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Suggest Treatment For Irritable Bowels While On Antibiotics

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Posted on Mon, 23 Jan 2017
Question: I was on antibiotics 4X per day for two weeks and ever since have had irritable bowel problems. Today I eliminated a pussy and bloody substance from the bowels. I have recently had a colonoscopy, which was clear. What could this current situation be? Irritable bowel syndrome? Colitis?


I have also had some reflux symptoms that have coincided with this bowel problem. The bowel problem seemed to improve today until tonight when I had a one-time sudden and uncontrollable bloody mucous like discharge.
doctor
Answered by Dr. Dr. Happykumar Kagathara (22 minutes later)
Brief Answer:
Most likely to have anal fissure

Detailed Answer:
Hello,
I can understand your concern for GI symptoms
1) Do you have abdominal pain, loose stool, increased frequency of stool?
2) Colitis affect large intestine and it must be detected by colonoscopy. Normal colonoscopy excludes this.
3) Irritable bowel syndrome is condition of small bowel in which indigestion related symptoms (abdominal heaviness, burping, loose stool) will develop due to inadequate intestinal digestive enzymes. But blood with mucus in stool excludes this condition.
4) If blood in stool was fresh blood, red-maroon in color, it indicate possibility of bleeding from rectal origin. For this anal fissure is most common cause. There will be linear tear on inner wall of lower part of anal canal in this condition from which bleeding occurs while straining.
5) Passage of hard stool and excessive straining are risk factors for development of anal fissure.
6) For further evaluation, it is recommended to have physical examination and proctoscopy by physician (to rule out fissure) and repeat colonoscopy if previous one was done more than 3 months before.

Hope I answered your query. If you have any further doubt, I would be happy to help you.
Have a good day!
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Dr. Happykumar Kagathara (25 minutes later)
I have no weight loss, nor loss of appetite and not stomach cramps or bloating. I have had some reflux symptoms. I had overly frequent bowel movements with no straining until today, when I seemed to resume normal bowel movements until the mucous and slightly reddish stool discharge tonight. Does this additional information help?
doctor
Answered by Dr. Dr. Happykumar Kagathara (10 minutes later)
Brief Answer:
evaluation of rectal pathology

Detailed Answer:
Yes symptomatology is essential in deciding further approach to investigate any condition.
1) Absence of these symptoms with reddish stool and mucus discharge suggest pathology in rectum
2) It is recommended to undergo a) sigmoidoscopy, b) finger examination of rectum.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
Dr.
Dr. Dr. Happykumar Kagathara

General Surgeon

Practicing since :2006

Answered : 444 Questions

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Suggest Treatment For Irritable Bowels While On Antibiotics

Brief Answer: Most likely to have anal fissure Detailed Answer: Hello, I can understand your concern for GI symptoms 1) Do you have abdominal pain, loose stool, increased frequency of stool? 2) Colitis affect large intestine and it must be detected by colonoscopy. Normal colonoscopy excludes this. 3) Irritable bowel syndrome is condition of small bowel in which indigestion related symptoms (abdominal heaviness, burping, loose stool) will develop due to inadequate intestinal digestive enzymes. But blood with mucus in stool excludes this condition. 4) If blood in stool was fresh blood, red-maroon in color, it indicate possibility of bleeding from rectal origin. For this anal fissure is most common cause. There will be linear tear on inner wall of lower part of anal canal in this condition from which bleeding occurs while straining. 5) Passage of hard stool and excessive straining are risk factors for development of anal fissure. 6) For further evaluation, it is recommended to have physical examination and proctoscopy by physician (to rule out fissure) and repeat colonoscopy if previous one was done more than 3 months before. Hope I answered your query. If you have any further doubt, I would be happy to help you. Have a good day!