Doctors Lounge - Oncology Answers
Forum Name: Colon and Rectal Cancers
Question: 61 y/o male with rectal bleeding
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|ladr6 - Tue Feb 26, 2008 5:30 pm||
This is in reguards of my father...
61 y/o M with blood in loose stool for 1 + week. No pain during BM. No known lumps around anus. No side or stomach pains. No stains in underwear. Blood is sometimes more than normal causing bowl to turn red. Has BM 2-3 times a day. No nausea, vomiting, diarreha, chills, fever, headaches. Unknown Fam hx.
Meds: (sorry for mispellings)
-Lexapro (was taking symbalta)
|Debbie Miller, RN - Wed Feb 27, 2008 5:52 pm||
The most common cause of rectal bleeding is hemorrhoids which may be internal and you are not even aware they are there. If you have constipation and occasionally strain with bowel movements, this is especially likely.
At your age you should have a colonoscopy if you haven't had one already. This is a recommended screening procedure to rule out early problems that may be present. So it would be good to see a proctologist, colorectal surgeon, gastroenterologist or endoscopy lab for a referral to someone for the screening. A simple exam in the office can diagnose hemorrhoids.
If this is the case, you should add fiber and water to your diet, get regular exercise and use a mild laxative to avoid straining and aggravating the hemorrhoids. Taking a daily soluble fiber supplement such as metamucil, citracil, or Konsyl can make a big difference. You can also add prunes or prune juice to your breakfast, replace white, refined flours with whole grains and eat lots of vegetables. These can all make a difference.
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