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Suggest Treatment For Rectal Bleeding In An Elderly Person

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Posted on Tue, 16 Aug 2016
Question: What can I do about rectal bleeding caused by straining on a hard dry stool? 87 year old male .
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Answered by Dr. T Chandrakant (53 minutes later)
Brief Answer:
As explained

Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
Noted history of bleeding on passing hard dry stool.
The probable causes would be:
- Anal fissure: always with pain
- Hemorrhoids: the rectal bleeding is painless

Confirmation can be done by clinical exam, particularly per-rectal digital examination and proctoscopy if there is no pain
Suitable laxative to keep stool soft.
Fiber diet with lots of water. If required Isabgol husk.
Sitz bath in a tub with warm water to sooth the anal congestion.
If the X-ray shows lots of fecoliths, enema may be required.
Final diagnosis will decide further management.
I hope this answer helps you.
Please feel free to ask for any further queries if you feel that there is a gap of communication.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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Suggest Treatment For Rectal Bleeding In An Elderly Person

Brief Answer: As explained Detailed Answer: Hi. Thanks for your query, albeit short and specific. Noted history of bleeding on passing hard dry stool. The probable causes would be: - Anal fissure: always with pain - Hemorrhoids: the rectal bleeding is painless Confirmation can be done by clinical exam, particularly per-rectal digital examination and proctoscopy if there is no pain Suitable laxative to keep stool soft. Fiber diet with lots of water. If required Isabgol husk. Sitz bath in a tub with warm water to sooth the anal congestion. If the X-ray shows lots of fecoliths, enema may be required. Final diagnosis will decide further management. I hope this answer helps you. Please feel free to ask for any further queries if you feel that there is a gap of communication.