HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Can Bleeding From Hemorrhoids Cause Anemia?

default
Posted on Fri, 22 Sep 2017
Question: My blood test test indicates I am anemic. Clinic is having me provide stool sample kit, and another blood test in that it's been 90 days now. I have chronic constipation, and have for all my life. I regularly take laxatives, and if not, my uneasy, sometimes difficult bowel movement is accompanied by the bright red blood. I'm thinking hemorrhoid? Is this looking like something more serious or can a chronic hemorrhoid problem cause enough blood to be lost to be anemic?
doctor
Answered by Dr. Ivo Ditah (47 minutes later)
Brief Answer:
Have you had a screenong colonoscopy?

Detailed Answer:
Hi,

I have reviewed your information fully.

1. Repeated bleeding from hemorrhoids can actually cause anemia. This will be the most likely explanation only after investigations for all other possible digestive causes such as polyps, tumors, etc.

2. When did you get your last colonoscopy screening done? Were there any abnormal findings?

Waiting to hear from you and more insights will follow from there.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ivo Ditah (2 hours later)
I did have one, but it's been 17-18 years ago now. No polyps, it was an execellent exam said the Dr. Except for one thing. My colon was more twisted or kinked or something like that, which meant two things ; 1. It was somewhat painful for me, which the Dr. Said that it was simply how God had made me, but fine, nothing wrong.

I am not eligible for Medicare until turning 65 July 2018 so I get some charitable care right now from the Hope Clinic who can provide the stool test, but not the coloscopy, and the local hospital will do free lab and exrays. What do I bring up with the clinic for a better discussion of what is next? With that in mind, I also realize that in December is enrollment open timing for health insurance. So could it be your thought that you would recommend that even if it's not until December, I should put together a mindset of follow through and make and appointment with a Specific specialist once I'm insured and be specific as to what help and testing are imperative to cover all bases. I don't want to over look something I shouldn't.

Need response back from the 5 hour ago reply
doctor
Answered by Dr. Ivo Ditah (9 hours later)
Brief Answer:
I will recommend a colonoscopy as part of this initial workup!

Detailed Answer:
Hi,

I understand the financial burden but you really need a colonoscopy at this time. I will not want to wait till December or July 2018 to get this done.

As your charitable organization if they are concerned about possible polyps and cancer of the intestines given your symptoms? If the response is NO, ask them why they think so. If they cannot say NO, please get a colonoscopy and even if it means establishing a payment plan, that is necessary.

I hope this guides. Let me know what your immediate thoughts are and whether you need more details.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ivo Ditah (8 hours later)
I understand and thank you.
I read some material about anemia and the "gut" and of course it's in line with your first and straight on recommendation as being imperative that I have this procedure in order to know what and look at all of the digestive organ group to see what may have already have in time set up damaged and small bleeding veins area(s) that correspond and together created the anemia. Whether cancer or inflammation with disease. One mention even the high blood pressure that I have had over time could have played a part in the "gut" areas, and that its not just heart attacks and strokes that are high blood pressure damage issues. Correct? I have started today taking probotics to get good bacteria in, in hopes to at least attemp to Establish a balanced gut, if you will. It's probably a toxin weakness state in my body for many years that has given way to disease. For too long too late for me maybe. Comment Please!
doctor
Answered by Dr. Ivo Ditah (5 hours later)
Brief Answer:
Hypertension could cause these but not the main focus at this time!

Detailed Answer:
Hi,

Hypertension can certainly cause these problems in the long run. However, this is certainly not the main focus at this time. We will only fall back to this when we do not find any other causes after a thorough investigation beginning with a colonoscopy.

Probiotics are certainly helpful but will not resolve our main worry at this time.

Am sorry for being straight forward with you but I must not placate you and miss the main goal which is to get you better.

I look forward hearing from you!
Note: Get a consultation booked to know more about aging related medical issues. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3984 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Can Bleeding From Hemorrhoids Cause Anemia?

Brief Answer: Have you had a screenong colonoscopy? Detailed Answer: Hi, I have reviewed your information fully. 1. Repeated bleeding from hemorrhoids can actually cause anemia. This will be the most likely explanation only after investigations for all other possible digestive causes such as polyps, tumors, etc. 2. When did you get your last colonoscopy screening done? Were there any abnormal findings? Waiting to hear from you and more insights will follow from there.