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Old 10-01-2007, 02:18 AM   #1
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Pool of fresh blood in toilet and tissue

I am now seeing a pool of fresh red blood and sometimes fresh maroon blood in the toilet with every bowel movement. It's frightening to say the least.

I am hoping that it is only hemmeroids and nothing sinister higher up GI tract. I am 33 years old.

Has anyone else had this? Surelt tiny hemms can cause this much blood?

Last edited by LondonRed; 10-01-2007 at 02:19 AM.

 
Old 10-01-2007, 05:46 AM   #2
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Re: Pool of fresh blood in toilet and tissue

And the reason you've not been to the doctor is???? You know what you need to do, so you'd better make that appt. It could be anything.

 
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Old 10-01-2007, 07:02 AM   #3
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Re: Pool of fresh blood in toilet and tissue

Rectal bleed in any amount should be checked out by a doctor.

 
Old 10-01-2007, 09:09 AM   #4
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Re: Pool of fresh blood in toilet and tissue

Apologies - maybe I wasn't clear.

I have already visited the doctor and seen to GI doctors. This started 3 months ago initially as little streaks of blood on toilet paper and on the stool. I changed my diet and added probiotics and it seemed to clear up. I felt much better. Then it came back after the sigmoidoscopy, went away and then came back 3 weeks ago and it hasn't stopped. I have had blood every day, little amounts. But in this past week I have had a moderate amounts of blood in the toilet, on the tissue and on the stools making the whole toilet water red.

My IBS and General Anxiety Disorder does not help matters as I simply find it hard to form a decent stool, it's usually small, or runny. When it is a normally formed stool my bowel movements are fine and I tend to bleed less.

The blood now comes in a dolop like it's been building up inside me, ready to come out. It usually happens at the end of the bowel movement and it doesn't matter if I strain or not. It's baffling, I certainly don't need stool softeners and didn't get it from constipation as is the norm.

I have seen 2 GI docs, and this is what they did or said:

1. Fist one did a Proctoscopy, Flexible Sigmoidoscopy - found 2 very small hemmorhoids and minor inflammation - discharged me. Offered to band the hemmorhoids once they were bigger. Said I didn't need a Colonoscopy as it was highly unlikely to higher up.

2. Second one said he wanted to break the cycle of anxiety by doing a Colonoscopy and giving me the 'all clear'. He said the blood was probably hemmorhoids and it is normal for them to bleed like that and offered to inject them. He also did all the blood work and it all came back fine today.

I have a few questions:

1. If there was something wrong would it show on the blood work?

2. Can hemmorhoids bleed that much fresh blood? Is it normal for it to happen every bowel movement?

3. If I have IBS it means my digestive cycle moves fast, does that mean it can carry fresh blood from very high up and still show as fresh when it comes out?

This has been the most traumatic period of my life.

 
Old 10-01-2007, 11:33 AM   #5
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Re: Pool of fresh blood in toilet and tissue

Oh, that IS troubling. All I can say is get another opinion. Take photos of the toilet bowl if necessary to get your point across to them. What you are experiencing is NOT normal so keep at it until you can find someone who will find the cause of the bleeding. It won't necessarily show in bloodwork unless you lose enough blood to become anemic.

 
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Old 10-01-2007, 12:28 PM   #6
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Re: Pool of fresh blood in toilet and tissue

LondonRed,

Blood work will usually not show up anything. Except if you loose too much blood your hemoglobin will decrease and hematocrit will drop and you will become anemic-- low iron and ferritin levels. This willnot happen with the small amount of blood you describe.

Hemorrhoids usually donot bleed that much and are sort of self limiting. Hemorrhoids occur in your rectum area -- that is about 20 cm (8 inches) long.

Most diverticular pockets occur in your sigmoid colon.
If you have diverticular disease and your blood is thin or you have a blood clotting problem --- just 1 pocket may bleed alot because the blood is not clotting properly.

Blood oxidizes very rapidly and if you bleed any more than 2 feet or so in your colon -- it will be very dark red. And, if bleeding occurs in your small intestines -- it will generally be black by the time it passes to the toilet.


Harry

 
Old 10-01-2007, 01:18 PM   #7
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Re: Pool of fresh blood in toilet and tissue

Quote:
Originally Posted by Harry View Post
LondonRed,

Blood work will usually not show up anything. Except if you loose too much blood your hemoglobin will decrease and hematocrit will drop and you will become anemic-- low iron and ferritin levels. This willnot happen with the small amount of blood you describe.

Hemorrhoids usually donot bleed that much and are sort of self limiting. Hemorrhoids occur in your rectum area -- that is about 20 cm (8 inches) long.

