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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Rectal Bleeding After Bowel Movements

For about 5 years, rectal bleeding after bowel movements and anal prolapse (anus stays open after bowel movement.) Bloody pussy stool, diarreah, and most recently a 2-day fever. Ongoing tiredness, about 60% of previous activity level (57 year male, conditioned, tennis, walk bike, swim etc.) NO SURGERY! But I am considering medication for ulcerative colitus. NO COLONOSCOPY. No travel for years, limited energy and ability to set and keep appointments.
posted on Wed, 24 Aug 2016
Twitter Mon, 24 Jun 2019 Answered on
Twitter Wed, 26 Jun 2019 Last reviewed on
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General Surgeon,  's  Response
Hi,

In your case, the presence of blood in the stool doesn’t seem to be something serious. And in most causes of are benign and include hemorrhoids, anal fissure or rectal polyps. These are primarily treated with stool softener, diet and sitzbaths.

If there are some other symptoms such as weigh loss or pain or inability to have bowel movements then some further tests should be done. It is common that hard stool leads to bleeding due to fragile hemorrhoids so it is important to soften your stool with an appropriate diet that includes a lot of fluids, probiotics, high fibre food and stool softeners to avoid hard stool and straining.

If there is no improvement in next few weeks, then tests are required which include colonoscopy and irigography. Other causes may be more serious and include tumors or inflammatory bowel diseases and these should be ruled out with colonoscopy which must be done if there is low blood count present or rapid weight loss.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Rectal Bleeding After Bowel Movements

Hi, In your case, the presence of blood in the stool doesn’t seem to be something serious. And in most causes of are benign and include hemorrhoids, anal fissure or rectal polyps. These are primarily treated with stool softener, diet and sitzbaths. If there are some other symptoms such as weigh loss or pain or inability to have bowel movements then some further tests should be done. It is common that hard stool leads to bleeding due to fragile hemorrhoids so it is important to soften your stool with an appropriate diet that includes a lot of fluids, probiotics, high fibre food and stool softeners to avoid hard stool and straining. If there is no improvement in next few weeks, then tests are required which include colonoscopy and irigography. Other causes may be more serious and include tumors or inflammatory bowel diseases and these should be ruled out with colonoscopy which must be done if there is low blood count present or rapid weight loss. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon