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Anal bleeding

I am a male, aged 44. Had gas/acidity problems last year. Saw a gastroenterologist. Endoscopy revealed "antral gastritis". Took medicines & got cured. Used to have fresh blood in stool at times. Gastro doc referred me to see a Surgeon early this year (Jan/Feb) whose diagnosis was "small haemorrhoids & anal fissures". Said no urgency for surgical operation. Prescribed anovate cream & mild laxatives - which I took for some days. I was OK for several months ever since and thought the problem had fully healed. But now - after a week's bout of constipation - suddenly there's "bleeding" while passing bowels - fresh bright red blood either dripping or as streaks on stool - especially when I'm trying to strain. Stool's normal yellow colour & blood not mixed with stool. What's could be the problem? Haemarrhoids again ? Should I see the doctor again ?
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Harisha N L
General Physician 3 yrs exp Bangalore

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Hello...hard stools or constipation can be treated with conservative dietary adjustments...fiber rich food helps in preventing constipation as it doesn’t get digested, plays an important role in your digestion...If you lack enough fiber in your diet, your stool can become stagnate, dry and hard. Increasing your fiber intake will help promote soft and bulky stool. Foods that are fiber-rich include beans, fruits, whole grains, beans and vegetables....in adequate fluid content in your diet can make stools hard and get impacted... Drink plenty of water,coconut water,fruit juice etc...Regular physical activity can stimulate your digestive system, promoting more frequent bowel movements...so exercise atleast 2 hours a day...Consult nearest surgeon they will do the needful.
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Dr. Jyoti Talukdar
General Physician 18 yrs exp Gurgaon

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Please see a surgeon. Eat plenty of fibres like fruits, vegetables & cereals. Plent of water or fluids 8-10 glasses a day. You can take isabgul available in chemist shop. For pain apply pilex cream. Don't strain during defecation.
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