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What Causes Blood In Stool And Lower Left Abdominal Pain?
Posted on
Sat, 6 Aug 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 6 Aug 2016
Answered on
Mon, 29 Aug 2016
Last reviewed on
Question :
Ive been experiencing a pain in the lower left abdominal region since november 2014.
1. The first case was under a doctor of medicine in november 2014 and i was prescribed Nizonide for 3 days and i was told that it was colitis. After 15 days my condition had improved and he prescribed nizonide for 3 days again and i recovered completely. In this instance the pain was becoming unbearable at times and i was taking tramazac to counter the pain.
2. Second case was in 2015. And we went back to the same doctor and he treated me in the same way. And the degree of pain was similar.
3. Third case was in XXXXXXX 2016. I experienced painless bleeding in my stool for 3 days. After the first day i started experiencing the same pain but the degree was not the same. It was like a discomfort which was sometimes flaring up. I went to the same doctor who prescribed nizonide again. But this time we didnt go back to him after 15 days. We went to a gastroenterologist. Who confirmed after the colonoscopy that i have a small haemorrhoid and said that the pain was because i have IBS. I was prescribed Normaxin. But my condition wasnt improving. So we went to a gastro doctor who is a friend. And he said that the pain was not from colon and that i have a trigger point at that area. He suggested taking a steroid, kenacort injection will solve this issue. Injecting a steroid didnt sound like a safe option so went to a well known gastro doctor in our city and he referred us to a GI surgeon. He said that due to a laproscopic apendix surgery that i had sometime around 2004, i might have additions in that area (as the pain area is close to the scar site). So i got a contrast ct scan done as suggested by him. The ct scan was normal as read by the doctor ( however there is a finding of hyperplastic mesenteric lymph nodes). He said that he could put a laproscope and see the area but he said that we can go to a pain specialist instead. The pain specialist felt that area of the abdomen and said that there can be some nerve entrapment which has occured due to the laproscopy. He prescribed a lignocaine gel 2% and he asked me to check if that reduces the pain. He suggested that we use 5%, but in XXXXXXX we get only 2%.
Right now there is no significant improvement in my condition and I am taking decolic to counter the pain. There is a constant pain discomfort area and the pain is flaring up once or twice a day. But im avoiding decolic as much as possible and im taking it once every alternate day or two days.
Ive been experiencing a pain in the lower left abdominal region since november 2014.
1. The first case was under a doctor of medicine in november 2014 and i was prescribed Nizonide for 3 days and i was told that it was colitis. After 15 days my condition had improved and he prescribed nizonide for 3 days again and i recovered completely. In this instance the pain was becoming unbearable at times and i was taking tramazac to counter the pain.
2. Second case was in 2015. And we went back to the same doctor and he treated me in the same way. And the degree of pain was similar.
3. Third case was in XXXXXXX 2016. I experienced painless bleeding in my stool for 3 days. After the first day i started experiencing the same pain but the degree was not the same. It was like a discomfort which was sometimes flaring up. I went to the same doctor who prescribed nizonide again. But this time we didnt go back to him after 15 days. We went to a gastroenterologist. Who confirmed after the colonoscopy that i have a small haemorrhoid and said that the pain was because i have IBS. I was prescribed Normaxin. But my condition wasnt improving. So we went to a gastro doctor who is a friend. And he said that the pain was not from colon and that i have a trigger point at that area. He suggested taking a steroid, kenacort injection will solve this issue. Injecting a steroid didnt sound like a safe option so went to a well known gastro doctor in our city and he referred us to a GI surgeon. He said that due to a laproscopic apendix surgery that i had sometime around 2004, i might have additions in that area (as the pain area is close to the scar site). So i got a contrast ct scan done as suggested by him. The ct scan was normal as read by the doctor ( however there is a finding of hyperplastic mesenteric lymph nodes). He said that he could put a laproscope and see the area but he said that we can go to a pain specialist instead. The pain specialist felt that area of the abdomen and said that there can be some nerve entrapment which has occured due to the laproscopy. He prescribed a lignocaine gel 2% and he asked me to check if that reduces the pain. He suggested that we use 5%, but in XXXXXXX we get only 2%.
Right now there is no significant improvement in my condition and I am taking decolic to counter the pain. There is a constant pain discomfort area and the pain is flaring up once or twice a day. But im avoiding decolic as much as possible and im taking it once every alternate day or two days.
Brief Answer:
Laproscopy and Barium follow through
Detailed Answer:
Hi,
Thanks for your query.
