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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood In Stomy Bag After Colon And Rectum Removal?

My brother had a complete colon and rectum removal with ilestomy about 20 years ago. He has not had any problems since then, but recently has had blood in the stomy bag. Since he has not seen a gastro in several years, he has to go as a new patient, which requires a delay of 7 weeks before he can be seen. His symptoms, to me, seem to require quicker attention. Is there any concern for a delay in seeing a doctor?
posted on Tue, 28 Oct 2014
Twitter Wed, 7 Jan 2015 Answered on
Twitter Wed, 7 Jan 2015 Last reviewed on
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Internal Medicine Specialist,  's  Response
Dear Friend,
Its emergency if its bleeding in colostomy bag, if its fresh blood it may be due to trauma or mucocutaneous separation, some time it may be peristomal varices,& if its mixed with stool dark coloured/coffee coloured it may be upper GI bleed and need gastro consultation and need endoscopy to rule out and serious problem, mean while if its bleeding too much you can start Etamsylate (Alstat or Etamsilat or Etamsylatum,)500 mg twice or thrice a day as per need, and amount of bleeding.
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What Causes Blood In Stomy Bag After Colon And Rectum Removal?

Dear Friend, Its emergency if its bleeding in colostomy bag, if its fresh blood it may be due to trauma or mucocutaneous separation, some time it may be peristomal varices,& if its mixed with stool dark coloured/coffee coloured it may be upper GI bleed and need gastro consultation and need endoscopy to rule out and serious problem, mean while if its bleeding too much you can start Etamsylate (Alstat or Etamsilat or Etamsylatum,)500 mg twice or thrice a day as per need, and amount of bleeding.