An old male with bleeding PR

A male aged 70 years Chief Complaints Bleeding PR (on/off) Pain Lower Abdomen (x 20 days) Physical Examination P/A - Soft, BS(+) Investigations Sigmoidoscopy showed following appearance in Rectum... what can be probable diagnosis

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COMMENTS SOME OF THE CAUSES OF BLEEDING PR ARE 1 ISCHEMIC COLITIS 2 PILES 3 NEOPLASMS 4IDIOPATHTIC INFLAMMATORY BIWEL DESEASE

Thank you doctor
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Adv biopsy HPE to rule out neoplastic etiology.

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? RECTAL POLYPS.. ? RECTAL PATHOLOGY.. NEED'S.. HPE..STUDY..

Tnx Dr Sandeep Ghodekar sir
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Stool exam...C&S. HPE is advisable for DD..

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Polyp at rectosigmoidal junction D/d rectocele

Thanx dr Kute Ankush
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