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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lower Abdominal Pain During Defecation?

My husband have pain in lower stomach, (he says behind his bladder) and when he goes to the bathroom he just have blood spots. He was in constant pain until he had some Advil yesterday evening and he felt a bit feverish yesterday too. This symptoms started yesterday morning. He haven t been able to eat much because of the pain of going to the bathroom ( he says he have the urge to go however he keep spotting blood).
Thu, 15 Dec 2016
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General & Family Physician,  's  Response
Thank you for your question.
I understand your concern. Painful defecation may be due to hemorrhoids, or rectal fissure. Both this will cause intense pain on defecation and blood stained stools. Blood will not be mixed up with stools but may fall in drops after defecation.The first tip to avoid this is not to strain while passing stools. He should be advised to drink more water, have plenty of fruits and raw vegetables(salads) so that the stool becomes soft. Hardening of stools will worsen the situation. So avoid meat and spicy food and have more foods containing digestive fibers.If the stools are still hard he may try out some laxatives also can take sitz bath in warm water. If the still the problem continues he should undergo endoscopic evaluation by a general surgeon.Hope this will help you.
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What Causes Lower Abdominal Pain During Defecation?

Thank you for your question. I understand your concern. Painful defecation may be due to hemorrhoids, or rectal fissure. Both this will cause intense pain on defecation and blood stained stools. Blood will not be mixed up with stools but may fall in drops after defecation.The first tip to avoid this is not to strain while passing stools. He should be advised to drink more water, have plenty of fruits and raw vegetables(salads) so that the stool becomes soft. Hardening of stools will worsen the situation. So avoid meat and spicy food and have more foods containing digestive fibers.If the stools are still hard he may try out some laxatives also can take sitz bath in warm water. If the still the problem continues he should undergo endoscopic evaluation by a general surgeon.Hope this will help you.