Concerned About Diarrhea

I have had problems off & on with external hemorroids (hemorrhoids) for about 15 years and they will bleed from time to time.

In the last week however I have had some dizziness which is gone now, along with periodic bouts of intermittent diarrhea along with normal bowel movements 3-4 times a day. I also had bouts of constipation this week as well.

Today for the first time I noticed bright red blood on the toilet paper the last time I had a bowel movement. I work out five times a week and am about 10 pounds over weight. I am a 47 year old male.

Finally earlier this week I had a major flare up with my hemoroids, which was very painful. My anus became extremely irritated, but no bleeding until today. What should I do? Thanks

Jongt

[Kevin Pho, MD]

Dizziness can be a sign of anemia or dehydration - which can be caused by bleeding and the diarrhea respectively.

I would first see a physician to ensure the above diagnoses are not present.  

A colonoscopy would need to be done.  Other than hemorrhoids, there are many other serious causes that can lead to bleeding - such as cancer, polyps, or inflammatory bowel disease.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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