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What Causes Blood In Stool After Heart Bypass Surgery?
Question: My Mom went through heart bypass surgery and advised to take ceruvinaf 150mg, she were having blood in stool and doctor suggested to stop this medicine after which she didn't faced any issue. We visited doctor again and he advised to take ecosprin instead of ceruvinaf, she is again getting blood in stool.
Prior to this bypass she were advised for angioplasty and doctors had some issue during the surgery after which they did bypass next day.
Please suggest what can be done in this case.
Prior to this bypass she were advised for angioplasty and doctors had some issue during the surgery after which they did bypass next day.
Please suggest what can be done in this case.
Brief Answer:
Need more info
Detailed Answer:
Hello
Thanks for the query
Taking anti coagulants like cervinaf and ecosprin is of most importance. Taking these medications will prevent clogging of the arteries.
In order to help you better I need a few more details so as to help me weight the risk against benefit
1. She she suffer from constipation when there was bleeding at that time?
2. Was it fresh red blood or was it clotted blood?
3. Was the bleeding severe?
4. Was any hemoglobin checked to know how much blood loss was there?
5. Was any tests done to confirm the blood like stool for occult blood or colonoscopy?
6. Is there any pain in the stomach, especially related to intake of food
Please get back to me, I am waiting for your reply
Regards
Need more info
Detailed Answer:
Hello
Thanks for the query
Taking anti coagulants like cervinaf and ecosprin is of most importance. Taking these medications will prevent clogging of the arteries.
In order to help you better I need a few more details so as to help me weight the risk against benefit
1. She she suffer from constipation when there was bleeding at that time?
2. Was it fresh red blood or was it clotted blood?
3. Was the bleeding severe?
4. Was any hemoglobin checked to know how much blood loss was there?
5. Was any tests done to confirm the blood like stool for occult blood or colonoscopy?
6. Is there any pain in the stomach, especially related to intake of food
Please get back to me, I am waiting for your reply
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
please find the details below:
1. She she suffer from constipation when there was bleeding at that time? Yes
2. Was it fresh red blood or was it clotted blood? Fresh blood
3. Was the bleeding severe? No, sometime its less and sometime it is more
4. Was any hemoglobin checked to know how much blood loss was there? no
5. Was any tests done to confirm the blood like stool for occult blood or colonoscopy? no
6. Is there any pain in the stomach, especially related to intake of food no
I visited doctors in hospital again and this time they routed me to another doctor who mentioned that she has piles of grade 2. He has given below medicine to her
1) Daflon
2) Ornonf
3) PAN -D
4) Smuth (Cream)
They know that we have a panel ID and doctor is suggesting another suregery for Pilies, is it really required or it can be taken care by medicines?
1. She she suffer from constipation when there was bleeding at that time? Yes
2. Was it fresh red blood or was it clotted blood? Fresh blood
3. Was the bleeding severe? No, sometime its less and sometime it is more
4. Was any hemoglobin checked to know how much blood loss was there? no
5. Was any tests done to confirm the blood like stool for occult blood or colonoscopy? no
6. Is there any pain in the stomach, especially related to intake of food no
I visited doctors in hospital again and this time they routed me to another doctor who mentioned that she has piles of grade 2. He has given below medicine to her
1) Daflon
2) Ornonf
3) PAN -D
4) Smuth (Cream)
They know that we have a panel ID and doctor is suggesting another suregery for Pilies, is it really required or it can be taken care by medicines?
Brief Answer:
Follow up
Detailed Answer:
Hello
Thanks for getting back
This is what I suggest
1. Medical line of management is preferred in grade 2 piles.
2. Constipation should never happen in patients who have undergone cardiac surgery as straining might hamper coronary vessel flow and cause another cardaic event
2. I suggest you to try medical line of management without surgery for 10 days. if the bleeding stops and constipation improves then please re start anticoagulants.
3. If the bleeding re starts after starting anti coagulants then please get her operated for the piles. My worry is if the anti coagulants are stopped for too long she might end up having a cardiac event
4. Approach a gastroenterologist for injection of sclerosing agent into the piles, it is easy, fast and less invasive. It uses lesser anesthetia with a faster recovery than traditional surgery.
I hope I was of help, if you have any further queries please get back to me
Regards
Follow up
Detailed Answer:
Hello
Thanks for getting back
This is what I suggest
1. Medical line of management is preferred in grade 2 piles.
2. Constipation should never happen in patients who have undergone cardiac surgery as straining might hamper coronary vessel flow and cause another cardaic event
2. I suggest you to try medical line of management without surgery for 10 days. if the bleeding stops and constipation improves then please re start anticoagulants.
3. If the bleeding re starts after starting anti coagulants then please get her operated for the piles. My worry is if the anti coagulants are stopped for too long she might end up having a cardiac event
4. Approach a gastroenterologist for injection of sclerosing agent into the piles, it is easy, fast and less invasive. It uses lesser anesthetia with a faster recovery than traditional surgery.
I hope I was of help, if you have any further queries please get back to me
Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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