Bleeding per rectum, if its XXXXXXX blood could most probably be due to the haemorroid. Most of the Haemorroids usually bleed for a transient period of time in their initial stages. Get them examined at regular intervals to observe their progress and plan any intervention if needed.
Pain in the left lower abdomen needs to be evaluated further. CT scan, Ultrasound abdomen rules out most of the mass lesions in the abdomen and colonoscopy will help in ruling out the intraluminal (inside the colonal lumen) mass lesions in the colon.
With the above tests being normal, the most considerable possibilities we can narrow down to are adhesion and inflammatory condition. Inflammatory conditions specialy affecting the small intestines owing to the presence of swollen mesenteric lymph nodes.
I recommend you first go through a barium follow through test to ascertain absence of mass lesions in the entire length of small intestines and also to rule out any strictures or sings left by long standing or recurrent inflammation.
If barium study turns out to be normal, the next and best is diagnostic laproscopy. It will allow the surgeon to have a detailed look into the abdominal contents and find out the exact cause of the problem you have. If adhesions are found, adhesiolysis can be done during the same procedure.
I advice you to go for better evaluation rather than taking medications assuming the causes. Taking painkillers and antibiotics without well established cause, could be dangerous and can even worsen if its a inflammatory condition you have.
Hope, I answered your query.
Wish you good health.
Please do ask if any doubts.
If you are satisfied with the answer, please rate the same with five stars and close.
If in future you need to consult me, you can approach me directly through the below link.
http://doctor.healthcaremagic.com/doctors/dr-raju-a-t/60137
Laproscopy and Barium follow through
Detailed Answer:
Hi,
Thanks for your query.
Bleeding per rectum, if its XXXXXXX blood could most probably be due to the haemorroid. Most of the Haemorroids usually bleed for a transient period of time in their initial stages. Get them examined at regular intervals to observe their progress and plan any intervention if needed.
Pain in the left lower abdomen needs to be evaluated further. CT scan, Ultrasound abdomen rules out most of the mass lesions in the abdomen and colonoscopy will help in ruling out the intraluminal (inside the colonal lumen) mass lesions in the colon.
With the above tests being normal, the most considerable possibilities we can narrow down to are adhesion and inflammatory condition. Inflammatory conditions specialy affecting the small intestines owing to the presence of swollen mesenteric lymph nodes.
I recommend you first go through a barium follow through test to ascertain absence of mass lesions in the entire length of small intestines and also to rule out any strictures or sings left by long standing or recurrent inflammation.
If barium study turns out to be normal, the next and best is diagnostic laproscopy. It will allow the surgeon to have a detailed look into the abdominal contents and find out the exact cause of the problem you have. If adhesions are found, adhesiolysis can be done during the same procedure.
I advice you to go for better evaluation rather than taking medications assuming the causes. Taking painkillers and antibiotics without well established cause, could be dangerous and can even worsen if its a inflammatory condition you have.
Hope, I answered your query.
Wish you good health.
Please do ask if any doubts.
If you are satisfied with the answer, please rate the same with five stars and close.
If in future you need to consult me, you can approach me directly through the below link.
http://doctor.healthcaremagic.com/doctors/dr-raju-a-t/60137
Above answer was peer-reviewed by :
Dr. Raju A.T
I am attaching a photograph where ive marked the region of the discomfort and pain. Sometimes it is radiating to the top towards the left rib cage. I would like to know if a pain at this region could at all be coming from the small intestine.
Also ive just done a CT scan on the 27th of July, so i want to know if doing a Barium study in such a small interval is a good idea or not as I would be exposed to a lot of radiation.
Also ive just done a CT scan on the 27th of July, so i want to know if doing a Barium study in such a small interval is a good idea or not as I would be exposed to a lot of radiation.
Brief Answer:
Yes, could be small intestine. or caecum
Detailed Answer:
Hi,
Thanks for writing back.
Yes, the spot you showed, could present with pain if there is any pathology in small intestine or caecum..
Barium study uses use dose of xrays as that of conventional xray. Need not worry about the radiation exposure.
Wish you good health.
Regards,
Yes, could be small intestine. or caecum
Detailed Answer:
Hi,
Thanks for writing back.
Yes, the spot you showed, could present with pain if there is any pathology in small intestine or caecum..
Barium study uses use dose of xrays as that of conventional xray. Need not worry about the radiation exposure.
Wish you good health.
Regards,
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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