Conversation: The conversation between human and AI assistant.
[|Human|] I have been on varying strengths of Prednisolone for three years and am concerned about side-effects I had to come off Alendronic Acid six months ago due to a heavy bleed from my rectum . This was investigated but was inconclusive- hospital thought it was from the Diverticulitis of which I was aware, having been diagnosed twenty odd years ago. I Also have a Hiatus Hernia which is troubling me at the present time, especially when taking tablets last thing at night. Due you think I should contact my GP about my concerns ? The blood was like black tar. Thasnk you.
[|AI|]  Hi and welcome to Chat Doctor. Diverticulitis wouldn't actually cause bleeding per rectum. This isn't something usually. Most common are rectal lesions such as hemorrhoids, fisurae, angiodislypasie or polyps, and less common but possible are malignancies. If bleeding happens again colonoscopy or biography should be performed. Prednisolon has many side effects, its dosage should be adjusted if these side effects are intensive. Hiatal hernia causes swallowing difficulties especially when tablets are taken. Also, it may cause stomach damage due to raised acid secretion. It can be surgically repaired if necessary. DO gastrostomy at least 1 in 3-4 year to evaluate it.Wish you good health.