YOUNG-WOMEN Messages for August, 2001: Re: Bleeding and pain w bms

Re: Bleeding and pain w bms

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 15 Aug 2001 17:58:30 -0500 (CDT)

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In reply to: AJ: "Bleeding and pain w bms"

At Wed, 15 Aug 2001, AJ wrote: >
>Hello! I'm 22 years old and have endometriosis. For the past year or so
>I have had bleeding w bms off and on. I have had a fissure one of the
>times I went to my dr. I have had bouts of constipation/diahhrea in the
>past. I have been taking Metamucil to keep regular. My bms have always
>been painful bc of the endo, but they are getting more painful, and now
>it feels as if I'm being "ripped" inside. The blood varies from bright
>red to pink, from a lot to just a spot and sometimes is on the stool
>itself. Is this probably another fissure, or could it be something more
>serious? I know that you will probably tell me to seek care of my
>physician because it is blood, but I'm kinda in between drs right now
>and wonder if this is something that I should go to the er for, or if it
>can wait until next month? Also, are some people just prone to have
>bleeding w bm's because I have also had a colonoscopy for this and
>nothing was found except for some inflammation of no known cause. Thank
>you for your time.
>Take care and God Bless,
>AJ

AJ, The most common cause of blood ON the stool is a fissure or hemorrhoid. Blood in the stool is another issue and usually results from intestinal bleeding further up the GI tract. As to the urgency, that will have to be your call... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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