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Suggest Treatment For Blood In Stool With Anal Pain

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Posted on Sat, 24 Oct 2015
Question: bleeding and anal pain when using the bathroom
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Answered by Dr. Sandip Kabra (1 hour later)
Brief Answer:
It needs further evaluation by examination and various tests.

Detailed Answer:
Hi,
Welcome to HCM.

Blood in stool with anal pain could be indicative of piles,fissure or bleeding from distal/terminal portion of GIT I.e. from large intestine to anus but the other uncommon causes must be ruled out like large bowel obstruction, ulcerative colitis,intussuception etc.

You may require thoroughly clinical examination,routine blood counts,stool tests with proctoscopy and colonoscopy to rule out any other lower GIT etiologies.

You may require,

1) Antibiotics (quinolones like ofloxacin or norfloxacin with antiprotozoals like metronidazole or ornidazole) with,

2) Topical application of steroids with lignociane creams or ointments to reduce pain and inflammation with,

3) Hot sitz bath,

4) Laxatives or purgatives to have a soft and effortless stool evacuation.

5) Vitamin b complex with folic acid to have a rapid healing of ulcer if there is fissure.

Consult general surgeon who will your take complete medical history and clinical examination with relevant investigations to detect the underlying cause.

Hope this will help you.

Regards,

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Sandip Kabra

General & Family Physician

Practicing since :2009

Answered : 3078 Questions

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Suggest Treatment For Blood In Stool With Anal Pain

Brief Answer: It needs further evaluation by examination and various tests. Detailed Answer: Hi, Welcome to HCM. Blood in stool with anal pain could be indicative of piles,fissure or bleeding from distal/terminal portion of GIT I.e. from large intestine to anus but the other uncommon causes must be ruled out like large bowel obstruction, ulcerative colitis,intussuception etc. You may require thoroughly clinical examination,routine blood counts,stool tests with proctoscopy and colonoscopy to rule out any other lower GIT etiologies. You may require, 1) Antibiotics (quinolones like ofloxacin or norfloxacin with antiprotozoals like metronidazole or ornidazole) with, 2) Topical application of steroids with lignociane creams or ointments to reduce pain and inflammation with, 3) Hot sitz bath, 4) Laxatives or purgatives to have a soft and effortless stool evacuation. 5) Vitamin b complex with folic acid to have a rapid healing of ulcer if there is fissure. Consult general surgeon who will your take complete medical history and clinical examination with relevant investigations to detect the underlying cause. Hope this will help you. Regards,