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Suggest Treatment For Rectal Pain

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Posted on Sat, 11 Mar 2017
Question: This question is for Chandrakant sir.
I have attached my anus snap. It pains on my tail boan side. Can u help me.
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
As detailed below.

Detailed Answer:
Thanks for a direct query and the clear snaps.
The photos show posterior fissure-in-ano clearly.
I would advise you the following:
High fiber diet.
Avoid all the foods and beverages and stress-like conditions which gives constipation.
Laxative for softening the stool- never allow the dose too much to cause liquid stools.
Sitz bath- very important- just before passing a stool and after passing a stool.
Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean.
You can apply liquid povidone iodine locally. Apply nothing else.
Take Anti-inflammatory medications like Ibuprofen if it suits you.
5 day course of an antibiotic on prescription of a local Doctor.
Add probiotics and multivitamins.
Avoid stress and mental tensions at any cost; this is a very important factor.

I hope this cures your pain in anus problem.
If no relief within a few days, please consult a General Surgeon for clinical evaluation, examination and further management.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (40 minutes later)
Sor i have one bad habit is use to chech it very frequently by touching that area with my hand is the pain there and more tension. Will the frequent touching make it more worse .
doctor
Answered by Dr. T Chandrakant (2 minutes later)
Brief Answer:
Yes, possible.

Detailed Answer:
Sure, yes.
Please stop touching it other than cleaning after passing stool.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (7 hours later)
Sir
How tonreduce my stress. Pain in anus reduced a lot. As per your advice dint touch. My stress has now come up to colon sir. I was not able to go free motion from moring. I felt it by afternoon only some discomfort was there in my tummy and inhad some hot water and went it came. But still feel notbemptied fully. More of stress. Feel like vomiting. I took one movonsp tab ystd night will it constupate me or a symptom of colon cancer .
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
No need to worry at the moment.

Detailed Answer:
Why would you be worried about cancer so much, I was just wondering.
Why to get stress for no big reason?
These may be temporary problem needing proper identification and management so that you get good results and the stress goes away.
Stop worrying unnecessarily.
You have to follow the advise as given in the first answer so that you get proper results.
IF the stress is too much, you can certainly request your Doctor to add on some medications for this too. Helps a lot.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (7 minutes later)
Sir
I am more stressed. I dont know why. Inread a lot on net. I corolate each with my symptoms. Now i coralate constupation and passing too much of gas with colon cance and started worring. I have even taken ct scan in 2014 april which was normal .
doctor
Answered by Dr. T Chandrakant (19 minutes later)
Brief Answer:
As discussed in details below.

Detailed Answer:
Yes, internet reading increases tension/stress in every patient/person and unfortunately one reads the uncommon and serious things first and misses out on the common things.
April 2014 is a long time ago and acts as a base-line investigation.
Too much gas can be due to aerophagia or infection with gas producing bacteria and a course of an antibiotic can cure this problem if due to intestinal infection.
If due to aerophagia which in turn could be due to stress and/or anxiety proper medication in this regard, your determination not to take stress will solve the problem, rarely needing medications for this too.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (11 minutes later)
Sir
I am able to understnd. 2 days back my stress was on blader and ystd kn anus and today on colon. I dont knownhow tonreduce it. Can my constipation makes me generate more gas. As u above the ct in 2014 is long time and many changes might have been taken place. Can ungive me any stress relief tab .
doctor
Answered by Dr. T Chandrakant (30 minutes later)
Brief Answer:
ry to relax, get involved into some work deviating the thoughts

Detailed Answer:
Stress relief tablets can be prescribed on paper only by your treating/local Doctor, I am really sorry that I can not prescribe here. Please request your Doctor to prescribe you such medications.
Why would you really worry so much. Try to relax, why to think of the worst.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (15 hours later)
Sir
I took duphalac 10 ml
Yts night and i dint get releived total constupation but had some pln water,hotwater and milk in the yearly morning and cleared my tummy. Infeel some discomfort now in my left and right of my tummy. Will all this b a symptom of colon cancer
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
as explained...

