions.

However, there are some other conditions that can cause bright red blood in the stool that are more serious. This can include inflammatory bowel disease, diverticular bleeding, vascular abnormalities, or growths in the colon. The growths can be benign, such as polyps, or malignant, such as cancer. However, the level of concern about growths would be greater as you get older.

Pain can commonly occur with hemorrhoids or anal fissures, although typically limited to the anal area. Abdominal pain may still be related to retained stool, but also can occur with some of these conditions that cause blood in the stool, such as inflammatory bowel disease.

Generally speaking, we prefer to perform an exam or tests to find the cause of the bleeding. Anal problems can usually be diagnosed in the office without special procedures, but examining the lower colon would usually require a scope procedure. So, it would be better for you to see your doctor about the blood in the stool. It is not an emergency, so it would be fine to wait until you can contact the doctor's office.

Until you can be seen, since it is most likely a hemorrhoid or anal fissure, it is reasonable to use over the counter medicines for hemorrhoids that can help either condition, such as a hydrocortisone hemorrhoidal cream. It is also reasonable to continue efforts to empty the colon.

If I can provide any additional information, please let me know.

Customer: replied 3 months ago.
I was thinking it was a fissure
As i cant fell a haemoroid
Expert:  Dr. D. Love replied 3 months ago.

A fissure is very possible, but an internal hemorrhoid also would not be able to be felt.

Customer: replied 3 months ago.
I have gone from diarreah to hard stools in a week
I didnt even strain when i went toilet that what i found strange
Expert:  Dr. D. Love replied 3 months ago.

Even if there is no straining, the bowel habits can cause these problems. Loose stool can cause anal problems because the anal sphincter will naturally tighten to hold in loose stool. And hard stool can place excess pressure on the anal canal during passage, even if there is no straining.

Straining certainly can make it worse, but the anal problems can happen without straining.

Customer: replied 3 months ago.
Ok that i undertand
When does this become worrying
Expert:  Dr. D. Love replied 3 months ago.

It depends upon what you mean by worrying. As I said above, we generally want to find the cause of any blood in the stool. Even though it is very likely that it is a benign anal condition, since there is a low risk of a more serious condition, it is appropriate to see your doctor now. Since the risk of a serious condition is low, it is not a reason for significant worry, but it is appropriate pursue the appropriate evaluation.

Expert:  Dr. D. Love replied 3 months ago.

Please let me know if I can provide any additional information. If I have answered all your questions, please remember to provide a positive rating so that I am credited for assisting you.