DRE is normal... which means no hemorrhoids and fissure

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Hello Thank you for describing your history in such detail — it really helps in understanding the pattern. From your timeline, the episodes of bright-red blood after passing stool, associated with constipation and anal burning, strongly point toward anal fissure or internal hemorrhoids (piles) rather than any serious intestinal disease. Since the bleeding is bright red, appears after straining, and your weight and energy are stable, we can safely say this is most likely a local anorectal cause. The recent dark brown sticky stool and feeling of incomplete evacuation could indicate mild constipation with mucus or minor dietary changes, not internal bleeding (black/tarry stool would suggest that). However, because the issue is recurrent for almost a year, I would recommend: A proper proctoscopy or sigmoidoscopy to confirm if there are fissures or piles. Stool occult blood test (to rule out upper GI source). A tailored plan including stool-softening regimen, local ointment, sitz baths, and dietary correction. These problems are completely treatable when handled in a systematic way. If you’d like me to review your reports and guide you with an exact medicine + diet plan to permanently stop recurrence, you can message me privately on WhatsApp at nine three two six zero two zero five three six for a detailed consultation. We’ll fix your digestion, ease constipation, and ensure you never face this bleeding again.

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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Do connect and consult

As per your history, looks like tou have anal fissure. Consult a general surgeon offline. You need to be examined before initiating specific treatment.

Hi, First of all thanks for such a detailed history. I understand you've been suffering for a while. You might be having fissures -one or more, piles or a stomach ulcer.

You are wasting your time by writing such huge stories. Please consult a General Surgeon in your area for a physical examination. He is the only person who can diagnose whether you have piles or a fissure or if there is any evidence of cancer.

It might be anal fissure or hemorrhoids. Drink plenty of water. Fibre rich diet. Take laxatives. If symptoms persists get examined by surgeon.

For proper guidance, please consult a surgeon, as a detailed examination is essential. Long-term management mainly includes: Diet: Focus on a high-fiber diet and adequate hydration. Medications: Use laxatives or lubricants if advised by your doctor. Exercise: Regular physical activity is equally important — even a daily walk helps. Remember, the more active you are, the more active your bowel will be.

There is need for a proper anal examination and stool test. Consult a surgeon

May be due to analfissuer, Take good diet adequate in fiber , If still having problem consult nearby general surgeon and get further examination done

It has to be something internally..There cant be a symptoms without a cause..visit a good gastroenterologist

If you want to discuss your problem in more detail, feel free to to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion

Please consult a gastroenterologist physically.

Fissure. Change life style n diet plan drastically. Use or isabgol husk two teaspoon two times  for prolonged  times  is BENIFICIAL. Locally apply anovate with index finger first on buthole than gently push inside the anus rotate the finger to cover anal mucosa completely before n after defication two times for 3 weeks for complete  healing.

This is a case of fissure. You may use a stool softener.

Hello, I am Dr. Romain Rajan, General Physician. Your case has been allotted to me. I understand your concern. Rectal bleeding and bowel disturbances can be worrying, but from your detailed history, it appears to follow a constipation-related pattern most often due to minor anal fissure or hemorrhoids, which are both common and manageable. 1. Advices Maintain soft, regular stools — take Isabgol husk or a gentle laxative such as Cremaalax or Lactulose syrup at bedtime for a few weeks. Drink at least 3–4 litres of water daily and include fruits like papaya and banana in your diet. Take a warm sitz bath twice daily for 10–15 minutes (use lukewarm water with a pinch of salt). It improves healing and reduces burning. 2. What to Monitor Reappearance of bright red blood in stool. Any new change in stool colour to black or tarry. Fatigue, weight loss, or persistent abdominal pain. 3. Management You may apply Anovate or Lignocaine jelly locally after bowel movement for relief. Avoid straining, spicy food, and prolonged sitting. If the bleeding or burning continues despite these measures, a physical examination or sigmoidoscopy may be advised to confirm the diagnosis and rule out internal hemorrhoids or mucosal inflammation. 4. When to Consult a Doctor Immediately Continuous bleeding for more than 2–3 days. Black or tarry stool. Severe pain, dizziness, or fatigue. Every patient’s situation is unique. For accurate diagnosis and lasting relief, it’s important to discuss your medical history and symptoms in detail. 👉 You can reach out to me directly for this case, and also connect with me in future for any medical consultation. I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where you’ll receive: • A personalized treatment plan • Safe medicine adjustments (if required) • Quick follow-ups to track your recovery Take care, wishing you good health. Best regards, Dr. Romain Rajan General Physician

From the pattern, it appears to be due to an anal fissure or mild hemorrhoids related to constipation. Since DRE was normal and there’s no weight loss or black stools, serious causes are unlikely. Try a high-fibre diet, hydrate well, use a stool softener, and do sitz baths. If bleeding recurs or persists, get a proctoscopy/colonoscopy done to rule out internal causes.

On the basis of history you told there could be IBD ONLY Colonscopy could rule out get it done as soon as possible For further consultation you could contact through practo only

Did you get colonoscopy done? My advice will be either get colonoscopy done or get markers done first

Hello i am dr yash goyal .follow up for consultation

Avoid spicy food Avoid coffee and tea in empty stomach

You need physical consultation from a surgeon Also try not to take laxatives too often

Connect please

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

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Apply annovate cream Take tab imol plus Tab cipro tz twice daily