Rectal Bleeding: Causes and Recovery Time for Hemorrhoids - Surgery

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Rectal bleeding


There is fresh blood during bowel movements, and there is bleeding every time I have a bowel movement.
However, sometimes there is bleeding even when I am not having a bowel movement, just from straining at the anus.
If it is a ruptured hemorrhoid, how long will it take to heal?

Nìmíng, 10~19 year old female. Ask Date: 2017/10/08

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 the toilet.
Warm sitz baths may help alleviate symptoms.
You can also purchase over-the-counter hemorrhoid suppositories and use stool softeners, but it is best not to take any medications indiscriminately.
If bleeding persists, it is advisable to consult a physician.
If necessary, a colonoscopy can also be arranged.

Reply Date: 2017/10/08

More Info


Rectal bleeding, particularly when associated with bowel movements, can be alarming and may indicate several underlying conditions. One of the most common causes of rectal bleeding is hemorrhoids, which are swollen veins in the lower rectum and anus. When these veins become engorged, they can rupture during bowel movements, leading to bright red blood in the stool or on the toilet paper.

Causes of Rectal Bleeding
1. Hemorrhoids: As mentioned, these are the most common cause of rectal bleeding. They can be internal (inside the rectum) or external (under the skin around the anus). Symptoms include pain, itching, and bleeding during bowel movements.

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

3. Diverticular Disease: This condition involves the formation of small pouches in the colon wall that can become inflamed or infected, leading to bleeding.

4. Colorectal Polyps or Cancer: While less common, polyps can bleed, and colorectal cancer is a serious condition that can present with rectal bleeding.

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


Recovery Time for Hemorrhoids
If the bleeding is indeed due to hemorrhoids, the recovery time can vary based on the severity of the condition and the treatment approach. Generally, mild cases of hemorrhoids can improve within a few days to a week with conservative management, which may include:
- Dietary Changes: Increasing fiber intake to soften stools and reduce straining during bowel movements.

- Hydration: Drinking plenty of fluids to help prevent constipation.

- Topical Treatments: Over-the-counter creams or ointments can help relieve symptoms.

- Warm Sitz Baths: Soaking the affected area can provide relief and promote healing.

For more severe cases, such as thrombosed hemorrhoids (where a blood clot forms), medical intervention may be necessary. This could involve procedures like rubber band ligation or surgical removal, which may require a longer recovery period.


When to Seek Medical Attention
If you experience rectal bleeding, it is essential to monitor the situation closely. You should seek medical attention if:
- The bleeding is heavy or persistent.

- You experience significant pain or discomfort.

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

- There are accompanying symptoms like weight loss, fatigue, or changes in appetite.


Conclusion
In summary, rectal bleeding during bowel movements is often due to hemorrhoids, but it can also indicate other conditions that require medical evaluation. If hemorrhoids are the cause, recovery can take a few days to a week with appropriate self-care measures. However, if symptoms persist or worsen, it is crucial to consult a healthcare professional for a thorough evaluation and tailored treatment plan. Always prioritize your health and do not hesitate to seek medical advice when experiencing concerning symptoms.

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