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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Rectal Bleeding After A Lasix Renal Scan?

Thirty something year old patient had Lasix renal scan after lunch, unsure what type of radionucleotide was used. After defecation a few hours later, patient reports frank but limited bleeding from rectum, enough blood to saturate at least two packs of 4 x 4s, with at least two clots, around a centimeter and a half centimeter in size. Bleeding was noted after cleaning the area post defecation and no fecal material was noted in the blood. No reports of rectal bleeding any time prior to this, wondering if there was anything in the radionucleotide mixture, furosemide, or some combination of medications that could have caused this. Patient has not been on any prescription or OTC meds of any kind, nothing known in diet to cause this.
Mon, 24 Jul 2017
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General Surgeon 's  Response
Hi and welcome to Healthcaremagic. . I understand your concerns and I will try to help you as much as I can.

I dont think this is related to LAsix renal scan and in most cases, causes of bleeding through rectum are benign and include hemorrhoids, anal fissure or rectal polyps.

These are primarily treated with stool softener, diet and sitzbaths. It is very important to take 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 surgical management should be considered. 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.

Otherwise, you can see if conservative therapy will help and consult proctologist if necessary
I hope I have answered you query. If you have any further questions you can contact us in every time.
Kindly regards. Wish you a good health.
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What Causes Rectal Bleeding After A Lasix Renal Scan?

Hi and welcome to Healthcaremagic. . I understand your concerns and I will try to help you as much as I can. I dont think this is related to LAsix renal scan and in most cases, causes of bleeding through rectum are benign and include hemorrhoids, anal fissure or rectal polyps. These are primarily treated with stool softener, diet and sitzbaths. It is very important to take 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 surgical management should be considered. 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. Otherwise, you can see if conservative therapy will help and consult proctologist if necessary I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.