What Causes Blood In Stool?

Posted on Thu, 5 Jan 2017

Question: hi, i had a fissure in year 2014 Dec, it recovered as i took plenty of water, fiber food, a regularly took sitz bath and applied anobliss cream after sitz bath, Now from mid of nov 2016 i have same problem , while passing stool there is a blood, since then i strated drinking water , eating fiber food taking sitz bath , but the problem still persists, please suggest what to do ?

waiting for answer

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
Please give additional information.

Detailed Answer:
Hi.
Thanks for your query.
Noted the history well and understood your concerns.
You have got recurrence after a long time but still continuing with problems in spite of plenty of oral fluids, high fibers, anobliss locally and Sitz bath. No the problem is since mid of Nov 2016 and the complaint noted is passing of stool there is blood...

Please give give additional information:
- Is there any pain after passing stool?
- Is the stool mixed with blood or comes as streak on the outer surface of stool?
- Any discomfort after passing stool?
- Have you been examined by a General Surgeon by per-rectal digital examination and ano-proctoscopy?

Waiting for your feedback to know whether this is fissure or piles or something else.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (2 days later)

Hi Doctor,
Thanks for your reply, please find my answers against your questions .
Is there any pain after passing stool?- NO there is no pain while passing stool
- Is the stool mixed with blood or comes as streak on the outer surface of stool?- Blood is on outer surface when i wash, and also on streak of the outer surface of stool
- Any discomfort after passing stool?- after passing stool there is discomfort for 30 seconds only as i take stiz bath it is relieves me.
- Have you been examined by a General Surgeon by per-rectal digital examination and ano-proctoscopy?- i have been examined by general surgeon , he inserted his finger and checked.

Answered by Dr. T Chandrakant (3 hours later)

Brief Answer:
Proctoscopy is a must.

Detailed Answer:
Thanks for your feedback.
It is necessary to get the proctoscopy done to know the exact diagnosis. Only finger insertion can not tell whether piles/Hemorrhoids are present or not.
Only exact diagnosis can give directions for proper further management.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (1 hour later)

Hi Doctor,

What is proctoscopy ? is it painfull ? if yes , then is there any examination which can be done without pain .

Answered by Dr. T Chandrakant (52 minutes later)

Brief Answer:
No pain if there is no pain while passing motion.

Detailed Answer:
Proctoscopy is passing a small scope through anal canal and to see for the hemorrhoids and any other problems while withdrawing. The examining scope is just a larger than a finger and well lubricated hence does not cause any pain at all if the the finger tests has not caused any pain.
It is not painful if there is no pain while passing motion.
Sigmoidoscopy or Colonoscopy also allows to see the same., but are longer and basically meant to visualize the colon.
Hence is there was no pain during finger examination and while passing motion proctoscopy will be painless.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (2 hours later)

Thanks for reply.

Yes obivious there was a pain when doctor instered the finger and i also said while passing stool there is no pain , however when i wash i can see blood on outersurface and i feel disconmfort after washing for say 30 seconds , this gets releived immediately after taking sitz bath.
So i do understand i need to get checked through proctoscopy , then if i am not able to get diagaonised on this platform through my explanations and concerns then what is the use of paying to this site.

I suggest you to recommend me some medicine basis my concerns listed above.Else suggest me any other examination which is painless, as i dont want to get examinded by insertion , i thought science is gone ahead, dont we have any digital image , MRI scan which can determine the exact cause ? please suggest.

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
As discussed in details below.

Detailed Answer:
Surely, MRI can get you a painless diagnosis about the most possible cause that is hemorrhoids as you have been passing blood without pain.
Take a laxative like Cremaffin plus 1-2 tsf and bedtime and adjust your dosages as per the requirements.
Continue Sitz bath.
High fiber diet and plenty of oral fluids.
Make a list of the foods and beverages that instigate or enhance your problems and stop then altogether.
Control of the stress and/or anxiety if present.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (12 hours later)

Thanks Doctor.

Will follow your instructions and shall get examined through MRI.Just one more question how long it takes to heal if i follow all the instructions and diet.
Should i avoid non veg ( fish, mutton , chicken) , because i am a non veg lover.

Answered by Dr. T Chandrakant (27 minutes later)

Brief Answer:
As detailed.

Detailed Answer:
Non- veg food causes constipation in some people.
If it does not cause constipation in your case, please follow your routine diet and you would be taking laxatives also hence no restrictions as such.
You have to stop only those foods and beverages that cause you constipation or any GI trouble.
Your question about duration:
65 ℅ people get better in 3 weeks.
Rest of the patients may need further treatment or surgery.
Take care, have stress- free life.
It also help in faster and complete cure.

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar