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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29282
Experience:  MD
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I am 58 year old female and have returned from my doctor

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I am 58 year old female and have returned from my doctor having presented my problem which was seeing a bright red blood smear on my toilet paper. i have since menopause been back and forth to the doctors with a sighting of blood a pin prick say after intercourse which has not been as frequent . The doctor has put this down to vaginal atrophy and recommended creams which i have to say i have not tried. I have had an ultra sound scan in the past and some kind of vaginal investigation which was fine but i can't remember when. This time I went because the blood red smear startled me and since my husband has just gone through a colonoscopy bowel cancer has been in my mind. We are both following a high fibre diet for last 6 weeks or so so my bowels are regular frequent and loose all the fruit i think. we are also trying to lose a few pounds. I told the doctor this but was told to my relief that she was sure it would be vaginal atrophy as it happened directly after intercourse and she gave me an internal and said everything was fine. My question is then why do they not check in case it was a rectal bleed ? We do not have bowel screening here until 60. I feel fine by the way but would like to know why it is assumed it's not rectal .I myself think it must be related to the intercourse or it would be a massive coincidence. I had a clear smear in 2013 and we have them every 5 years here and a cystology in 2013 which was fine .
Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.Since there was no sign of blood in pelvic exam, rectal bleeding should be considered.This is most likely internal hemorrhoid related bleeding in that case which is painless and benign.Stool occult blood test can be considered initially.Do you notice any blood after the bowel movement around the stool?Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star on top).Please bookmark my profile for fast, reliable authentic answers!This is the link to my profile:
Customer: replied 2 years ago.
no blood in urine no further blood sighting no blood in faeces the doctor wasnt concerned at all by this said likely to be vaginal atrophy as directly after intercourse
OkSince there is no recurrence does not sound like serious.Vaginal atrophy can cause this aggravated by sexual intercourse commonly.However, if this recurs you should definitely request a rectal exam.Best wishes
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