Rectal Bleeding: Causes and When to Seek Help - Surgery

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Rectal bleeding can be concerning, and it's important to understand its potential causes and when to seek medical help. Based on your description, you experienced bright red blood on the surface of your stool and on toilet paper after a bowel movement, but this bleeding ceased after a couple of wipes. You also mentioned a persistent feeling of needing to have a bowel movement, even after having one.
Bright red blood in the stool often indicates that the source of the bleeding is in the lower gastrointestinal tract, such as the rectum or anus. Common causes of rectal bleeding include:
1. Hemorrhoids: Swollen veins in the lower rectum or anus that can cause pain, itching, and bleeding, especially during bowel movements. This is one of the most common causes of bright red blood in the stool.

2. Anal fissures: Small tears in the lining of the anus, often caused by passing hard stools. These can also lead to sharp pain and bleeding during bowel movements.

3. Diverticular disease: Diverticula are small pouches that can form in the walls of the colon. If they become inflamed or infected, they can cause bleeding.

4. Colorectal polyps or cancer: While less common, polyps can bleed, and colorectal cancer can present with rectal bleeding, especially in older adults.

5. Inflammatory bowel disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause inflammation and bleeding in the gastrointestinal tract.

Given that you experienced bleeding but it stopped after a couple of wipes, it may suggest a less serious cause, such as hemorrhoids or an anal fissure. However, the persistent feeling of needing to have a bowel movement could indicate that there is still some irritation or inflammation in the rectal area.


When to Seek Medical Help
You should consider seeking medical attention if:
- The bleeding recurs or worsens.

- You experience significant pain or discomfort.

- You notice changes in your bowel habits, such as diarrhea or constipation.

- You have accompanying symptoms like fever, weight loss, or changes in appetite.

- You feel faint, dizzy, or have other signs of significant blood loss.


Additional Considerations
In the meantime, here are some steps you can take to help manage your symptoms:
- Increase fiber intake: Eating a diet rich in fruits, vegetables, and whole grains can help soften stools and reduce straining during bowel movements.

- Stay hydrated: Drinking plenty of fluids can also help prevent constipation.

- Avoid straining: If you feel the urge to have a bowel movement, try not to strain, as this can exacerbate hemorrhoids or fissures.

- Warm baths: Soaking in a warm bath can help relieve discomfort associated with hemorrhoids or anal fissures.


Conclusion
While the initial episode of rectal bleeding may not indicate a serious condition, it is essential to monitor your symptoms closely. If the bleeding recurs or if you have any concerns about your health, it is advisable to consult with a healthcare professional for a thorough evaluation. They may recommend a physical examination or further diagnostic tests, such as a colonoscopy, to rule out any serious underlying conditions. Remember, early detection and treatment are key to managing gastrointestinal health effectively.