What Causes Lower Back Pain With Blood In Stool?
Lower GI bleed and lumbosacral spine workup
Detailed Answer:
Hello and Welcome
I appreciate your concern
Lower back pain associated with blood in stool should be worked up for both lower GI tract and spine issues. After examining the back, x ray lumbosacral spine or MRI (for more accurate assessment) can be advised. Local examination to look for hemorrhoids, anal fissure, abscess and fistulas should be done. Digital rectal exam should also be done in the same setting. Stool for ova/parasite and routine exam can be advised. A colonoscopy should be considered if no clear cause of the lower GI bleed can be determined, in consult with your doctor. In the meanwhile, you should take adequate fluids. Hyoscine butylbromide along with paracetamol or Tylenol can be taken for pain relief.
Wishing you best of health
Thanks
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Dr. M.S. Khalil