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- Feb 22, 2006
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Question:
32 y/o M c/o several episodes of BRBPR which he associates with consumption of either steak or corn chips. He has had a couple of rectal exams which were normal and did not reveal any cause of bleeding. He has no history of hemorrhoids or fissures and no family history of colon cancer. Patient has no other GI complaints such as diarrhea, constipation, or rectal or abdominal pain. He is relatively unconcerned and does not want any further testing. I think a sigmoidoscopy or barium enema should be done at the very least to look for a source of bleeding. I am not sure if it is really related to the steak and corn chips or if the patient is just looking for something to blame. Can either of these foods irritate the GI mucosa or cause constipation that might cause hemorrhoids to bleed? Am I overreacting?
32 y/o M c/o several episodes of BRBPR which he associates with consumption of either steak or corn chips. He has had a couple of rectal exams which were normal and did not reveal any cause of bleeding. He has no history of hemorrhoids or fissures and no family history of colon cancer. Patient has no other GI complaints such as diarrhea, constipation, or rectal or abdominal pain. He is relatively unconcerned and does not want any further testing. I think a sigmoidoscopy or barium enema should be done at the very least to look for a source of bleeding. I am not sure if it is really related to the steak and corn chips or if the patient is just looking for something to blame. Can either of these foods irritate the GI mucosa or cause constipation that might cause hemorrhoids to bleed? Am I overreacting?