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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Rectal Bleeding, Nagging Pain In Upper Abdomen. Is Pain And Bleeding Related? Anal Fissures?

Hi I am 34 old female, i have a rectal bleeding for more that 3 weeks now. it's on the toilet paper and on the stool. it's bleeding even when i'm not having a bowel movement or when passing gas. the blood is bright red, i've no rectal pain. but i do have nagging pain in upper abdomen like gastiris pain. the pain and bleeding started at the same time. i am booked for colonoscopy in 2 weeks but am getting pretty worried. so the question is can the pain and bleeding be unrelated to each other and can anal fissure cause bleeding for such a long time
Fri, 21 Jun 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Fresh blood on the surface of the stool sound to be unrelated to your upper abdominal pain.
Anal fissure gives strong pain while passing the stool so it is also less probable.
Most likely you are suffering from hemorrhoids. This condition gives fresh, bright red blood on the surface of the stool and on the toilet paper. Ocasionally a lump in the anus can be present. The pain is not always present.
You are 34 which is too young age for colon cancer. Inflammatory bowels disease can give blood in the stool and abdominal pain, however also weakness, abdominal cramps, bloated abdomen, diarrheas should be present.

Upper middle abdominal pain is most likely caused by stomach issue including peptic ulcer, stomach inflammation or Helicobacter Pylori infection.

So it may occur that after the colonoscopy, gastroscopy will be necessary.

Hope this will help.
Regards.
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Rectal Bleeding, Nagging Pain In Upper Abdomen. Is Pain And Bleeding Related? Anal Fissures?

Hello! Thank you for the query. Fresh blood on the surface of the stool sound to be unrelated to your upper abdominal pain. Anal fissure gives strong pain while passing the stool so it is also less probable. Most likely you are suffering from hemorrhoids. This condition gives fresh, bright red blood on the surface of the stool and on the toilet paper. Ocasionally a lump in the anus can be present. The pain is not always present. You are 34 which is too young age for colon cancer. Inflammatory bowels disease can give blood in the stool and abdominal pain, however also weakness, abdominal cramps, bloated abdomen, diarrheas should be present. Upper middle abdominal pain is most likely caused by stomach issue including peptic ulcer, stomach inflammation or Helicobacter Pylori infection. So it may occur that after the colonoscopy, gastroscopy will be necessary. Hope this will help. Regards.