Rectal Bleeding: Causes and When to Seek Help

Rectal bleeding

I have been experiencing rectal bleeding for the past two days, and it's bright red blood.
In the past, I have had bleeding when wiping due to hard stools, but I'm not sure if I have hemorrhoids.
However, the amount of blood has been noticeably more than before, and my stools haven't been very hard.
After bowel movements, my anus doesn't hurt too much, but I sometimes feel mild abdominal pain.
Can you tell me what might be wrong? I'm a bit anxious because I'm still in high school.

Chen, 10~19 year old female. Ask Date: 2016/05/08

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: 2016/05/08

More Info

Rectal bleeding can be concerning, especially for someone your age. It's important to understand the potential causes and when to seek medical attention. Based on your description, there are a few possibilities for the bleeding you're experiencing.

1. Hemorrhoids: This is one of the most common causes of rectal bleeding, particularly if you have a history of hard stools. Hemorrhoids can be internal or external, and they often cause bright red blood during bowel movements. Since you mentioned that your stools are not particularly hard right now, it's possible that you could have developed hemorrhoids due to previous straining.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can cause sharp pain and bleeding during bowel movements. However, you mentioned that your stools are not hard currently, which might make this less likely.

3. Gastrointestinal Issues: Conditions such as diverticulosis, inflammatory bowel disease (IBD), or infections can also lead to rectal bleeding. These conditions may cause other symptoms, such as abdominal pain, diarrhea, or changes in bowel habits.

4. Polyps or Colorectal Cancer: While less common in younger individuals, it's still a possibility, especially if there is a family history of colorectal issues. Polyps can bleed, and some can develop into cancer over time.

Given that you are experiencing a noticeable increase in bleeding, it is crucial to consult a healthcare professional. Here are some signs that indicate you should seek medical attention promptly:
- Significant Bleeding: If the bleeding is more than just a few drops or if you see blood mixed with your stool.

- Persistent Symptoms: If the bleeding continues for more than a few days or if you experience worsening abdominal pain.

- Changes in Bowel Habits: If you notice changes in your bowel habits, such as diarrhea or constipation, that persist.

- Other Symptoms: If you experience symptoms like fever, weight loss, or fatigue, these could indicate a more serious condition.

In the meantime, here are some general tips that may help alleviate your symptoms:
- Stay Hydrated: Drink plenty of water to help keep your stools soft.

- Dietary Changes: Incorporate more fiber into your diet through fruits, vegetables, and whole grains. This can help prevent constipation and reduce straining during bowel movements.

- Avoid Straining: When using the bathroom, try to relax and avoid straining, as this can exacerbate hemorrhoids or fissures.

- Warm Baths: Taking warm baths can help soothe any discomfort and promote relaxation of the anal area.

In conclusion, while there are several potential causes for your rectal bleeding, it is essential to consult with a healthcare provider for a proper diagnosis and treatment plan. They may recommend a physical examination, and possibly further tests, such as a colonoscopy, to determine the exact cause of your symptoms. Early intervention can lead to better outcomes, so don’t hesitate to seek help.

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