Patient :19 y/o female. I was having small spots of bright red blood after BM.
Primary care physician gave diagnosis of internal hemmroids, but did not do hemmroids check I was prescribed Mira lax.
Currently, I am off Mira lax eating lots of fiber, and drinking lots of water.
Today after BM I noticed one small piece floated to the top, and was accompanied by a long string of mucus.
Could this be from internal hemmroids?
This may be irrelevant, but I've also had pain in R Lower abdomin/ hip 5/10 pain that comes and goes.
Thanks for the query, an elucidate history and the image you have posted.
Noted the history of blood in the stool for which you consulted the PCP, who did not do internal examination nut prescribed you Miralax.
Currently- off Miralax, eating lots of fiber, and drinking lots of water.
Today after BM you noticed one small piece floated to the top, and was accompanied by a long string of mucus. This looks to be feces only with mucus. You could have certainly send this to the Laboratory for testing.
Could this be from internal hemorrhoids? > No this is not from the hemorrhoids.
This may be irrelevant, but I've also had pain in R Lower abdomen/ hip - 5/10 pain that comes and goes.
> This indicates more of colitis or appendicitis.
I would advise you in such a situation the following:
- Send the sample of stool for testing (if you have not flushed). Get tests of stool for 3 days.
- Consult a General Surgeon for per-rectal and Proctoscopy examination to start with, have clinical evaluation, examination, order for investigations of ultrasonography to start with.
- A course of Antibiotics, metronidazole, probiotics, anti-spasmodic as you have pain.
- Conform the probable diagnosis whether this is just a colitis or appendicitis or such a problem.
Get further tests of colonoscopy and CT scan of the abdomen- only if required.
I hope every point is clear to you and helps you proper diagnosis and treatment.
Please feel free to ask for any further relevant queries if you need to or if you feel that there is a gap of communication.
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