Hi,Dear,Thanks for your query to HCM.
Dear I read facts of your query and reviewed it in context to your query health issues.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query reply is-
This could be from Undetected
Internal Hemorrhoids with or without
Fissure in Ano.
Possibility of chronic painless Fissure with Internal piles is more in your case.The possibility of menses is ruled out by your history facts.
Painless bleeding expressed with strings of blood in toilet indicates Internal piles mostly.
Do's -suggested-
Get Surgeon's Consult and proctoscopic and anal examination to fix the diagnosis.
Treatment-
Liquid bland diet.
Butter Milk 2 times per day
High fiber diet x 1 week
Plenty of fluids x 1 week
Tab
Dulcolax 2 hs with high fluid intake would resolve your health issues.
Tab
Zincovit +Vit B12 would recoup the colonic functions.
Darolac- Sachet 1 per day would expedite the recovery.
Stool Test and review with GI -Surgeon would be needed if no recovery with initial treatment given.
Just don't worry till you verify with your attending doctors.
Need to Check with Physician / GI Surgeon doctor if things don't recover.
-Other causes need to be verified with your family GP doctor, as the facts may be different what you submitted.
-For this
Second opinion from PCP-or Gp doctor and if need be with Physician / GI Surgical- specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.
-for early recovery-please follow above do's which would resolve your issues.
Hope this would help you to treat your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS