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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood In Stool While Suffering From Liver Cirrhosis And Bullous Disease?

Husband has Cirrhosis of liver , aortic aneurism(4.3 cm),Bullous disease and neuropathy... has cardiologist, pulmonary spec., internist and neurologist. Noticed he is bleeding when go to bathroom. Bright red, no clots, drips from rectum when on toilet. No pain ... went to ER 4 nights ago and they said probably internal hemorrhoid.Did ct w. contrast ,checked his blood. Now still bleeding & worries me. He keeps saying will go to his dr. when he has next appt. (which is in Dec.) Should I worry?
Fri, 23 Oct 2015
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
Cirrhosis can lead to upper gastrointestinal tract (GIT) bleeding.
Upper GIT bleeding is associated with black colored or dark colored stools.
However, bright red blood in stools is indicative of bleeding from lower GIT.
hemorrhoids is one of the possibilities.
If no hemorrhoid is detected then a colonoscopy needs to be done to look from ant ulcer or growth in the lower GIT.
Bleeding in stools is associated with iron loss in stools and thus anemia.
Thus, complete hemogram also needs to be done to detect the anemia and its type for further management.
I suggest you to consult a gastroenterologist at the earliest for clinical assessment, colonoscopy and thus management.

Thanks and take care
Dr Shailja Puri
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What Causes Blood In Stool While Suffering From Liver Cirrhosis And Bullous Disease?

Hello and welcome to HCM, Cirrhosis can lead to upper gastrointestinal tract (GIT) bleeding. Upper GIT bleeding is associated with black colored or dark colored stools. However, bright red blood in stools is indicative of bleeding from lower GIT. hemorrhoids is one of the possibilities. If no hemorrhoid is detected then a colonoscopy needs to be done to look from ant ulcer or growth in the lower GIT. Bleeding in stools is associated with iron loss in stools and thus anemia. Thus, complete hemogram also needs to be done to detect the anemia and its type for further management. I suggest you to consult a gastroenterologist at the earliest for clinical assessment, colonoscopy and thus management. Thanks and take care Dr Shailja Puri