Rectal bleeding
In the past few days, I experienced sharp pain in the anus and bleeding during a bowel movement.
Since then, every time I use the restroom, there is a significant amount of bright red blood on the toilet paper, and the toilet bowl also has blood.
What could this condition be?
Xie, 10~19 year old female. Ask Date: 2017/04/21
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 the toilet.
Warm sitz baths may help alleviate symptoms.
You can also purchase hemorrhoid suppositories at the pharmacy and use stool softeners, but it is best not to take any medications indiscriminately.
If bleeding persists, it is advisable to consult a physician for evaluation.
Reply Date: 2017/04/21
More Info
Rectal bleeding can be a concerning symptom, and it is essential to understand its potential causes and when to seek medical help. The presence of bright red blood during bowel movements, especially if accompanied by pain or discomfort, can indicate several conditions, some of which may require prompt medical attention.
One of the most common causes of rectal bleeding is hemorrhoids. Hemorrhoids are swollen blood vessels in the rectal area that can become inflamed or irritated, leading to bleeding during bowel movements. This bleeding is typically bright red and may be accompanied by pain or discomfort, especially when sitting or during bowel movements. Hemorrhoids can be internal (inside the rectum) or external (under the skin around the anus), and they can often be managed with lifestyle changes, topical treatments, or, in more severe cases, surgical procedures.
Another potential cause of rectal bleeding 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. Like hemorrhoids, anal fissures can cause sharp pain during bowel movements and may lead to bright red blood on the toilet paper or in the toilet bowl.
In some cases, rectal bleeding may be a sign of more serious conditions, such as diverticulosis, inflammatory bowel disease (IBD), or colorectal cancer. Diverticulosis involves the formation of small pouches in the colon wall, which can become inflamed or infected, leading to bleeding. IBD, which includes conditions like Crohn's disease and ulcerative colitis, can cause inflammation and ulceration in the gastrointestinal tract, resulting in bleeding. Colorectal cancer can also present with rectal bleeding, especially in older adults or those with a family history of the disease.
Given your symptoms of sharp pain and the presence of bright red blood, it is crucial to seek medical attention, especially if the bleeding persists, increases in volume, or is accompanied by other symptoms such as abdominal pain, changes in bowel habits, or weight loss. A healthcare professional will likely perform a thorough evaluation, which may include a physical examination, a digital rectal exam, and possibly imaging studies or a colonoscopy to determine the underlying cause of the bleeding.
In summary, while rectal bleeding can often be attributed to benign conditions like hemorrhoids or anal fissures, it is essential to take this symptom seriously. Seeking medical advice is crucial to rule out more severe conditions and to receive appropriate treatment. Early intervention can help manage symptoms effectively and prevent potential complications. If you experience significant pain, ongoing bleeding, or any alarming symptoms, do not hesitate to contact your healthcare provider for further evaluation and care.
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