Detailed Answer:
These may not be symptoms of colon cancer.
You better take Cremaffin plus 1 to 2 tsf as suited at bedtime so that bowel is evacuated well and you can always adjust the dosages.
I am bit worried about a saying- think of the devil and it is there.
Hence it is better that you get Colonoscopy and CT scan of the whole abdomen.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (5 minutes later)
Sir
Understood my wife says how many time can v go for investigation. 3 months back inhad same fear and went for a endoscopy and itbwas normal again if i ask her she will shout at me. Ok letbme come to one decisssion. I have more beleif on your words. These what constipation , pain all are not related to colon cancer is your openion na. If u give me confidence i can try to come out oit .
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Which Endoscopy?

Detailed Answer:
Which Endoscopy? Upper GI or Colonoscopy?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (3 minutes later)
Sir
3 months back with fear of not able to eat went for endoscopy. Attached. Sonshe says for all fear without reason caunt go. Does a poly inly gets cinverited to cancer and net says it takes 10 to 15?yrs to develop polyp to cancer. I took a ct abdomen even in 2014. Which was normal .
doctor
Answered by Dr. T Chandrakant (3 minutes later)
Brief Answer:
As detailed below.

Detailed Answer:
Get one colonoscopy and CT scan of the abdomen done to quieten your fear.
Polyp getting into cancer depends upon the size, base, histopathology and so on, particularly in the colon.
Where were the polyps?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (2 minutes later)
I dint have poly all. My report was normal. I am asking u will it take 10 to 15 yrs to get grow a cancer. Is my symptoms is cancer. If its fear only i will try my best to come out of it with ur advice
doctor
Answered by Dr. T Chandrakant (31 minutes later)
Brief Answer:
Do not have any fear- it creates other medical problems unnecessarily

Detailed Answer:
IF you do not have polyps, why to worry?
Polyps in colon can become cancerous over years hence are removed and subjected to histo-pathology.
Symptoms alone can not tell whether someone had cancer or not. One may get additional problems like constipation, bloating, blood in stool either fresh or black that is called malena, there can be weight loos or loss of appetite. There can be palpable lump.
If you have any such symptoms please let me know.
Fear will cause more anxiety and stress and create other medical problems unnecessarily.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (49 minutes later)
Sir
Are unsure poly can be a reason for cancer and can it b identified in ct
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Small ones need colonoscopy

Detailed Answer:
Small polyps can not be detected on CT scan and may not be transformed to cancer.
Large polyps have the potential to get transformed into cancer even after a long time.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (21 minutes later)
Sir
Poly only get converts in to cancer or any other reason also for cancer .
doctor
Answered by Dr. T Chandrakant (6 hours later)
Brief Answer:
Not all polyps will get concerted to cancers.

Detailed Answer:
For cancers, there are many reasons and the research is going on as to why some get cancers and others do not...
Hence it is not possible to enumerate exact causes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (6 hours later)
Sir
Still constupation us there even after taking lactifiber. I notised a flus like supstance and elastic substances in my stool. Some bulk stool totaly elastic it look like. What may be the reason .
doctor
Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
As explained below.

Detailed Answer:
Noted your feedback.
Please tell me whether you are taking Tablets or powder of Lactifiber and in what dosages?
You may need dose adjustment if there is still constipation.
You will also have to identify the foods and beverages that cause constipation and stop them altogether.
The substances you have noticed may be mucus or partially digested particles and the best way is to test your stool for three consecutive days to get any information and to take medicines accordingly if needed.

I hope this answer helps you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (9 minutes later)
I have taken softvac 20 ml of powder with a glass of water bigbglass. I also tried duphalac 7.5 ml day before yesterday. Both dint work well. If unadvice some orher tablet is better i would go for that. Pls advice me. I feel because of some mass ie cancer in colon the motion is not coming free. I am more stressfull. Till tuesday i had regular motion and some time 2 times a day. As i took the painkiller ans sizbath totaly it got blocked .
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
As explained below.

