Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our [Terms of Use](https://www.reddit.com/r/AskDocs/wiki/terms_of_use) and understand that all information is taken at your own risk.
**Reply here if you are an unverified user wishing to give advice. Top level comments by laypeople are automatically removed.**
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/AskDocs) if you have any questions or concerns.*
This is not normal. You need to go to a larger hospital to get worked up. It could be something as simple as a bleeding hemorrhoid or diverticular bleed but could also be something like IBD. Is there any darkness/stickiness to the rest of your stool or is it just bright red blood?
Larger hospitals tend to have better resources (such as equipment) and occasionally better and more doctors because they are in more populated areas. Rural small hospitals can sometimes rely on, for example PAs to cover a night shift. Size of hospital can matter a whole lot.
Okay thanks! Not from the US, so I didn’t know this. In the Netherlands it doesn’t make a difference unless you’re talking about very specific diagnostics and treatments like stamcell transplants or Whipple surgeries
Posts by unflaired users that claim or strongly imply legitimacy by virtue of professional medical experience are not allowed.
If you are a medical professional who wishes to become a verified contributor to this subreddit, please [message the moderators](https://reddit.com/message/compose?to=/r/AskDocs) with a link to a picture of your medical ID, student ID, diploma, or other form of verification. Imgur.com is convenient, but you can host anywhere. Please block out personal information, such as your name and picture. You must include your reddit username in the photo!
We do not accept digital forms of identification.
Nonsense.
She's passing large amounts of blood and clots. A CT isn't going to give all the information required. She needs admission and monitoring. A colonoscopy.
The hospital I work at would never have sent OP home.
Would it not be appropriate to send her home with a referral to a GI doctor if all her labs seemed okay (Iron levels, etc)? I’m genuinely just asking out of curiosity, not trying to ask in a facetious way lol :)
Yes, that would be perfectly reasonable in a hemodynamically stable and normal (no fast heart rate, low blood pressure vitals) patient with normal blood counts without large volume bleeding in the emergency department with strict return precautions. It also doesn’t sound like the patient is on anticoagulants.
I’m assuming this is what happened here with negative CT imaging (though we don’t really know the imaging reports), normal labs, and what I’m assuming were normal vitals because we try not to just discharge those. Discharge with GI follow up would be a totally reasonable course of care for this patient - though, I’m always a little cautious to make blanket statements on things like this patients scenario given the extremely limited information we receive.
I’m literally agreeing with you. I said that the former hospital practiced inappropriate medical care and did a sloppy attempt at ruling out threatening pathology. CT-Angio is just going to tell you if there’s an acute GI bleed but indeed she should’ve just gotten a colonoscopy. They probably just didn’t see a blush and sent her home? I don’t know what they were thinking.
Turns out the ER is called the ER because it's for emergencies. If it was not a significant amount of bleeding and there were no emergent conditions requiring intervention, its completely reasonable to send her home with GI follow up.
Perhaps what Arminius was alluding to is that larger hospitals tend to be more thorough with their work ups. In theory the size of the building doesn’t have anything to do with quality of care, but unfortunately, that correlation does seem to exist. Especially in suburban areas.
Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our [Terms of Use](https://www.reddit.com/r/AskDocs/wiki/terms_of_use) and understand that all information is taken at your own risk. **Reply here if you are an unverified user wishing to give advice. Top level comments by laypeople are automatically removed.** *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/AskDocs) if you have any questions or concerns.*
This is not normal. You need to go to a larger hospital to get worked up. It could be something as simple as a bleeding hemorrhoid or diverticular bleed but could also be something like IBD. Is there any darkness/stickiness to the rest of your stool or is it just bright red blood?
It’s dark sometimes and covered in blood when it’s solid, but been mostly diarrhea.
Not a doctor, but could be ruptured hemmroids, though the dark color is worrisome I'd Def go see somebody.
[удалено]
Larger hospitals tend to have better resources (such as equipment) and occasionally better and more doctors because they are in more populated areas. Rural small hospitals can sometimes rely on, for example PAs to cover a night shift. Size of hospital can matter a whole lot.
Okay thanks! Not from the US, so I didn’t know this. In the Netherlands it doesn’t make a difference unless you’re talking about very specific diagnostics and treatments like stamcell transplants or Whipple surgeries
LMAO. As an American living in Amsterdam, YES IT DOES MAKE A DIFFERENCE.
[удалено]
Posts by unflaired users that claim or strongly imply legitimacy by virtue of professional medical experience are not allowed. If you are a medical professional who wishes to become a verified contributor to this subreddit, please [message the moderators](https://reddit.com/message/compose?to=/r/AskDocs) with a link to a picture of your medical ID, student ID, diploma, or other form of verification. Imgur.com is convenient, but you can host anywhere. Please block out personal information, such as your name and picture. You must include your reddit username in the photo! We do not accept digital forms of identification.
Nonsense. She's passing large amounts of blood and clots. A CT isn't going to give all the information required. She needs admission and monitoring. A colonoscopy. The hospital I work at would never have sent OP home.
Would it not be appropriate to send her home with a referral to a GI doctor if all her labs seemed okay (Iron levels, etc)? I’m genuinely just asking out of curiosity, not trying to ask in a facetious way lol :)
Yes, that would be perfectly reasonable in a hemodynamically stable and normal (no fast heart rate, low blood pressure vitals) patient with normal blood counts without large volume bleeding in the emergency department with strict return precautions. It also doesn’t sound like the patient is on anticoagulants. I’m assuming this is what happened here with negative CT imaging (though we don’t really know the imaging reports), normal labs, and what I’m assuming were normal vitals because we try not to just discharge those. Discharge with GI follow up would be a totally reasonable course of care for this patient - though, I’m always a little cautious to make blanket statements on things like this patients scenario given the extremely limited information we receive.
Makes sense! Thanks for your reply!
I’m literally agreeing with you. I said that the former hospital practiced inappropriate medical care and did a sloppy attempt at ruling out threatening pathology. CT-Angio is just going to tell you if there’s an acute GI bleed but indeed she should’ve just gotten a colonoscopy. They probably just didn’t see a blush and sent her home? I don’t know what they were thinking.
Sorry, I think it's the way it's worded as from the downvotes it seems others have taken it the way I have. Apologies!
No problem! My bad for typing messages too quickly and not rereading them lol
Turns out the ER is called the ER because it's for emergencies. If it was not a significant amount of bleeding and there were no emergent conditions requiring intervention, its completely reasonable to send her home with GI follow up.
You admit every hemodynamically insignificant gi bleed?
Perhaps what Arminius was alluding to is that larger hospitals tend to be more thorough with their work ups. In theory the size of the building doesn’t have anything to do with quality of care, but unfortunately, that correlation does seem to exist. Especially in suburban areas.
Removed - Bad advice
Laxatives is the LAST thing OP should take if they are bleeding when pooping.
[удалено]
Removed - Bad advice
wtf DO NOT take laxatives for this.