Rectal Bleeding: Causes and When to Seek Help

Blood in the stool?

Hello doctor, I usually have regular bowel movements in the morning, but I've noticed fresh red blood and sometimes dark red blood when wiping my bottom for the past month.
It also feels painful.
My weight has been fluctuating between losing and gaining.
What could this be a symptom of? I'm hesitant to go to the hospital for an examination.
😵

Lu, 20~29 year old female. Ask Date: 2016/03/26

Dr. Ke Fangxu reply Surgery

Based on your description, it seems to be an anal fissure.
The typical symptoms include pain during bowel movements accompanied by slight bleeding.
The primary cause of anal fissures is usually hard stools; however, diarrhea, frequent bowel movements, or prolonged straining can also lead to fissures.
It is recommended to improve bowel habits and take warm sitz baths to alleviate symptoms.
Topical ointments and suppositories can also be used for treatment.
If symptoms persist for more than a week without improvement, it is advisable to consult a physician for further evaluation.

Reply Date: 2016/03/26

More Info

Rectal bleeding can be a concerning symptom, and it's important to understand its potential causes and when to seek medical help. The presence of bright red blood on toilet paper or in the stool can indicate several conditions, ranging from benign to more serious issues.

One of the most common causes of rectal bleeding is hemorrhoids. Hemorrhoids are swollen veins in the lower rectum or anus that can cause discomfort, itching, and bleeding, especially during bowel movements. The blood from hemorrhoids is typically bright red and may be seen on toilet paper or in the toilet bowl. Other symptoms may include pain or discomfort in the anal area.

Another possible cause is anal fissures, which are small tears in the lining of the anus. These can occur due to passing hard stools or straining during bowel movements. Anal fissures can cause sharp pain and bleeding during and after bowel movements, and the blood is usually bright red.

In some cases, rectal bleeding can be associated with more serious conditions such as diverticular disease, inflammatory bowel disease (IBD) like Crohn's disease or ulcerative colitis, or even colorectal cancer. Diverticulosis, which involves the formation of small pouches in the colon, can lead to diverticulitis, causing inflammation and bleeding. IBD can cause chronic inflammation of the gastrointestinal tract, leading to symptoms like abdominal pain, diarrhea, and rectal bleeding. Colorectal cancer may present with changes in bowel habits, unexplained weight loss, and rectal bleeding, often with dark or tarry stools.

Given your symptoms of bright red blood and pain, it is crucial to seek medical attention. While it may be daunting, a healthcare professional can provide a proper diagnosis and treatment plan. They may recommend a physical examination, and possibly a colonoscopy, which allows for direct visualization of the colon and rectum to identify any abnormalities.

It is essential not to ignore these symptoms, especially if they persist or worsen. Early diagnosis and treatment can significantly improve outcomes, particularly if a more serious condition is present. Additionally, maintaining a healthy diet rich in fiber can help prevent constipation and reduce the risk of hemorrhoids and fissures.

In summary, rectal bleeding can stem from various causes, including hemorrhoids, anal fissures, diverticular disease, IBD, and colorectal cancer. Given your symptoms, it is advisable to consult a healthcare provider for a thorough evaluation. They can help determine the underlying cause and recommend appropriate treatment options to alleviate your symptoms and address any potential health concerns. Remember, seeking help is a proactive step towards ensuring your health and well-being.

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