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Certain medications, such as calcium channel blockers or proton pump inhibitors, can exacerbate anorectal symptoms by causing diarrhea or constipation, or they can exacerbate bleeding (e.g., Coumadin, nonsteroidal anti-inflammatory drugs). A history of hemorrhoidectomy, fissure surgery, fistula surgery, polypectomy, or colectomy may be relevant.
While the exact cause of hemorrhoids remains unknown, a number of factors that increase pressure in the abdomen are believed to be involved. [4] This may include constipation, diarrhea, and sitting on the toilet for long periods. [3] Hemorrhoids are also more common during pregnancy. [3] Diagnosis is made by looking at the area. [3]
Doctors uses a variety of tools and techniques to evaluate the type of anorectal disorder, including digital and anoscopic investigations, palpations, and palpitations.The initial examination can be painful because a gastroenterologist will need to spread the buttocks and probe the painful area, which may require a local anesthetic.
Causes of upper GI bleeds include: peptic ulcer disease, esophageal varices due to liver cirrhosis and cancer, among others. [3] Causes of lower GI bleeds include: hemorrhoids, cancer, and inflammatory bowel disease among others. [2] [1] Small amounts of bleeding may be detected by fecal occult blood test. [1]
While many different things can cause diarrhea—including infections or a more serious gastrointestinal condition—in most cases, it will go away after a few days without the need for treatment.
Blood in stool looks different depending on how early it enters the digestive tract—and thus how much digestive action it has been exposed to—and how much there is. The term can refer either to melena, with a black appearance, typically originating from upper gastrointestinal bleeding; or to hematochezia, with a red color, typically originating from lower gastrointestinal bleeding. [6]
Where diarrhea is caused by temporary problems such as mild infections or food reactions, incontinence tends to be short-lived. Chronic conditions, such as irritable bowel syndrome or Crohn's disease , can cause severe diarrhea lasting for weeks or months.
Loose, watery stool can be due to contaminated food, chronic diseases, or even the medications you take. Find out what could be causing your symptoms–and how to stay healthy.
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