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bowel

IJ7
enquiry: I am a 50th year old man I am not the kind of person to go to doctors but I am really worried as i have been so weak and tired and taking sweats all through the day and night i have trouble going to the toilet to move my bowels as i feel that there is something blocking my stools I also have a pain in my groin and back and there has been a show off blood in my stools but not all the time. I have lost about 1/2 a stone in weight in a few weeks and i have no appitite at tall.  Been to doctor 3 times.. had routine bloods done everthing ok. Gave me laevolac to move my bowels. It worked and moved my bowels but I still feel the same as i did so went back again and doc told me to keep taking lactulose as it would clear. I am not happy with his findings as i am now worried and of my work as it is to hard going first time been of work in my life so i know there must be something wrong. Please could you help. I also suffer from sarcoidosis on my lungs had a x ray and it was fine.
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351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
Since there is blood which you can see, it is coming from the lower gut. This can happen in hemorrhoids, rectal polyps, colon polyps, diverticulosis (outpouchings from the bowel wall), inflammatory bowel disease (IBS, Crohn's, Celiac, ulceative colitis), or dysentery (ruled out in your case).
It would be wise to get a colonoscopy and also consult a gastroenterologist.
A number of times a gastroenterologist is able to diagnose these conditions by clinical examination and detailed medical history. At other times a few tests are conducted. Blood tests to rule out anemia, stool test to look for white blood cells, sigmoidoscopy, colonoscopy etc are used to diagnose ulcerative colitis. Braium meal and follow through, endoscopy etc are done to rule out GERD, Crohn’s disease etc. Irritable bowel syndrome is diagnosed by elimination of other causes. If you have gluten intolerance, then you probably have celiac disease or Non Celiac gluten sensitivity. There are blood tests called celiac test to detect gluten intolerance.
Crohn’s disease is a difficult entity to diagnose. Along with gut symptoms skin disorders and arthritis too are commonly seen with Crohn’s. An upper GI series using barium dye is done to see the condition of small intestines. The degree of involvement of the large and small intestine may vary from person to person.  A biopsy is the most confirmatory. An elevated ESR, low protein, minerals and iron in blood are the other findings in Crohn’s which may or may not be present. A recent advancement in Crohn’s diagnosis is video capsule endoscopy.
Since I cannot examine you and know other related conditions you may be having, nor is a detailed history possible on net, I have listed the various possibilities that should be looked into. Please consult your PCP to run tests and examination and also a gastroenetrologist to clinch a diagnosis.
Take care!
Helpful - 0
1027094 tn?1327429732
Well if you are bleeding from your rectum, I'd ask for a colonoscopy. You're 50 so you should have one anyways.
Helpful - 0
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