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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constipation And Anal Bleeding?

hello doc,
i'm 21 years old. i have constipation problem on and off since i was aware of it. motion was painful for past few days. not much but i could feel it. i strained to let it out. form tat and for past 2 days i found blood. lot of blood actually.

i had an accident and took pain killer tablets and injection.
could tat be the reason. i read tat tis tablets could cause constipation problem as side effects. i stopped all tablets now.

my ma and grandma had same. my ma could've had piles. but now she is ok. i heard its hereditary. i'm afraid wat i've is piles.
Sat, 8 Dec 2018
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Internal Medicine Specialist 's  Response
You seem to have hemorrhoids/piles.
Hemorrhoids are cushions of submucosal tissue containing venules, arterioles, and smooth-muscle fibers that are located in the anal canal and are thought to function as part of the continence mechanism and aid in complete closure of the anal canal at rest.
Excessive straining, increased abdominal pressure, and hard stools increase venous engorgement of the hemorrhoidal plexus and cause prolapse of hemorrhoidal tissue and bleeding.
You might be having first-degree hemorrhoids (which bulges into the anal canal and may prolapse beyond the dentate line on straining).
Proctoscopic examination by a surgeon is needed.
Bleeding from first- and second-degree hemorrhoids often improves with the addition of dietary fiber, stool softeners/laxatives, increased fluid intake i.e to avoid constipation.
There are many over-the-counter topical medications for piles but these are mostly desiccants and are relatively ineffective for treating hemorrhoidal symptoms.
Hemorrhoids are not hereditary but familial occurence is due to dietray habit ( typical low-fiber, high-fat diet associated with constipation and straining and the development of symptomatic hemorrhoids ).

Regards,
Dr. Tushar Kanti Biswas,
Internal Medicine Specialist

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What Causes Constipation And Anal Bleeding?

You seem to have hemorrhoids/piles. Hemorrhoids are cushions of submucosal tissue containing venules, arterioles, and smooth-muscle fibers that are located in the anal canal and are thought to function as part of the continence mechanism and aid in complete closure of the anal canal at rest. Excessive straining, increased abdominal pressure, and hard stools increase venous engorgement of the hemorrhoidal plexus and cause prolapse of hemorrhoidal tissue and bleeding. You might be having first-degree hemorrhoids (which bulges into the anal canal and may prolapse beyond the dentate line on straining). Proctoscopic examination by a surgeon is needed. Bleeding from first- and second-degree hemorrhoids often improves with the addition of dietary fiber, stool softeners/laxatives, increased fluid intake i.e to avoid constipation. There are many over-the-counter topical medications for piles but these are mostly desiccants and are relatively ineffective for treating hemorrhoidal symptoms. Hemorrhoids are not hereditary but familial occurence is due to dietray habit ( typical low-fiber, high-fat diet associated with constipation and straining and the development of symptomatic hemorrhoids ). Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist