What Is The Reason From Blood In Stools And Eczema In Face And Groin Area ?

Hello XXXXXXX

Thanks for your query.

Most of your symptoms though have appeared simultaneously, are very benign and will resolve with simple changes in your lifestyle as well with better stress management techniques.

From the detailed description of your history, I would like to summarise your current problems and discuss them.

Geographic tongue: - this is a idiopathic and chronic condition, which is caused by inflammation of the taste buds, resulting in discolored regions of taste buds or sometimes even cracks in the tongue. This condition frequently manifests after eating any of a range of exacerbating foods, or during times of stress.

This condition can be resolved by :-
1. Avoiding foods that exacerbate the problem which include certain fruits, e.g., strawberries, tomatoes, pineapple etc.
2. treatment with zinc and vitamin B supplements.
3. If the condition is persistent - a topical oral steroid ointment prescribed by a doctor helps in resolution.

Blood in the stools and toilet paper: This could be due to chronic constipation resulting in anal fissures or hemorrhoids. This issue, if persistent and lasting for more weeks needs to be evaluated with a rectal examination, followed by definitive treatment of the underlying cause. In the mean time, use of OTC medications like preparation H, might relieve your discomfort or pain.

The main aspect of treatment in this situation, would be dietary changes to solve your problem of chronic constipation, and symptom relief with laxatives for a short duration.

There are many things you can help constipation. They include

1. Eating more fruits, vegetables and grains, which are high in fiber

Foods XXXXXXX in SOLUBLE Fiber: Oatmeal or oat bran; Brown rice; Orange, grapefruit, XXXXXXX plantain

Foods that can act as laxatives: Prunes, figs, Psyllium husk, shredded wheat, flaxseed (oil), Senna, Cascara sagrada, Aloe vera juice, Dandelion root, Molasses, Liquorice, etc.

2. Drinking plenty of water and other liquids

3. Getting enough exercise, abdominal exercises are best to improve gut motility.

4. Taking time to have a bowel movement when you need to. Visit the toilet for 15 minutes in the morning, even if you are unable to have a bowel movement. This relaxes and stimulates your digestive system.

5. Relaxation and stress management techniques.

6. Proper dietary habits, regular meals, not missing meals and breakfast,etc. Sit quietly for 15 minutes after eating a meal to aid in digestion.

7. Cessation of smoking and tobacco use, excess dependence on sodas, colas and caffiene.

Since you are just 34 years, and have also recently have had a colonoscopy, there would be no need to worry about cancer or any other serious condition.


The other important issue, you might be having is Anxiety associated with panic attacks. This is a very important issue, which might need counselling and treatment with prescription medications for a short time to control your symptoms.

You might consult your doctor , or a psychiatrist who after a examination, can prescribe you the anxiolytic medications to resolve your symptoms associated with anxiety.

I hope the information here, helps to clear your doubts and help you relax.

I shall be available to answer any follow up questions, or any doubts that you might be having.

Regards.

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Hello XXXXXXX

Thank you for the follow up.

It is absolutely right and there is no probability that cancer can develop within 3 months, post-colonoscopy, which was absolutely normal. Hence there is no need to be worried about cancer of the colon at this time.

The history of fresh blood, with a flake of tissue ( which might be a mucus flakes), along with dry skin in the anorectal area is a indicator of abrasion of the soft delicate mucosa of the anus, which can result due to hard stools or mucositis (inflammation). This would be transient and will probably resolve on its own with conservative measures.

The constipation could be due to dietary changes and lack of hydration which might occur during any infection. But once you have adopted some dietary changes as I have mentioned earlier, your constipation as well as your other symptoms might also be resolved.

Ciprofloxacin, is not associated with constipation, but it can cause severe diarrhea (watery or bloody stools) that may occur with or without fever and stomach cramps (may occur up to 2 months or more after your treatment).

Since, you mentioned that your breathing difficulty is present only while speaking and does not affect your sleep, this is a classic indicator of anxiety related panic attacks.

In case, your sleep was affected, then it could be associated with other symptoms associated with respiratory problems (cough, chest pain, reduced oxygenation, fatigue, etc). Since you sleep normally, there is no doubt that this is probably due to psychological origin and not due to any other medical conditions.

Anxiety is a very common symptom, and is seen in about 70-80% of individuals, though in varying degrees. There is no need to be ashamed about it. A few measures to change behavioral patterns via behavior therapy and help to calm the mind for a short duration with anxiolytics is what you need to help you get over this trivial issue.

I hope this helps to clear your doubts.

In case of persistent doubts, Please do not hesitate ask them. I shall be happy to clear them up.

Wish you a good health.

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