Detailed Answer:
Softovac works well, adjust the dosages as per your need.
Increase green leafy vegetables and Ladies finger (bhindi) and the foods and beverages that you might have noticed to help you to have normal bowel evacuation.
Since your problem is of a short duration, chances of caner are rare.
Continue the previous treatment as the fissure has to heal completely.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (3 days later)
Sir
I met a gastro yeaturday he gave me antibiotic like flagil 400 ,norflox400 , econorm and vibact. I had one in ystd afternoon and yst night one. Today also my motion was not free. Ystd i went full solid and hard in the morning after tab it was semi solid. Today i had cofee. I usulay wint have cofee. Mornjng nad afternood and by eve was full diagrai like heat. Why so i am more worried. Cancer wories me too much. Pls hep me. Will it b bcs of tab or lactose
doctor
Answered by Dr. T Chandrakant (13 minutes later)
Brief Answer:
Please give details .

Detailed Answer:
Mornjng nad afternood and by eve was full diagrai like heat.>>> please elucidate - I would not get what you meant by.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (1 minute later)
What i mean to say is. All 3 time i went loose tool
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
How i it now?

Detailed Answer:
Okay,
Read and understood your concerns. Since the medications are started just now, let us see the effects and decide, does not look to be reaction, there can be intolerance and hence wait and see approach.
If the problem precipitates, you can certainly go to ER.
Take plenty of oral fluids.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (15 hours later)
Sir
I am more stressed. Till last last weak inhad very normal stool. It started last wed inwas not anle to pass my stool free. Constupation is there. If i drink 4 to 5 glass of hot water i pass motion sime time seni solid. Suddend constupatiopn made me fear of cancer. I am in antibiotic of flagil and norflox. Will a colon cancer creat sudden constupation this much. When i have bananas i pass big stool if not its normal. Pls help me. If i am suffering from a colon constupation like this will be there. I strain and go .
doctor
Answered by Dr. T Chandrakant (3 hours later)
Brief Answer:
As explained below.

Detailed Answer:
In colon cancer the history is of long duration and medicines do not help and some of the patients develop obstipation, meaning unable to pass gas and feces, which is not your case.
Stress and anxiety too causes changes in bowel habits.
Continue the medications as advised and stop worrying at it will have direct effect on bowel movement and alter lots of habits, has negative effect on all parts of body.
Since the medical field depend upon the facts, you will need further evaluation for treating the cancer-phobia that you have developed.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (9 minutes later)
Sir
Donu mean if there is cancer in colon i will not be able to pass gas and stool completley realy inshoild be thankful to u in my life. I read a lot on cancer issue that is my prob i get such fear. Can fear make me constupte. I also have loose tool some time and i had 4 prunes by afternoon and will it b a reason i dint know. From 1st day my constupation is that i am able to pass stool either through my water or softner or milk. Pls help me. Stool size varies day to day. I am not a Dr but ask too much of questions sir. It was big 4 days back nad today notbribbon but 1 inc. sorry
doctor
Answered by Dr. T Chandrakant (10 minutes later)
Brief Answer:
As discussed in details below.

Detailed Answer:
Thanks for your appreciation.
Yes, fear, stress, anxiety and all such things can cause lots of bowel habit changes, acidity, GERD, IBS and so on. Hence keeping away fear, is very very important.
Stool quantity, consistency and color change daily as per the foods and beverages that you have taken and all other factors just discussed.
Please stop reading on internet, that causes stress in most of the patients.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (14 minutes later)
Sir
You have not cleared my dought. Donu mean that if there is a cancer the constupation will occur as bowl abstruction and may not b symptoms like it for me. If its small there wont b constupation. Unsay
doctor
Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
As discussed in details below.

