What Causes Blood In Stool Along With Abdominal Pain?

Posted on Sat, 29 Nov 2014

Question: Every time i go to the restroom when i wipe i see stains of dark blood on toilet paper. I also have have abdominal pain and cramping and waist and back pains.
Its been around 4 months that I'm constipated and than have diarrhea.
What could be wrong with me?
I went to the ER around one or two months ago with a really bad pain and they just told me i was constipated. But for around for months now. I get constipated for one or two days and than Ill have diarrhea for one or two days and than constipation again.

Answered by Dr. Hari Charan Perigela (1 hour later)

Brief Answer:
You should be investigated.

Detailed Answer:
Hi
Bright red coloured stool is due to lower Gastro intestinal tract lesions like Polyp, Haemorrhoids, Fissure in ano etc.These lesions will be diagnosed with Colonoscopy. In fissure, there will pain during defecation and bleeding sometimes.
Dark red coloured stool can be due to lesion in upper gut like Stomach or duodenal Ulcer,gastritis, Cancer etc . Upper GI Endoscopy will confirm the diagnosis.
Alternative constipation and diarrhoea can be due to Irritable bowel syndrome. I prescribe Pre and Probiotic capsule to my patients with similar complaints.
Please take high fiber diet, drink plenty of liquids, eat fresh fruits and vegetables. Your stool should be soft.
Please consult your doctor and get investigated. Please get Upper GI ENDOSCOPY and Colonoscopy.
Hope I answered your query.
If you have any questions, I will clarify further.
Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Hari Charan Perigela (1 hour later)

OK so when I was 15 weeks pregnant they told me I had gallstones. I'm no longer pregnant and my baby boy will soon be 4 months now. Could that have anything to do with it?
Also where could I go get an Upper GI ENDOSCOPY and Colonoscopy since I don't have a regular doctor that I go to?

Answered by Dr. Hari Charan Perigela (2 hours later)

Brief Answer:
Asymptomatic gall stones are not of much concern.

Detailed Answer:
Hi
Pain due to gallstones will be on right side beneath the ribs. If there is no pain, nothing has to be done.
You should consult a Gastroenterologist for Endoscopy and Colonoscopy. You can consult him if he is in your town or nearby .
Till then, please follow the dietary measures.
Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Hari Charan Perigela (15 hours later)

Ok thank you

Answered by Dr. Hari Charan Perigela (4 hours later)

Brief Answer:
You are welcome.

Detailed Answer:
Hi
Thanks for the response.
Hope everything will be alright with the dietary measures.
Wish you good health.
Regards

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

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