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    A Simple Guide to Blood in Stools, Related Diseases and Use in Disease Diagnosis
    A Simple Guide to Blood in Stools, Related Diseases and Use in Disease Diagnosis
    A Simple Guide to Blood in Stools, Related Diseases and Use in Disease Diagnosis
    Ebook67 pages45 minutes

    A Simple Guide to Blood in Stools, Related Diseases and Use in Disease Diagnosis

    By Kenneth Kee

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    About this ebook

    Blood in the Stools

    What is Blood in the Stools?

    Blood in the stools can be in the form of red blood in the stools (hematochezia) or black stools (melena).

    Red Blood in the Stools or Hematochezia is bleeding from the lower gastrointestinal tract with red fresh blood in the stools.

    Blood in the Stools is usually bright red.

    Hematochezia usually presents as minor bleeding that is important because it may have come from a rectal or colonic cancer.

    Direct questions regarding the frequency, amount, and duration of hematochezia should allow the examiner to determine whether the patient is bleeding dangerously or minor bleeding.

    Black Melena stools are shining black in color and sticky (tarry).

    The black color of the stools is believed to be oxidation of the iron from the red blood cells in the intestines usually more than the 14 hours from its origin in the upper part of the digestive tract.

    Typically the stools have a black color with a red tinge at the edges and are soft and almost slimy.

    Other substances such as iron or bismuth can turn the stool black but not shining.

    A melenic stool contains blood and usually means upper gastrointestinal hemorrhage,

    It takes 50 ml or more of blood in the stomach to turn stools black.

    One to two liters of blood given orally will cause bloody or tarry stools for up to 5 days.

    The first such black stool usually appears within 4 to 20 hours after ingestion.

    Thus a melenic stool is indicative of recent bleeding but does not indicate the presence or rapidity of bleeding at the time of passage.

    Hematochezia usually comes from a colonic site although blood rapidly transported from the upper gastrointestinal tract can be red when passed.

    In older patients, massive lower intestinal hemorrhage is frequently caused by a bleeding diverticulum or an arteriovenous malformation.

    Very rapid upper gastrointestinal bleeding less than 14 hours often from an arterial site in a peptic ulcer may cause hematochezia.

    What are the Causes of Blood in the Stools?

    Causes that can make a person pass blood in the stools are:

    1. Cancer of the colon and rectum

    2. Bleeding hemorrhoids

    3. Ulcerative colitis

    4. Diverticulitis

    5. peptic ulcers

    6. Injury in the anus or rectum

    7. Bleeding diseases

    How is Blood in the stools diagnosed?

    1. Physical examination of the anal region for piles and injuries

    2. Proctoscopy for piles

    3. Sigmoidoscopy for rectal tumors

    4. Colonoscopy for rectal and colon cancers and polyps

    5. Full blood count for bleeding diseases or blood cancers

    6. Stool culture for bacterial, viral and parasitic infections

    7. Test to see if the blood clots normally, such as PT or PTT

    8. Colon polyp or ulcer biopsy

    TABLE OF CONTENT
    Chapter 1 Blood In Stools

    Chapter 2 Disease Diagnosis

    Chapter 3 Hemorrhoids

    Chapter 4 Cancer of Colon

    Chapter 5 Ulcerative Colitis

    Chapter 6 Colon Polyps

    Chapter 7 Diverticulitis

    Chapter 8 Intussusception

    Chapter 9 Dysentery

    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateJul 17, 2013
    ISBN9781301648504
    A Simple Guide to Blood in Stools, Related Diseases and Use in Disease Diagnosis
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      A Simple Guide to Blood in Stools, Related Diseases and Use in Disease Diagnosis - Kenneth Kee

      A

      Simple

      Guide

      to

      Blood in the Stools,

      Related Diseases

      And

      Use in Diagnosis of Diseases

      by

      Dr Kenneth Kee

      M.B., B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2013 Smashwords Edition

      Published By Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      to my wife Dorothy

      and my children

      Carolyn, Grace

      and Kelvin

      This book describes the symptom Blood in the Stools and the Its Use in Diseases Diagnosis such as Hemorrhoids, Ulcerative Colitis, Cancer of Colon and Rectum, Diverticulitis, Bleeding Diseases and other Diseases which are seen in some of my patients in my Family Clinic.

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Chapter 1

      Blood in the Stools

      What is Blood in the Stools?

      Blood in the stools can be in the form of red blood in the stools (hematochezia) or black stools (melena).

      Red Blood in the Stools or Hematochezia is bleeding from the lower gastrointestinal tract with red fresh blood in the stools.

      Blood in the Stools is usually bright red.

      Hematochezia usually presents as minor bleeding that is important because it may have come from a rectal or colonic cancer.

      Direct questions regarding the frequency, amount, and duration of hematochezia should allow the examiner to determine whether the patient is bleeding dangerously or minor bleeding.

      Black Melena stools are shining black in color and sticky (tarry).

      The black color of the stools is believed to be oxidation of the iron from the red blood cells in the intestines usually more than the 14 hours from its origin in the upper part of the digestive tract.

      Typically the stools have a black color with a red tinge at the edges and are soft and almost slimy.

      Other substances such as iron or bismuth can turn the stool black but not shining.

      A melenic stool contains blood and usually means upper gastrointestinal hemorrhage,

      It takes 50 ml or more of blood in the stomach to turn stools black.

      One to two liters of blood given orally will cause bloody or tarry stools for up to 5 days.

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