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What Causes Blood And Mucus In Stool?

Posted on Mon, 18 Jan 2016

Question: Can you please advise what exactly could this as a consequence of...blood and mucous in my mums nappy...

Answered by Dr. Dr.P.Ratnakar Kini (41 minutes later)

Brief Answer:
Colitis/ Malignancy

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

The information provided is inadequate.
The age, medical history, tests done and medications taken are not mentioned.

Blood ad mucus discharge seen in the nappy could indicate colitis or colorectal malignancy in an elderly individual.

Colonoscopy may have to be done to find the cause.

Let me know if you have any more questions.
Regards,
Dr.R.K

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

Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)

Mother is 79 , been immobile for several months..had a CRP of 60 which.has increase to 307. WCC is 18 esr 40 , had a fustula between bladder and pelvic abscess drain and colon resection 4 year prior..she has a very light ecoli result however has been a various antibiotics for 14 days but is still.moaning in pain in fact rhw maonung is more intense...NO.imaging has been as nurse has said to.me its dehydration and a uti...here lower abdomen is distended and the nurse said her abdomen is now rigid. her legs are swollen to bursting point and they are having difficulty inserting a cannula...in view of her history and current condition . My mother has had another blood clot appear in her nappy however I have no photo..she is in pain and her level of consciousness is low and she takes her food but doesnrr want to.swollow it.

Answered by Dr. Dr.P.Ratnakar Kini (14 hours later)

Brief Answer:
Sepsis

Detailed Answer:
Hi,
She is probably having sepsis as indicated by high white cell count/ESR/CRP.
She needs IV antibiotics.
Since she is dehydrated, she may need intravenous fluid administration also.
Since her level of consciousness is low, she needs to be hospitalized
Swollen legs could be due to immobilization, poor nutrition or low albumin. Tests are to be done in this regard.

The right abdomen could be due to infection spreading to peritoneal cavity. She needs medical attention

Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (2 days later)

thank You doctor , i was reading high CRP can indicate also atherosclerosis and as my mum.want to walk and struggles to , could the atherosclerosis be in her legs or her abdominal blood vessella and will this show up on her abdominal CT scan.

Answered by Dr. Dr.P.Ratnakar Kini (37 minutes later)

Brief Answer:
Yes CT scan.

Detailed Answer:
Hi, Welcome back to HCM.

CRP is called an acute phase reactant. Its level increases whenever there is infection or inflammation anywhere in the body.

Atherosclerosis of abdominal blood vessels will show up in CT scan if there is calcification in the vessel wall or if there is any narrowing.

There will be reduction in the blood flow and this causes abdominal pain especially after eating.

That involving the vessels in the leg cause pain while walking and can be diagnosed with a Doppler scan.

Let me know if you have any more questions.

Regards,
Dr.R.K

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Above answer was peer-reviewed by : Dr. Arnab Banerjee