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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Blood In Stool Indicate?

My 69 yr old brother has been having blood in his bowels, he passes out, goes to Er, they have ran MRI, 3 colonoscopys He has lost a lot of blood and would have to have blood and plasma given to him as much as 3 - 5 bags. A lot, ugh? This has been going on since Sept. They did clip a blood vessel in his stomach that was just laying on the lining of his stomach. They have ran other tests but cannot find where he is still bleeding or why? Canadaquia NY Hospital and also Rochester NY hospital. What do you conclude It might be?
Thu, 28 Jun 2018
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

In most cases, causes of abdominal pain and 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.

Hope I have answered your query. Let me know if I can assist you further.
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What Does Blood In Stool Indicate?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In most cases, causes of abdominal pain and 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. Hope I have answered your query. Let me know if I can assist you further.