Detailed Answer:
Cancer of the colon and rectum present in various forms hence not a single or fixed symptoms can be correlated with cancer of colon or for that matter anywhere in the body. Hence the symptoms alone are never sufficient to comment upon particularly in cancer cases.
Secondly, you would realize that cancer is a dreaded disease and hence needs actual biopsy proof for confirming whether one is suffering from it or not. Medical science depends upon the facts and hence symptoms alone can never decide the diagnosis.
I hope this clears the doubts.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (43 minutes later)
Sir
I went for cbc. What may be the reason. Any symp of cancer or infection. Sorry
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
what is the report ? please post here.

Detailed Answer:
Let us see the report.
Do you mean to say CBC connected to cancer or infection ?

Awaiting....



Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. T Chandrakant (1 hour later)
Sir
My tc is 20900 normal 11,000
Nutrophil 88 normal 80
Lecocytes 07 normal 20-40
Esnophil 00.
I have already attached but not getting attached. Why i dont know. Tc high leco so low .
doctor
Answered by Dr. T Chandrakant (43 minutes later)
Brief Answer:
As detailed below.

Detailed Answer:
Seen the reports also.
TC of 20,900 is definitely indicative of an infection unless proved otherwise as supported by elevated Neutrophils 88; the total of all differential count is taken as 100 hence increase in any of the cells will show reduced other cells like Lymphocytes and others as seen in differential count.

I think you need a course of an antibiotic and supportive medications and further evaluation depending upon the clinical findings like tests of stool, urine, ultrasonography of the whole abdomen and may be an MRI or so of the pelvis and peri-anal area to see if there is any close cavity infection. Also needed is X-ray of the chest.

I hope you have been started with an Antibiotic.
Please give me the followup.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (44 minutes later)
Sir
I am taking norflox 400 and flagyl 400. I had very mild caugh. Not now. Is it some thing serious. Is this constupation and diahria associated to this report. 30-1-17 intook a cbc and it was normal but the lab is diff. 15 days back. What do u want me to do .
doctor
Answered by Dr. T Chandrakant (6 minutes later)
Brief Answer:
As detailed below.

Detailed Answer:
Hi.
It looks that Norflox and Flagyl is not working properly.
Consult your Doctor to get started with another antibiotic.
Blood culture and sensitivity is a better idea as sometimes we get the reports helping in diagnosis and treatment.
Can not say whether this is serious or not.
This is indicative of some close cavity infection and hence the tests as just mentioned in the previous answer needs to be done under the clinical evaluation and guidance of your Doctor.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (4 minutes later)
Sir
Truly speaking can i give one more cbc in some other lab. Is this old report associated to my diahria and costupation. Will it b a cancer or infection. Did unsee my report take on 30-1-17. Its normal. Normaly why this elevation will be. Close cavity means where u menation. Will it be in intestine .
doctor
Answered by Dr. T Chandrakant (5 minutes later)
Brief Answer:
as explained in details.

Detailed Answer:
Yes, this is good idea, get the CBC checked tomorrow morning and post the reports.
Seen the report of 30/1/2017, normal.
Again cancer: do not be worried about this so much.
I think this is the time to go for CT scan of the abdomen and Colonoscopy to get the real picture and to know the cause of raised WBC count.
Also X-ray of the chest.
Close cavity infection means like Urinary tract infection, liver abscess, colonic abscess, diverticulitis, Pneumonia or lung infection, sinus infection; all these have closed cavities hence the name close cavity infection.It can be in the intestines too.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (8 minutes later)
I will take it in the other lab today and post u. Can a cancer elivate the cbc and limphocites. But in a short span suddenly. Will my stress level increase my cbc. Pls help me.
doctor
Answered by Dr. T Chandrakant (2 minutes later)
Brief Answer:
No

Detailed Answer:
Cancer and stress do not raise WBC so much and in such a short period unless the pre-existing lesion gets infected.
Let us see the fresh report.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (9 minutes later)
Sir
In which lab can i give. Spectra or lister.wbc increae bcs of limphcytes na. If it uti infection or nemonia i may have feaver or some other symptom na. My morning stool till ystd was normal. Wil the antibiotic and econorm elivate the wbc. Econorm also i have along with it .
doctor
Answered by Dr. T Chandrakant (7 minutes later)
Brief Answer:
as explained in details.