Most diverticular pockets occur in your sigmoid colon.
If you have diverticular disease and your blood is thin or you have a blood clotting problem --- just 1 pocket may bleed alot because the blood is not clotting properly.

Blood oxidizes very rapidly and if you bleed any more than 2 feet or so in your colon -- it will be very dark red. And, if bleeding occurs in your small intestines -- it will generally be black by the time it passes to the toilet.


Harry
I have had the flexi sig which looks at the rectum and a 3rd of the colon, and so thats been checked. The blood is bright red, but all that is left is the higher part of the colon where the blood is darker.

I am confused.

 
Old 10-01-2007, 01:21 PM   #8
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Re: Pool of fresh blood in toilet and tissue

Quote:
Originally Posted by Brocallie View Post
Oh, that IS troubling. All I can say is get another opinion. Take photos of the toilet bowl if necessary to get your point across to them. What you are experiencing is NOT normal so keep at it until you can find someone who will find the cause of the bleeding. It won't necessarily show in bloodwork unless you lose enough blood to become anemic.
So what you are saying is bright red blood on tissue, toilet and toilet pan is not normal for Hemmarhoids?

I think it is normal, what I find disturbing is that it happens with every bowel movement and won't go away.

Did I mention that one of the sugeons found two small internal hemmorrhoids which he says can bleed?

Last edited by LondonRed; 10-01-2007 at 01:23 PM.

 
Old 10-01-2007, 07:49 PM   #9
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Re: Pool of fresh blood in toilet and tissue

it is not uncommon to bleed a lot and and have a lot of blood in the toilet
form bleeding hemmroids or bad fissures.you could have a very bloody hemroid and burst open every time a stool rubs against it.i had it so bad
i became anemic and need transfusions.if its bright red its lower in the rectum ifs its black red stools its higher up.i had surgery to correct this
once it becomes chronic it will always bleed ,i can tell you that i suffered
a lot and was much better after surgery.hemmroids can bleed that much
if there are ruptured and you hit a good vein. i have ibs,chron"s and
i can tell you that hard stools ,diarrhea will just aggravate the problem
worst.its hard to tell you of any solutions because ibs is hard to deal with
and i can sympathise for your situation.you must see a colorectal surgeon
to deal with this bleeding issues

 
Old 10-01-2007, 09:14 PM   #10
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Re: Pool of fresh blood in toilet and tissue

Thanks for that pal. I am seeing specialists and one has finally suggested injections. My blood on the whole is bright red. My problem is when i get the odd darker stool or darker blood i freak out thinking its something else even though i have had a flexible sigmoidoscopy. My piles are really small which is why i am surprised at the moderate bleeding.

 
Old 10-02-2007, 08:45 AM   #11
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Re: Pool of fresh blood in toilet and tissue

I am now booked in for a Colonoscopy which will look for Colitus, Chrohns and other major deseases although the GI is certain it isn't there. I will also have my first degree piles injected or banded.

Which is better banding or injection?

I just want this to be over one way or another.

 
Old 10-03-2007, 05:09 AM   #12
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Re: Pool of fresh blood in toilet and tissue

Does anyone have info on Cancer, Colitus and Chrohns and how common it is on 33 year olds to have it on the colon not reached by sigmoidoscopy?

I guess it is rare for me to have the first one (God willing) but what about the other two?

Last edited by LondonRed; 10-03-2007 at 05:10 AM.

 
Old 10-03-2007, 06:19 AM   #13
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Re: Pool of fresh blood in toilet and tissue

All 3 of them can happen to a 33 yo, but cancer would be the least likely cause. It's good you are having the colonoscopy, as that "should" get to the bottom of things.

Keep us posted and relax until you actually have something to worry about.

 
Old 10-03-2007, 11:20 AM   #14
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Re: Pool of fresh blood in toilet and tissue

Thanks Brocallie. I guess I won't know until I get the Colonoscopy done and have my internal piles injected. I just hope it is cleared up once for all God willing for the better.

I just had a bowel movement and saw a really nice bulky stool with no blood on it and it was the perfect colour - medium shade of brown. Then when I wiped myself there was fresh bright red blood on the tissue. It was as if the blood was seperate from the stool.

But each time it is different, sometimes its in the toilet bowl making it pink, sometimes on the outside of stools. It all points to it coming from the lower part of my colon, the rectum or anus and I have had a Flexi Sig done to check all that.

But you just never know, I am still worried.

 
Old 10-03-2007, 01:37 PM   #15
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Re: Pool of fresh blood in toilet and tissue

Yeah, I get that from time to time. I had a colonoscopy done and all they found were a couple of small internal hemmies. Once my high-fiber diet kicked in I went from weekly bloodbathes to once every couple months.

 
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