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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bleeding From Rectum After Appendectomy?

Hello. I am a 34 year old female, 120 lbs, 5'3". I had an emergency appendectomy 2 weeks ago today. About an hour ago, I went to the bathroom to urinate and I found a small clot with bright red bleeding on from my rectum. Is there a chance I have an infection this long after surgery?
Wed, 7 Feb 2018
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General Surgeon,  's  Response
Hi.
Thanks for your query, albeit sort and specific.
Noted the history and understood the concerns.
Bleeding per rectum after 2 weeks of appendectomy is not known to occur due to any infection at the appendectomy site without any intra-abdominal complications/ signs or symptoms.
Hence the cause looks to be a local:
Hemorrhoids or piles.
Polyp or Proctitis.
I would advise you the following in such a situation:
Consult your operating Surgeon asap.
Get a ano-proctoscopy done to know the exact cause and get treated according to the findings.
Since it is 2 weeks since appendectomy you must be on a normal diet.
Take sitz bath in a tub with warm water.
Follow the advised properly and get treatment till cured.
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What Causes Bleeding From Rectum After Appendectomy?

Hi. Thanks for your query, albeit sort and specific. Noted the history and understood the concerns. Bleeding per rectum after 2 weeks of appendectomy is not known to occur due to any infection at the appendectomy site without any intra-abdominal complications/ signs or symptoms. Hence the cause looks to be a local: Hemorrhoids or piles. Polyp or Proctitis. I would advise you the following in such a situation: Consult your operating Surgeon asap. Get a ano-proctoscopy done to know the exact cause and get treated according to the findings. Since it is 2 weeks since appendectomy you must be on a normal diet. Take sitz bath in a tub with warm water. Follow the advised properly and get treatment till cured.