Rectal Bleeding: Is It Hemorrhoids or Something Else?

Rectal bleeding

I have been experiencing rectal bleeding for quite a while.
Every time I have a bowel movement, I feel pain in my anus, to the point where I am afraid to go.
I sometimes suffer from constipation, and my stools are often quite hard.
However, even when I have softer stools, there can still be blood.
Before having a bowel movement, I experience cramping in my abdomen, and after I go, there is blood on the toilet paper.
Sometimes, there is fresh blood on the surface of the stool, and I have seen a lot of fresh blood in the toilet on several occasions.
Occasionally, when I wash myself, I feel a slight itch around the anus.
Recently, I have had the urge to go, but when I sit on the toilet, I cannot pass anything, and I end up waiting for several hours or until the next day to have a bowel movement.
Could this be hemorrhoids?

Niming, 20~29 year old female. Ask Date: 2017/10/08

Dr. Xu Kaixi reply Surgery

I apologize for the delayed response due to the email forwarding process.
Rectal bleeding is considered an abnormal symptom and can range from common conditions like hemorrhoids to more serious gastrointestinal diseases.
Based on your description, the likelihood of hemorrhoidal bleeding is the highest.
However, you also mentioned other symptoms such as difficulty in bowel movements and constipation.
I recommend that you visit a hospital's surgical or gastroenterology department for further evaluation.

Reply Date: 2017/10/08

More Info

Rectal bleeding can be a concerning symptom, and it is important to understand the potential causes and implications. Based on your description, it sounds like you may be experiencing symptoms consistent with hemorrhoids, but there are also other possibilities that should be considered.

Hemorrhoids are swollen veins in the lower rectum and anus that can cause pain, itching, and bleeding during bowel movements. The blood you see on the toilet paper or in the toilet bowl is often bright red, which is typical for hemorrhoidal bleeding. The pain you experience during bowel movements, especially if you have hard stools or constipation, can exacerbate the condition. Straining to pass hard stools can lead to the formation of hemorrhoids or worsen existing ones.

However, it is crucial to note that rectal bleeding can also be caused by other conditions, some of which may require medical attention. These include:
1. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can be very painful and may also cause bleeding.

2. Diverticular Disease: This condition involves the formation of small pouches in the colon wall, which can become inflamed or bleed.

3. Colorectal Polyps or Cancer: While less common, bleeding can be a sign of polyps or colorectal cancer, especially if you are experiencing other symptoms such as changes in bowel habits, weight loss, or abdominal pain.

4. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause rectal bleeding along with other gastrointestinal symptoms.

Given the duration and nature of your symptoms, it is advisable to seek medical evaluation. A healthcare provider can perform a physical examination and may recommend further tests, such as a colonoscopy, to determine the exact cause of your bleeding. This is particularly important if you have a family history of gastrointestinal diseases or if your symptoms change or worsen.

In the meantime, here are some general recommendations to help manage your symptoms:
- Increase Fiber Intake: Eating a diet rich in fiber can help soften stools and reduce straining during bowel movements. Foods high in fiber include fruits, vegetables, whole grains, and legumes.

- Stay Hydrated: Drinking plenty of water can also help prevent constipation and promote regular bowel movements.

- Avoid Straining: When you feel the urge to have a bowel movement, try to go as soon as possible to avoid straining.

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

- Over-the-Counter Treatments: There are various creams and ointments available that can help relieve the symptoms of hemorrhoids.

In conclusion, while your symptoms may suggest hemorrhoids, it is essential to rule out other potential causes of rectal bleeding. Seeking medical advice is the best course of action to ensure proper diagnosis and treatment. Remember, early intervention can lead to better outcomes, especially if there are underlying conditions that need to be addressed.

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