Rectal Bleeding: Causes and What to Do Next - Surgery

More Info

---

Rectal bleeding can be a concerning symptom, and it's important to understand its potential causes and what steps to take next. Based on your description, you are experiencing blood on the stool and when wiping, along with some blood clots. While the stool itself is soft and you do not have significant pain or constipation, the presence of blood is still noteworthy and warrants further investigation.


Potential Causes of Rectal Bleeding
1. Hemorrhoids: One of the most common causes of rectal bleeding, hemorrhoids are swollen veins in the lower rectum or anus. They can cause bright red blood during bowel movements, especially if there is straining involved, even if your stool is soft.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools, but they can also occur with softer stools if there is any straining. They can lead to sharp pain and bleeding during bowel movements.

3. Diverticular Disease: Diverticulosis involves the formation of small pouches in the colon wall, which can sometimes bleed. This is more common in older adults.

4. Inflammatory Bowel Disease (IBD): Conditions such as Crohn's disease or ulcerative colitis can cause inflammation in the gastrointestinal tract, leading to bleeding.

5. Polyps or Colorectal Cancer: Although less common, polyps (growths on the colon lining) can bleed, and some can be precursors to cancer. Colorectal cancer itself can also present with rectal bleeding.

6. Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract.


What to Do Next
1. Consult a Healthcare Provider: It is essential to seek medical advice as soon as possible. A healthcare provider will likely perform a physical examination and may recommend further tests, such as a colonoscopy, to determine the exact cause of the bleeding.

2. Monitor Symptoms: Keep track of any additional symptoms that may arise, such as changes in bowel habits, abdominal pain, weight loss, or changes in appetite. This information can be helpful for your healthcare provider.

3. Avoid Straining: While you mentioned that you do not typically experience constipation, it’s still important to avoid straining during bowel movements. This can exacerbate hemorrhoids or fissures if they are present.

4. Dietary Adjustments: Ensure you are consuming a high-fiber diet, which can help maintain soft stools and reduce the risk of straining. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.

5. Hydration: Staying well-hydrated is crucial for digestive health. Aim to drink plenty of water throughout the day.

6. Avoid Certain Medications: If you are taking medications that can irritate the gastrointestinal tract (such as NSAIDs), discuss with your doctor whether you should continue them.


Conclusion
While rectal bleeding can be benign, it is essential to take it seriously and consult a healthcare professional for a thorough evaluation. Early diagnosis and treatment can help address any underlying issues and prevent complications. Remember, your health is paramount, and seeking timely medical advice is the best course of action.