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12 Apr 2011

Soreness after bowel movement
Dear doc

I underwent a gastroscope by a specialist surgeon in December last year where it was found that I have got a hiatus hernia and a very irritated stomach lining. Nexiam 40mg was prescribed to control my reflux as a result of the hernia, which is working wonders.

Over the past few weeks I have been experiencing some discomfort after a bowel movement - my anus/rectum feels sore and burny on the inside. This persists for the entire day. If I then have a day or two where I don''t have a bowel movement there is no discomfort whatsoever, until the next bowel movement. My stool appears to be quite hard although I am not constipated on the toliet. There are also times where the structure of the stool changes. I have mentioned these things to the doc who did the scope but he ignored it.

I have decided to get a 2nd opinion with a proper Gastroenterologist next week to see what he says/suggests. What procedures would he likely perform on me/what can I expect? I am intending to take the scope report of December along to show him.

Thanks and regards
Answer 449 views
Expert
CyberDoc

01 Jan 0001

Dear Gastro
I agree with your seeking a second opinion. You may have a small tear in the anus causing the burning and soreness and the doctor will probably do a rectal examination in the room (it is not painful -they just feel inside the rectum and may look with a small proctoscope inside the rectum). If needed he may want to do a scope under light anaesthetic (that will be booked a few days later as one needs to use laxatives to first clear the bowel)
He may ask you to submit a stool sample to the lab to test for blood or parasites.
Dr Bets
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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