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What Causes Bleeding From Anus While Defecation?
Question: hey Dr XXXXXXX
i m facing bleeding problem from anal at time of loo ,and sumtimes it pain alot too,wen i touch there a small grape like thing is felt,due to much bleeding my haemoglobin level also got down to around 7 % for which laziness is felt and i get tired very soon,please request you to help me out with this.
regards
XXXXXX
i m facing bleeding problem from anal at time of loo ,and sumtimes it pain alot too,wen i touch there a small grape like thing is felt,due to much bleeding my haemoglobin level also got down to around 7 % for which laziness is felt and i get tired very soon,please request you to help me out with this.
regards
XXXXXX
Brief Answer:
Possibly due to anal fissure, to rule out piles
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Namasthe
Greetings of the day
Dear Mr XXXXXX
First and foremost let me reassure it's nothing serious.
From the description given you seem to be suffering from fissure in anus. It usually occurs due to small tear in anal mucosa due to passing of hard stools. Reduced intake of water and diet alteration could have precipitated this episode. It usually causes streaking of blood on stools. Due to presence of ulcer it provokes spasm of both external and internal anal sphincter further aggravating pain and constipation. The mass like thing you notice is sentinel pile ( no way related to piles which we normally speak of) . When the fissure heals it produces over growth of skin and covers and protect the ulcer. This is the mass like thing you are experiencing. Exact diagnosis will depend on visual examination.
Also underlying possibility of Hemorrhoids(piles) needs to be considered as bleeding from fissure is not severe enough to cause fall in haemoglobin level. Once the pain subsides , you will require further evaluation by proctoscope to look for internal/external hemorrhoids .
There is no cause for concern. Follow religiously everything I will be advising you.
1. Ensure good intake of water: 2 to 3 liter of water per day.
2. High fiber diet: 2 servings of vegetable salad and 2 servings of fruits everyday. It will be beneficial in both fissure and hemoorhoids
3. Syrup Lactulose: 10 ml twice a day. It is laxative and will ensure soft stools and allow complete healing of fissure
4. Hot Seitz bath : Add a handful of common table salt to tub of lukewarm water. Sit in it immersing your anus and bottom. Warm water will reduce the pain and spasm. Sit for 15 minutes thrice a day
5. After Hot seitz bath; after the bath and also before and water going for stools apply Xylocaine Ointment to the anal opening. It will reduce the pain being a local anaesthetic.
6. Nitroglycerine ointment: apply it locally to anus before going to bed. It will relieve the spasm.
7. Tablet Ibuprofen will be helpful to reduce pain.
Do get back to me anytime, throughout your stay away from India will be there to assist you.
Take care
Best Regards
Dr Deepak Kishore
MBBS, MS, MCH
Consultant Surgeon
Possibly due to anal fissure, to rule out piles
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Namasthe
Greetings of the day
Dear Mr XXXXXX
First and foremost let me reassure it's nothing serious.
From the description given you seem to be suffering from fissure in anus. It usually occurs due to small tear in anal mucosa due to passing of hard stools. Reduced intake of water and diet alteration could have precipitated this episode. It usually causes streaking of blood on stools. Due to presence of ulcer it provokes spasm of both external and internal anal sphincter further aggravating pain and constipation. The mass like thing you notice is sentinel pile ( no way related to piles which we normally speak of) . When the fissure heals it produces over growth of skin and covers and protect the ulcer. This is the mass like thing you are experiencing. Exact diagnosis will depend on visual examination.
Also underlying possibility of Hemorrhoids(piles) needs to be considered as bleeding from fissure is not severe enough to cause fall in haemoglobin level. Once the pain subsides , you will require further evaluation by proctoscope to look for internal/external hemorrhoids .
There is no cause for concern. Follow religiously everything I will be advising you.
1. Ensure good intake of water: 2 to 3 liter of water per day.
2. High fiber diet: 2 servings of vegetable salad and 2 servings of fruits everyday. It will be beneficial in both fissure and hemoorhoids
3. Syrup Lactulose: 10 ml twice a day. It is laxative and will ensure soft stools and allow complete healing of fissure
4. Hot Seitz bath : Add a handful of common table salt to tub of lukewarm water. Sit in it immersing your anus and bottom. Warm water will reduce the pain and spasm. Sit for 15 minutes thrice a day
5. After Hot seitz bath; after the bath and also before and water going for stools apply Xylocaine Ointment to the anal opening. It will reduce the pain being a local anaesthetic.
6. Nitroglycerine ointment: apply it locally to anus before going to bed. It will relieve the spasm.
7. Tablet Ibuprofen will be helpful to reduce pain.
Do get back to me anytime, throughout your stay away from India will be there to assist you.
Take care
Best Regards
Dr Deepak Kishore
MBBS, MS, MCH
Consultant Surgeon
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Above answer was peer-reviewed by :
Dr. Shanthi.E
Answered by
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