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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Alternative Constipation And Diarrhea Along With Blood In Stool?

I have been having very erratic bm lately a week of constipation with some blood in my stool and then diarrhea, mostly however it is the diarrhea and need to go to the bathroom shortly after I have eaten, like an hour after my meal. I have lost 4 lbs (I was 98 and at 94 currently) in the last couple weeks, feeling a bit tired and ran down but no other symptoms. I typically need to use the restroom shortly after I eat unless I am having one of those weeks in which I am constipated. My family has a history of colon cancer, should I be concerned?
Mon, 9 Jan 2017
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General & Family Physician,  's  Response
Hi,

Following are the cause of your problem:

- Irritable bowel syndrome
- Celiac disease


Inflammatory bowel disease is associated with blood in stool. Microscopic colitis, colon cancer as you have the history, I advise you to consult the Gastroenterologist as early as possible for better evaluation and undergo following investigation:

- Stool microscopy and culture
- Blood tests: Full blood examination, LFT, ESR, and serological testing for celiac disease
- Abdominal ultrasound, endoscopy to rule out the ulcer and colonoscopy.
- Blood test for colon caner tumor marker: CEA, CA 19-9

Doctor will give following advises: Take soluble fiber like ispagula husk. If that does not respond, then laxative like Sorbitol and Lactulose will help for constipation. Avoid spicy diet, take small frequent meal rather than large meal.

- Anti diarrheal: Loperamide.
- SSRIs and atypical anti psychotic: Fluoxentine, Clozapine.
- Anti spasmodic like mebeverine and dicyclomine, Sporolac sachet

Avoid stress and do regular exercise like walking and yoga. Other treatment will depend on specific cause and test result.

Hope this may help you. et me know if I can assist you further.

Regards,
Dr. Sagar
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What Causes Alternative Constipation And Diarrhea Along With Blood In Stool?

Hi, Following are the cause of your problem: - Irritable bowel syndrome - Celiac disease Inflammatory bowel disease is associated with blood in stool. Microscopic colitis, colon cancer as you have the history, I advise you to consult the Gastroenterologist as early as possible for better evaluation and undergo following investigation: - Stool microscopy and culture - Blood tests: Full blood examination, LFT, ESR, and serological testing for celiac disease - Abdominal ultrasound, endoscopy to rule out the ulcer and colonoscopy. - Blood test for colon caner tumor marker: CEA, CA 19-9 Doctor will give following advises: Take soluble fiber like ispagula husk. If that does not respond, then laxative like Sorbitol and Lactulose will help for constipation. Avoid spicy diet, take small frequent meal rather than large meal. - Anti diarrheal: Loperamide. - SSRIs and atypical anti psychotic: Fluoxentine, Clozapine. - Anti spasmodic like mebeverine and dicyclomine, Sporolac sachet Avoid stress and do regular exercise like walking and yoga. Other treatment will depend on specific cause and test result. Hope this may help you. et me know if I can assist you further. Regards, Dr. Sagar