Heavy Rectal Bleeding for 3-4 Days: What Should I Do?

Heavy bleeding has been occurring for 3 to 4 days (with a significant amount of blood)?

Hello, doctor.
I would like to ask about a situation I've been experiencing for the past 3 to 4 days.
I've been having bowel movements with noticeable bleeding, and the amount is quite significant.
I don't have any abdominal discomfort, and my stools are not too hard, but there is a considerable amount of blood and mucus on the toilet paper.
Could you please advise me on what I should do now? Thank you.

Fan Kai, 20~29 year old female. Ask Date: 2016/03/22

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Warm sitz baths may also help alleviate symptoms.
You can purchase hemorrhoid suppositories at the pharmacy for use.
It is best not to take stool softeners indiscriminately; at this age, increasing dietary fiber and hydration should be sufficient.
If bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2016/03/22

More Info

Heavy rectal bleeding can be a concerning symptom, and it's important to address it promptly. Given that you've been experiencing this for 3-4 days, it's crucial to take the situation seriously, even if you're not experiencing abdominal pain or hard stools. Here are some steps you should consider:
1. Seek Immediate Medical Attention: Since you have been bleeding heavily for several days, it is essential to consult a healthcare professional as soon as possible. Rectal bleeding can be caused by various conditions, some of which may require urgent treatment. If the bleeding is significant or if you experience dizziness, weakness, or fainting, you should go to the emergency room immediately.

2. Document Your Symptoms: When you see a doctor, be prepared to provide detailed information about your symptoms. Note the amount of blood, the frequency of bleeding, any associated symptoms (like pain, changes in bowel habits, or weight loss), and any recent changes in your diet or medications. This information can help your healthcare provider make a more accurate diagnosis.

3. Possible Causes: Rectal bleeding can be caused by several conditions, including hemorrhoids, anal fissures, diverticular disease, inflammatory bowel disease (IBD), or even more serious conditions like colorectal cancer. While hemorrhoids and fissures are common and often benign, it's important to rule out more serious issues, especially given the duration and volume of your bleeding.

4. Avoid Self-Diagnosis and Treatment: While it may be tempting to search for answers online or try over-the-counter treatments, it's best to avoid self-diagnosis. Some treatments may worsen your condition or mask symptoms that need to be evaluated by a healthcare professional.

5. Follow-Up Tests: Depending on your examination, your doctor may recommend tests such as a colonoscopy, flexible sigmoidoscopy, or imaging studies to determine the cause of the bleeding. These tests can help visualize the lower gastrointestinal tract and identify any abnormalities.

6. Lifestyle and Dietary Considerations: While you await your appointment, consider maintaining a diet high in fiber to help keep your stools soft and reduce straining during bowel movements. Staying hydrated is also important. However, do not delay seeking medical attention based on dietary changes alone.

7. Monitor Your Condition: Keep an eye on your symptoms. If the bleeding worsens, or if you develop new symptoms such as severe abdominal pain, fever, or changes in your bowel habits, seek medical help immediately.

In summary, heavy rectal bleeding for several days warrants prompt medical evaluation. While some causes may be benign, it is essential to rule out serious conditions. Make an appointment with your healthcare provider as soon as possible, and do not hesitate to go to the emergency room if your symptoms worsen. Your health and safety are the top priority.

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