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Hemorrhoids From Diarrhea

September 27th, 2009 Leave a comment Go to comments

hemorrhoids from diarrhea
Is this blood?

I had an awful exacerbation of my IBS-d symptoms today; I was in so much pain and spent a lot of time in the WC. During my worst bout today, I noticed some very dark maroon coloring to the diarrhea. I’ve had blood in my stool before from hemorrhoids, and it was much brighter in color than this, plus left little spots on the tp. This was different. I’m on no new meds or anything. I’ve had tons of tests (colonoscopies, etc.), even very recently when I was hospitalized for almost two weeks because of losing weight and dehydration (from my chronic diarrhea). Aside from a positive ANA (but that test is inconsistant), the docs say it’s just really bad IBS.
I guess it’s all in my head, but I could swear I’m really sick. What do you think?
BTW, I’ve had this condition most of my adult life, but it’s gotten worse in the last few years.

Well my theory’s always been that if the patient thinks they’re sick, they probably are.
If your symptoms are getting worse and you think there may be blood in your stool I would think that would certainly warrant further investigation. If you’ve had a recent colonoscopy with no abnormalities that is reassuring, but your positive ANA is interesting. You said that it is inconsistent, does it by chance correlate to the severity of your symptoms? In other words do you know whether it is eleveated when your symptoms get worse?
Also, have you been evaluated for Celiac Sprue? There’s also a slight possibility that you have a condition like Crohn’s disease which didn’t show up on the colonoscopy, this happens in about 30% of cases. Obviously your doctor would be the one most familiar with your case so he/she would have the best reccomendations, but (if you haven’t had one already) a small bowel follow-through may be considered to see if there are any conditions affecting only the small intestine. You may also consider some blood tests to evaluate for inflammation, malabsorption, or anemia: CBC, ESR (sed rate), and a CRP, if you haven’t had them already.

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