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67M w/c/o blood clots during micturition

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NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.  PATIENT HISTORY: Pt is a 67 yrs old male, a vegetable seller by profession. Stopped working 3 yrs ago. In 2011, one incident of dysentery (lower abd pain, a lot of bright red blood, mucus laden, non-smelly scanty stool). Pt immediately admitted to the hospital and discharged the next day after treatment. 4-5 yrs ago, c/o painful defecation anal swelling, and 2 subsequent incidents of bleeding pr. Dr. gave medication for a wk, taking which reduced inflammation. No more bleeding pr For the past 5-7 yrs c/o constipation (2-3 days no motion, 4th-day normal defecation). Also c/o gastric problems (dyspepsia,