
Suggest Treatment For Severe Bleeding During Defecation

Likely to be anal fissure
Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Ms
If the bleeding is associated with pain while passing stools it's likely to be due anal fissure (small ulcer at anal opening caused due to tear secondary to hard stools ). It would be very helpful if you could provide me with the following additional information for me to be able to arrive at definite cause
1. Are you suffering from constipation /hhard stools ?
2. Is defecation associated with pain in anal region?
3. Is the blood mixed with stools or stools are coated with blood ?
4. Is there any swelling ot redness in anal region ?
5. Providing clinical photograph of anal region XXXXXXX be helpful
Awaiting your response
Assuring you of prompt reply
Take care
Best regards
Dr Deepak Kaltari
Consultant Surgeon


Bleeding likely to be due to Piles
Detailed Answer:
Dear Ms
Going by description its likely to be due to Hemoorhoids(Piles). Exact diagnosis will depend on clinical examination which will include inspection of anal region and Proctoscopic examination.
I would suggest you the following
1. Drink plenty of water: 2-3 liter a day
2. High Fibre Diet: 2 servingfs of vegetable salad and 2 servings of fruits especially citrus fruit will ensure adequate intake of fibre in diet
3. Stool softner like Lactulose will be helpful
Further management will depend on clinical examination. I would suggest you to consult your primary care physician for further assessment.
Take Care
Regards
Dr Deepak

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