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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood In The Bowels Of A Type I Diabetic?

My husband is a type 1 diabetic since age 12. When he goes to the toilet and goes poop,it sprays and then there liquid. When he shows it to me,I see what I think is blood on the sides of the bowl.He wipes and it looks like blood.This has been going on for at least 2 months.
Thu, 17 Jul 2014
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Hi, thank you for posting your concern in the HCM. Information regarding the age of your husband, presence of mucous in stool, presence of abdominal pain, if present the nature (colicky, dull aching etc.) and the duration (transient or persistent) of pain and its location in the abdomen, history of fever, history of bloating, history of early morning bloody diarrhoea, history of nausea, vomiting, apetite, history of any drug or food alergy, any history of any significant illness or surgery in the past, bladder habit, history of any comorbidity other than type 1 dm are required for evaluation. A stool routine examination, stool culture & sensitivity test, complete blood count, CRP, coagulation profile including p time and INR, Fasting sugar and HBA1c report are needed. Depending upon them you may be advised to have sigmoidoscopy or colonoscopy done if required. The condition you described may arise from a localized infection or inflammation resulting in enteritis or colitis or their combination, inflammatory bowel disease, diverticular disease or carcinoma involving the colon or rectum or coagulation disorder. There are numerous other differential diagnoses. I haven't mentioned the possibility of upper gi condition depending upon the history. But they do need to be ruled out. Hence, my recommendation will be to consult a local gastroenterologist or write back to the HCM with the above mentioned history and reports. Thanks and regards. Dr. Kaushik
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What Causes Blood In The Bowels Of A Type I Diabetic?

Hi, thank you for posting your concern in the HCM. Information regarding the age of your husband, presence of mucous in stool, presence of abdominal pain, if present the nature (colicky, dull aching etc.) and the duration (transient or persistent) of pain and its location in the abdomen, history of fever, history of bloating, history of early morning bloody diarrhoea, history of nausea, vomiting, apetite, history of any drug or food alergy, any history of any significant illness or surgery in the past, bladder habit, history of any comorbidity other than type 1 dm are required for evaluation. A stool routine examination, stool culture & sensitivity test, complete blood count, CRP, coagulation profile including p time and INR, Fasting sugar and HBA1c report are needed. Depending upon them you may be advised to have sigmoidoscopy or colonoscopy done if required. The condition you described may arise from a localized infection or inflammation resulting in enteritis or colitis or their combination, inflammatory bowel disease, diverticular disease or carcinoma involving the colon or rectum or coagulation disorder. There are numerous other differential diagnoses. I haven t mentioned the possibility of upper gi condition depending upon the history. But they do need to be ruled out. Hence, my recommendation will be to consult a local gastroenterologist or write back to the HCM with the above mentioned history and reports. Thanks and regards. Dr. Kaushik