Tuesday, December 13, 2011

Blood in the Toilet

 I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.

Ask your medical question here. : My mother has just been to the bathroom and it is bright red blood. It is as if she is on her cycle. Her belly has not been hurting or has this ever happened before. What could it be?

Gender: Female

How old are you?: 49

How long has this been going on?: A few days

Check all symptoms you are currently experiencing:
Diarrhea

Describe associated symptoms. Her belly has not been hurting or has this ever happened before. What could it be?

Describe associated symptoms not listed above: just went to the bathroom today and that is when it started. Has happened two times already. back to back

What have you done so far to remedy this condition? Please include tests and relevant studies here.
: nothing

Please list any chronic medical problems and also list any prior surgery (lacerations don't count!): High blood pressure diabeties high chol

Check all that apply to you or your immediate family (parents, siblings, grandparents):
Diabetes
Hypertension

Please list any medication allergies that you have : : Please do not list any medicines you merely dislike. True allergies produce hives and other symptoms. An upset stomach is not an allergy to a medicine. Thanks!

Please list any medications you are currently taking (and dosage if known) :: Also, please tell us if there is medicine you are supposed to be taking but are not. Thanks!

When was your last menstrual cycle?: 2 weeks ago
Are you currently using or do you have a history of tobacco use?: No
Are you currently using or do you have a history of illegal drug use?: No
Please describe your alcohol consumption :: Never

HOW QUICKLY DO YOU NEED THIS TO BE ANSWERED?: Within 8 hours
So that we can serve you best, please try to tell us your top three things you wish to be addressed in our response. You will likely get more than you ask for, but we wish to understand your priorities.
: possible causes, what it is, and how to prevent it

2 comments:

DOC1 said...

Sorry... Hard to do this on a cell phone. The question is where the blood is coming from. If the bladder she should have a urinalysis today, an with this an exam to see if the blood is from the urine or vagina. If from the urine then this could easily be a simple bladder infection and antibiotics would be needed to rectify this befor the infection spreads.

If this is blood with bowel movements then the source needs to be found an given that this is the third day I would not delay in seeking care to identify the source.

I will have more for you soon though, as above, I am only able to access the site from my cell phone right now.

Any fever or pain should prompt a visit to her physician immediately, and if this is not an option, the ER is the place to go.

If you have further questions please post them in the comment section and I will get to them when I can. But please get her seen a soon as you can.

Thank you for your question.

DOC1 said...

In re-reading your question it seems that this is a blood in the stool issue, and, if so, the need to find a source is particularly important. Sine this has occurs with a siarrheal illness I might indicate an infectious diarrhea that might need to be treated with antibiotics. But folks with infectious diarrhea are typically quite Ill.

This eases the possibility of diverticulosis or hemorrhoidal bleeding. These are important to identify, but the trick here is that and lower GI bleeding will eventually require a colonoscopy to rule out the possibility of bowel cancer.

To be sure, this story does not lead me to this conclusion, I merely mention it because a good work up WILL address and rule out this possibility.

Thanks again for your question.