Crohns Disease/Rectal Bleeding

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Question
Dear Mr. Coyle,
I am a 26 year old boy and I recently have rectal bleeding (2 times in two successive days). The color of Blood that results from rectal bleeding is bright red. Rectal bleeding occurs when I pass hard or large stools. It causes pain and I completely feel the pain in the entrance of my anus. I feel embarrassed if my family knows about it. It will be so nice of you if you offer some advice on the treatment of this issue.
Regards,

Answer
Hi leopald,

The bright red blood is a sign that the bleeding is from tearing on the outside, not internal bleeding, which is somewhat good news. You should try to stick to a bland diet so not to strain yourself.  http://www.atlanticcoastgastro.com/the-bland-diet.html

Warm soaks in a bathtub or with a sitz bath can help the pain, as well as some over the counter balms. To me it sounds most likely like hemmoroids. Something like preparation h could help, but you should really be seeing a doctor.

I hope this helps

Jaime

Crohns Disease

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Jaime Coyle

Expertise

I can answer any questions regarding what it's like to live with Crohn's, Ulcerative Colitis an ostomy bag, or a j-pouch. Symptoms, medication options, what to expect after some surgeries, and what to expect overall if you are diagnosed. I can give advice on how to explain the disease to friends and family, as well as answer questions for any family members who feel helpless. I am familiar with many support groups and websites dedicated to the diseases which I can refer people to. I also know many products available to help with some of the more uncomfortable issues that come with having these diseases.

Experience

I am not a doctor. I was diagnosed with Ulcerative Colitis when I was 14. I had a very quick and serious bout with it in which I was hospitalized on and off for more than a year. I tried many different medications and finally had to resort to surgery. After my large intestine was removed I lived with an ostomy bag for a year as a teenager. My second surgery was to create a j-pouch and reconnect everything to my rectum. For the last 13 years I have been relatively healthy however have been diagnose with most likely having Crohn's. During these years I have joined numerous support groups and have been in touch with tons of people who are going through it. I keep up research on the newest medications and talk to people who take them about the side-effects. Also when I was sick I tried almost every medication available and can personally talk about the side-effects. I was a camp counselor for the United Ostomy Association's Youth Rally where I taught kids how to live with their diseases. It is something that I feel very strongly about and having gone through it I know that it feels like you are alone.

Organizations
Crohn's and Colitis Foundation, United Ostomy Association, Youth Rally Committee, J-pouch.org

Education/Credentials
bachelor degree in management from Emerson College

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