Detailed Answer:
you may please give blood in any lab as all labs now are run with automated machines.
Lymphocytes are one one of the components of 5 different types of white cells hence increase in white cells will usually be accompanied by increase in Neutrophils as these are increased in acute cases.
Also give Urine: Routine, microscopy, culture and sensitivity.
Also give stool for test.
Get an X-ray of the chest and an ultrasonography to know the probable cause of raised WBC.
It is better to get all these tests done.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (13 minutes later)
Sir
I would get all this lab reports done today. Except chest xray and ultrasound. Can colitues make this elevation. Uti infection can also elicate it. Ystd i had very mild low abd pain and once i went urine itwentvaway.
doctor
Answered by Dr. T Chandrakant (7 hours later)
Brief Answer:
reports awaited, any symptoms that you have.

Detailed Answer:
Noted your feedback.
Awaiting for your reports.
Colitis can if there is an active infection, ulcer formation or so.
UTI can definitely increase the WBC.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (5 minutes later)
Sir
Attached the report. Wbc 11600 .
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Good to know.

Detailed Answer:
Good to know that WBC count has come down to 11,600, it will be normal within few days provided you continue Norflox. You may please repeat after a few days and let us know the other reports.
..
Also you can delete the previous reports to make place for posting the new reports.
Take care, do not worry.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (16 minutes later)
Sir
Realy thanks. I would be more thankful to u. Inwas so stressed bcs of this. Given for stool routine will receive shortly. Culture also. I feel thats enough. The high elecation of ystd might have been misiterpritation i think. Can i get ur emailid or whatsapp no so that i can contact u without disturbing u. Realy thanks unreplied even till 4 pm ystd. My other prob of free bowl and diahria should also come to nprmal soon
doctor
Answered by Dr. T Chandrakant (3 hours later)
Brief Answer:
Most welcome here.

Detailed Answer:
Thanks for your appreciation.
WBC can increase in response to some challenge as would have occurred.
Waiting to see other reports.
Please continue the discussions here only, going on nicely and I would not do something unethical for the company who have connected us together, please continue here, I am there to assist you the best here.
Surely the other problems will come to normal; do not interrupt the treatment.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (14 hours later)
Sir
I feel better now. 2 prib what i have is dont feel constupated but when i good my motion consistency has changed to 1/2 sasuagebtype and i my self make presure to make next poo. Till last weak inwent big stool. Even 15 days back inwent big. One side of mind prick why it changed .
doctor
Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
You are on medications

Detailed Answer:
Since you are on medicines, the consistency, color and smell will change and hence nothing to worry about at the moment.
Let the course of antibiotic and other medications be over before thinking about stool.
What about other reports, please?

Above answer was peer-reviewed by : Dr. Remy Koshy
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Follow up: Dr. T Chandrakant (9 minutes later)
Sir
I dint go for scan all. Is it req. after mybold msg i went full thin pencil stool and got strrssed and later i went a very little consistency stool. My mind says due to cancer or sine polyp our stool has become thin and pencil and thin. Will it b like that. Never experianced a pencil stool. Though i dint get pencil immidietly went pencil stool .
doctor
Answered by Dr. T Chandrakant (21 minutes later)
Brief Answer:
Get the doubts cleared .....

