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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Constipation And Rectal Bleeding Be Treated?

Hello, I am 86 and have rectal bleeding caused by hard stools, eventho I have a mixture of bran, apple sauce, and prune juice in the morning. The stool is usually hard in the beginning and then softer. I ve tried A & D ointment, but that doesn t seem to heal the rectal teares. Thank you in advance for your input.
Thu, 29 Jun 2017
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General & Family Physician 's  Response
Hi,
Thanks for posting in HCM.
I have read your description and understand your concern.
Rectal bleeding could be due to presence of haemorrhoids or anal fissures, which would get aggravated by constipation and hard stools.
It can be presently managed conservatively to a certain extent.
You can apply A & D ointment or ointment containing glycerine, which will help to soothe the part.
The following measures can be taken additionally:
1. Local application Lignocaine gel, which would help to anaesthetise the area and relieve pain.
2. Taking stool softener like Isapgol Husk powder dissolved in water twice daily to relieve and prevent constipation.
3. Consuming soft and easily digestible foods, drinking good quantity of water and eating fruits and vegetables rich in dietary fibres.
By adopting to above measures, you may get relieved of symptoms temporarily. It would advisable to undergo 'cryosurgery' if the symptoms continue or recurs again.
You need to consult Surgeon in this regard for clinical evaluation and appropriate management.
Hope the information provided would be helpful.
All the best.
Regards,
Dr.Ashakiran.S.
MBBS., MD.
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General & Family Physician Dr. Krishan Chaudhary's  Response
hi..u should use stool softner laxopeg or syp lactulose and beside of it use water in higher ammount and fruits and salad..and lignocain jelly. at rectal area. ..and consult surgeon ..its might be hemmoiroids..
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How Can Chronic Constipation And Rectal Bleeding Be Treated?

Hi, Thanks for posting in HCM. I have read your description and understand your concern. Rectal bleeding could be due to presence of haemorrhoids or anal fissures, which would get aggravated by constipation and hard stools. It can be presently managed conservatively to a certain extent. You can apply A & D ointment or ointment containing glycerine, which will help to soothe the part. The following measures can be taken additionally: 1. Local application Lignocaine gel, which would help to anaesthetise the area and relieve pain. 2. Taking stool softener like Isapgol Husk powder dissolved in water twice daily to relieve and prevent constipation. 3. Consuming soft and easily digestible foods, drinking good quantity of water and eating fruits and vegetables rich in dietary fibres. By adopting to above measures, you may get relieved of symptoms temporarily. It would advisable to undergo cryosurgery if the symptoms continue or recurs again. You need to consult Surgeon in this regard for clinical evaluation and appropriate management. Hope the information provided would be helpful. All the best. Regards, Dr.Ashakiran.S. MBBS., MD.