My stomach pains a lot causing bloody stools with burning sensation in esophagus. What to do?

Question

Hi doctor,

Before eleven months, I suffered from pain and mucus in stool. So I consulted a doctor and he told me that it as gas. After two months, I start to have bleeding. Sometimes, I had constipation. Now, I have pain in the stomach, colon, and rectum. Before a month, I had painful diarrhea with blood. On the same day, diarrhea came only with blood. I consulted a physician and he asked me to consult a specialist to do a colonoscopy. I did not see him and I am still suffering. I do not have diarrhea now but I still have pain with a burning sensation in the esophagus. Yesterday, I had blood mixed with mucus on the hard stool. Before having this, I ate more pepper and took more coffee with spices. I always feel thirsty. I have fever and I am not able to do my household works. Normally this is called ulcerative colitis. Is it true?

Answer 1

Hi,

Welcome to icliniq.com.

Blood in stools can occur from the upper gastrointestinal tract (UGI) or from the lower gastrointestinal tract (LGI). The dark altered blood is from the upper GI bleed and fresh blood is from the lower GI tract. You need to evaluate the various possibilities that cause bleeding. The common cause can be hemorrhoids or piles, inflammatory bowel disease, and acute dysentery. A simple proctoscopy examination can help to rule out piles or hemorrhoids. Colonoscopy is required when there is no evidence of piles on proctoscopy. The suspicion is high for inflammatory bowel disease. Biopsy taken during colonoscopy and histopathological examination gives evidence of ulcerative colitis. A simple proctoscopy examination helps to rule out piles.

The histopathological examination, clinical scenario, and blood tests are complied together to get a definitive diagnosis. You need to do ESR (erythrocyte sedimentation rate), C-reactive protein (CRP), and eye examination for uveitis. These investigations are normal in piles. If your doctor examines you with a proctoscope and diagnoses you with hemorrhoids, then you can take treatment for hemorrhoids. If you suffer from chronic constipation, then you may require a laxative to prevent piles. There is no harm in doing colonoscopy repeatedly. It helps to rule out colon cancer. Please send your blood investigations and eye testing with colonoscopy. Consult your doctor and share the opinion.