Detailed Answer:
I do agree with you, but the only way to confirm this is colonoscopy and CT scan of the abdomen. There is no other way to confirm or rule this out.
Pencil thin stool can occur due to spasm of the anal sphincter too.
Get the things done if you have big doubts.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. T Chandrakant (11 minutes later)
Sir
My wife says its due to urvstress. One pencil one thin can it be a cancer. Pls openly say . Last sunday i had thick stool and large. Will if there is a cancer will itbgive way time to time. As a doctor whats is urbopenion. Once pecil and one thin. Pls help me .
doctor
Answered by Dr. T Chandrakant (29 minutes later)
Brief Answer:
Medical field is evidence based.

Detailed Answer:
As said earlier, this can be due to spasm of sphincter, cancer, polyp, fecolith impaction and so many causes.
Cancer of the colon does not give pencil thin stool as cancer is away from the rectum and anal verge.
Cancer of the rectum and/or anus can give thin stools, but there will be other symptoms and signs like loss of weight, loss of appetite, bleeding in the stool, mucus in the stool.
Cancers are of various types and its presentation can be different.

Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. T Chandrakant (16 minutes later)
Sir
One small help what i ask is if i have cancer in rectum will it wary time to time. Morning stool was 1 inc and later pencil and later thick so will the cancer give way or it will be constant. Anul cancer i can ruleout as my anus was diognessed by gastro. Ok if it like that will it have grown within 10 days. To be simple my question is if cancer is in rectum is there will b there pencil stool. Pls reply asap .
doctor
Answered by Dr. T Chandrakant (1 minute later)
Brief Answer:
As discussed in details below.

Detailed Answer:
If there is cancer in the rectum that has constriction effect and is large enough then only it can give pencil stool, but it can not really grow all of a sudden within 10 days.
Do you have any other symptoms as mentioned just above?
Do you feel mass at the anal verge?

Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. T Chandrakant (24 minutes later)
No i dont feel any mass. No any other symptoms. Loss of appetite i usaly get when i am stressed. Not able to undersatnd what u menat large enough. My dought is last weak inwent a bowl of banana size and today my 1 bowl was 1 inch and later pensil will that cancer give way for my stool .
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
As discussed in details below.

Detailed Answer:
Good that you do not feel any mass.
Loss of appetite due to stress can not be related to cancer.
Large enough mean if the tumor is large enough so that it accommodates the lumen of the viscus/intestine or rectum/anal canal.
Size, consistency color, smell and all such things depend upon many factors like what you have ate in the last few days, tolerance/intolerance to foods, additives, beverages, fresh/stale, home-made/outside and so on; stress/anxiety and so on.

Above answer was peer-reviewed by : Dr. Remy Koshy
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Follow up: Dr. T Chandrakant (58 minutes later)
Sir
Dont mistake me as i ask again and again. Understoon. If the cancer has accomaded the visua or rectum pencil stool will come that is understood. When i pass a stool of little thick after my pencil stool will that mass give gap which dint give gap before. Can it be .
doctor
Answered by Dr. T Chandrakant (59 minutes later)
Brief Answer:
as explained in details.

Detailed Answer:
No problem, I can understand.
Since hte viscus that is bowel is a hollow and at the same time expansile and contractile structure, it behaves differently every time.
It is the type of cancer which involves the whole circumference of the bowel then there will be other symptoms of bloating, nausea, vomiting.
Mass sometimes can shade and give place for more feces, but to reiterate, this will usually be associated with other symptoms.
I hope this answers your query.


Above answer was peer-reviewed by : Dr. Nagamani Ng
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Follow up: Dr. T Chandrakant (22 minutes later)
Sir
Realy thanks for reply. As per your experiance u know wjole of my story.
1.constupation
2.diahrai
3.took antibiotic
4.no pain
5.no bleading
6. Thin stool of 1.5 inch
7. Pencil stool
8.changed now again to thin stool
9.consuming too nuch of water
10. No fiber diet
11. Reg food idli,rice ,little vege
Ok. Does all indicate a symptom of cancer.
More important too much of anxity of cancer .
doctor
Answered by Dr. T Chandrakant (26 minutes later)
Brief Answer:
As detailed.

