I get blood in stool with constipation. Please help.

Question

Hello doctor,

I am 37 years old. I had a problem with bleeding in stool, so I consulted a doctor, and he said it was hemorrhoids. He gave me Sitcom 100 mg for one month. I have taken this medicine, and blood is not coming now, but I have constipation, and I took organic psyllium, but did not get any benefit. Please advise me on what I should take to get a normal stool.

And my 3.5-year-old girl sometimes complains of stomach pain. I consulted the doctor, but he gave me only a pain relief syrup, and it did not provide any benefit. Please recommend any test to know the actual problem.

Please advise.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

In case of rectal bleeding, there are two possibilities:

One is SRUS (solitary rectal ulcer syndrome), which is an ulcer formation in the rectum due to chronic constipation, causing bleeding.
Another one is hemorrhoids.

I think you have SRUS, Ispaghula, and diet modification can easily treat that. We do not do any investigation for this until constipation gets treated, and it will not respond. In comparison, the problem of hemorrhoids is common in the adult age group. Constipation is one of the causes. Other risk factors are alcoholism, liver disease, and rectal carcinoma.

For constipation, we give Isabgol (methylcellulose), which is a bulk-forming agent. Along with this, you need to take a high-fibre diet and plenty of water. If you have hemorrhoids, then in the early stage, exercise can benefit you. There are two types of exercise, one is to decrease your weight if it is excess (more than 176 pounds), the second is to do anal exercise in the form of anal contraction for five minutes every hour. Controlling constipation will also decrease your hemorrhoids.

Regarding your daughter, I think she may have constipation. You should note how long she sits on the toilet; sitting for more than five minutes is common in constipation. Also, observe whether she strains during defecation or passes hard stool. If she is constipated, she requires treatment, and her pain will improve after treatment. She also does not require any investigations at this stage. Please provide her height and weight; if these are abnormal, further investigations may be needed.

Lastly, follow the above recommendations for yourself. Provide detailed information regarding your daughter. Give her a single dose of Albendazole 400 mg. Consult your specialist doctor, discuss with them, and take the medicines with their consent.

I hope this helps you.

Thank you.