Brief Answer:
Diarrhoea and Painful blood spotting in Bowel Movements / Under Evaluation

Detailed Answer:
Brief Ans- Diarrhoea and Painful blood spotting with Bowel Movements / Under Evaluation
Mostly- IBS with diverticulosis with malabsorption.
Bleeding is from diverticulitis with colonic ulcers accompanied with it.


Hi,Dear !! Thanks for your query to HCM.
Read and reviewed query facts in context to your health concerns of blood with painful bowel movements lately

My Primary Impression and suggestions.
Based on the submitted data, You seem to have mismanaged and unsupervised and selfmedicated complication of known case of IBS with divericulosis.

The current diarrhoea with blood on wipe outs, indicate the exacerbations of the IBS with diverticulitis leading to more frequent diarrhoeas,lately experienced by you.
Hemorrhoid is accompanied ailment, complicating the IBS by tight ano-rectal spastic lower end,contributing to dysbiosis from off and on Constipation alternating with diarrhoea and increasing diverticulosis and complicating IBS with hemorrhoids by added diverticulitis.
Blood wipe outs could be from painless, infected internal?external piles, which need to be examined for its causative value in your IBS with increased frequency of diarrhoeas lately.
These diarrhoeas from dysbiosis with constipation, has lead to chronic Indigestion affecting your general health badly,from resulting malabsorptions for long periods.
Please explain-why your are taking Femara -is it with doctors script?

Do's Suggested-
In the given scenario,I would suggest you to-
Consult GI Physician and GI Surgeon in consultation with family doctors-who would investigate with stool-ova/cyst check ups and would plan needful endoscopies and would plan further treatment on lines suggested herein below-

Stop self-medicating yourself with prozac,causing constipation/ stuffy nose which is complicating your case.Avoid taking bentyl without doctors script.
Keep yourself on bland / liquid diet with low volumes 4-6 times x 1 week.
Be on Banana milk shakes x 3 times a day x 1 week.
Skimmed sweet thin sore-sweet butter milk x 3 times x 3-6 weeks
Avoid street foods till further orders from doctors.
Avoid spicy/fried/non-veg diet till further orders.
Gradually increase solid foods and be on high fibre/vegan diet
Yoghurt x 2 times a day.

Adding antibiotics/ anti-protozoals with PPI-with gastroprokinetics like domperidone would stabilize the irritable bowels, if meticulously accompanied under doctors guidance along with the above dietary changes, strictly followed over next 4-10 weeks.

Reply to your specific query-based on available data-
Q-I had 3 bms in the morning-my stomach hurts, and I am now seeing more blood when wipe.
Ans-1-Dear, 3 bms lately indicate IBS with Diverticulitis causing painful blood spots, which are seen more lately.Do as suggested by proper diet and medications if need be, under care of Physician and GI surgeon's guidance strictly.Don't take medicines.Stop all if not prescribed by doctors.

Q-2-I am going to see my Dr. tomorrow morning. I also can't seem to digest anything.
Ans-2-You are unable to digest due to active infections with colitis from persitent and untreated diverticulosis complicated with diverticulitis lately, mostly from your habit of street fast, fried,spicy food eating frequently.

Q-3- I try to eat soft foods mostly. What could this be?

Ans-3-Though you may be having soft foods, but they are taken,in big loads,with ? spices/fried things, and may be inducing added food related infection, causing more diarrhoeas, as experienced by you lately.

What could this be?
So with this as told and explained in above brief ups,its the result of your mismanaged IBS with diverticulosis with malabsorption.Bleeding is from diverticulitis with colonic ulcers accompanied with it.

Next appointment-
24 x 7 -in case of emergency needs/ and or after 10-15 days from now,by which time you would have come out with results of observations from these suggestions given ,for further help in planning future treatment.

Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem.

Dear, Hope this reply would help you to resolve your health issues and its worries, with help of your doctors there.

Welcome for any further query in this regard.

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Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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