Hello Doctor,
I have been passing stool 2 times a day, but only a small amount comes each time. The stool is soft, not hard. Earlier, I used to pass stool normally, but for the past few days only a small amount comes each time. I also don't feel the usual urge to pass stool, and when I do go, only a small amount comes out. I have a burning sensation while passing stool and for a few minutes afterward. In the past 1½ months, I have noticed blood while passing stool on 3 occasions.
Since today, I have also been having mild pain inside the anus and mild pain in the lower left side of my back. I am recovering from an ectopic pregnancy, and my beta-hCG is now around 3.6.
Could this be constipation, an anal fissure, hemorrhoids, or something else? What tests or treatment would you recommend? Should I see a gastroenterologist or another specialist?
Answers (14)
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These symptoms of straining, blood streaks, and anal pain point more toward a fissure or piles than anything related to your ectopic pregnancy recovery.
Next Steps
A gastroenterologist or proctologist can examine and confirm this with a simple local exam.
Health Tips
Please continue your separate beta-hCG follow up with your gynaecologist until it's fully cleared.
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Passing stool twice daily is not abnormal by itself; the important points are whether it is hard, painful, associated with straining or a feeling of incomplete evacuation. This can occur with constipation, fissure/hemorrhoids or irritable bowel, but an examination is needed if it persists. Increase fluids and fibre gradually, and avoid straining or sitting on the toilet for long. You can book a Practo consultation so I can review the full history.
Next Steps
Please seek prompt in-person review for blood in stool, black stool, severe pain, vomiting, fever, weight loss or persistent change in bowel habit. A doctor may need a rectal examination and further tests based on your symptoms.
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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