Detailed Answer:
Good analysis on your part.
But to reiterate, we need evidence and that is possible only by appropriate investigations. A particular thing like cancer should be diagnosed or ruled out asap- as soon as possible.
All the chronologically put in symptoms do indicate the possibility, although there is no loss of appetite and loss of weight.
Oh yes, this is called cancer-phobia and one of the indications for the simple investigations as mentioned above.
Please get these done to alleviate your fears.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. T Chandrakant (9 minutes later)
Sir do cancer fear also make this symptoms. Can a advanced cancer as pencil stool can be there without blood. If its rectut or colon .
doctor
Answered by Dr. T Chandrakant (13 minutes later)
Brief Answer:
Yes cancer phobia can cause many symptoms

Detailed Answer:
Cancer fear and anxiety increase the stress and anxiety hence can cause some of these symptoms.
Advanced cancer is usually present with blood Macroscopic or microscopic.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. T Chandrakant (31 minutes later)
Sir
Ytd and today no loose tool. It started with constupation and now i am able to clear my stool in 3 time in the morning by drinking some water. But there was pensil stoll today and itbis particularly a symptom of advance cancer am i correct. It come bcs of block. So what is your openion on this as pencil stool without blood. Can it b a ibs .
doctor
Answered by Dr. T Chandrakant (38 minutes later)
Brief Answer:
As explained below.

Detailed Answer:
Since it is only a day that pencil-stool occurred, how can one say it to be due to cancer, can be due to anal sphincter spasm.

IBS has a long history of recurrent problems and always due to stress and anxiety.
For we to say this to be IBS, all the investigations need to be normal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (2 hours later)
Sir
I had my anus itching and some watery supstance some 2 to 3 months back. My gastro said no
Worry. Is it any symptom for any early stage .
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
not relevant

Detailed Answer:
Not relevant if these symptoms are not repeated since last appearance.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. T Chandrakant (36 hours later)
Sir
I went very normal stool today. Only i took banana. Some times feel of gas traped in anus and not able to pass. Sondiscomfor. What may b the reason .
doctor
Answered by Dr. T Chandrakant (19 minutes later)
Brief Answer:
As detailed below.

Detailed Answer:
Since you had fissure in the healing stage, there may be feeling of entrapment of gases and/or feces; this is normal an there may not be any specific reason.
It seems good that banana helped you, take one or two a day regularly.
Try ladies finger that is bhindi.
Try to avoid the foods and beverages that you know give you constipation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (4 minutes later)
Sir if its a cancer the constpation might have not been resolved and went big reg feces.can u say me when to constupation occur in case of cancer. Will it comes and goes constpation and loose tool .
doctor
Answered by Dr. T Chandrakant (46 minutes later)
Brief Answer:
As detailed below.

Detailed Answer:
Alternating loose motions and constipation is one of the symptoms of colon cancer, but it occurs in many other diseases and disorders, changed diet, bowel habits, abuse of medications and so on.
Hence to repeat, it is the evidence based diagnosis then only we can label and hence the necessity of the investigations as mentioned above.
Please go for these.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

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

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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Suggest Treatment For Rectal Pain

Brief Answer: As detailed below. Detailed Answer: Thanks for a direct query and the clear snaps. The photos show posterior fissure-in-ano clearly. I would advise you the following: High fiber diet. Avoid all the foods and beverages and stress-like conditions which gives constipation. Laxative for softening the stool- never allow the dose too much to cause liquid stools. Sitz bath- very important- just before passing a stool and after passing a stool. Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean. You can apply liquid povidone iodine locally. Apply nothing else. Take Anti-inflammatory medications like Ibuprofen if it suits you. 5 day course of an antibiotic on prescription of a local Doctor. Add probiotics and multivitamins. Avoid stress and mental tensions at any cost; this is a very important factor. I hope this cures your pain in anus problem. If no relief within a few days, please consult a General Surgeon for clinical evaluation, examination and further management.