How to tell difference between Diverticula bleeding and hemmoid bleeding

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Hello  I am a member of several groups and find them very helpful.  Most people are very supportive.  I supposedly have had IBS for around 6/7 years.  I am 69 years of age.  Following a bad run of constipation and bleeding I had a colonscopy 3 weeks ago.  Results were diverticular all down left side sigmoid and descending colon ,small internal hemmeroids and one 6mm benign looking polyp removed from the ascending colon and the consultant said he would not need to see me again so no follow up appointment.  He also said the bleeding would be from either Diverticular or hemmeroids.   I now wonder if I ever had IBS. That aside I Did have some pain bloating after the scope but that seems to be much better now.  I take fybogel once aday and am able to go each morning.  Everything was ok with stools for the first 2 weeks now I am getting blood in stools again and when I wipe.  Although easy to pass they are starting to get like small balls stuck together rather than a smooth stool.  My questions are does anyone know how to tell if the bleeding is from the hemmeroids or diverticular and regarding diet.  I am pretty confused I know it is a matter of trial and error but you read so much about fibre too little and too much soluble and insoluble fibre not to mention low fodmap diet.  The pain I get is on left hand side usually because of wind or constipation but as I said much better this last week.  I  cannot get a gp appointment for another week but in the meantime I need to try and work out where the blood is coming from.  Added to all this is that I suffer from anxiety which of course does not help with bowel problems.  Any views or ideas would be appreciated.  

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    Hello everyone,  Having been diagnosed with both internal hemmeroids and diverticular right down the sigmoid colon to the transverse colon following a colonoscopy in April of this year, I had to spend the afternoon in A and E with pain down the left side of the abdomen, to be more exact naval level but on the left hand side.  It was similar to cramps I have had with my IBS in the past, but more severe and did not seem to want to go.  I thought it might be IBS as I had a very stressful day the day before in fact have been dealing with anxiety for some time, but have now started CBT counselling.  Following urine and blood tests which were all clear they send me home with tramadol if needed( I didn't) having had paracetamol and buscopan the pain gradually eased once I started to pass wind saying that they did not think it was a diverticulitis attack as I was not ill or running a temperature probably my IBS but to return if it got worse.  I battle with arthritis pain in the spine neck and knees and my gp thinks I could have fibromyalgia as well.  My stools are a bit soft today, but definitely no C or D.  I am wondering about looking again at my diet.  All I was ever told was to eat a high fibre diet.  Because of a history of constipation IBS I take fibogel with mebeverine  in the mornings.  I looked at the Fodmap diet but it seems there is a lot you cannot eat.  I am so scared to get constipated both in terms of the diverticular and hemmeroids.  Can sufferers of both tell me what they find works for them in terms of diet.  I realise everyone is different but maybe most people have at least some foods in common.  I definitely can't eat white bread as it bungs me up.  What about beans like kidney etc.  I don't feel confident to leave out things which I think are good for me incase I get constipation along with lumpy stools and bleeding.  I never used to eat a lot of fruit although lots of veg and salad.  I did eat tinned fruit in juice but I have read that is not a good idea either.  Any advice appreciated. ps I am waiting for results of routine blood tests and my gp is testing me for gluten intolerance as she said it sometimes goes with fibromyalgia.  

  • Posted

    I have IBS and DD I do not eat seeds skins eggs red meat cheese or fizzy drinks. I have fybergel mabevarine and branflakes every morning. I also have arthritis and take paracetamol and I have jel to put on. I can't take anti inflammatory tablets they upset my stomach. I do eat fruit but I take skin off   It is a lot of trial and error. Good luck 

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