Rectal Bleeding: Causes and Solutions for Digestive Health

Rectal bleeding

Recently, I have been having a bowel movement only every two to three days.
I have experienced constipation for a long time, which has caused my stools to become very hard, resulting in bright red blood in the toilet after I go.
However, my frequency has increased recently to about twice a week, but my stools are still very hard.
I also feel discomfort in my gastrointestinal tract every day; I want to have a bowel movement but end up sitting for a long time without being able to pass anything.
When I do manage to have a bowel movement, I clearly feel pain in my anus, and there is a significant amount of blood, with bright red blood on the tissue and even some streaks of blood.
I have had gastrointestinal issues since childhood, and with this recent situation, I am feeling very worried...
Additionally, my busy work schedule has led to irregular eating habits, which makes me even more concerned...

Ms. Li, 20~29 year old female. Ask Date: 2018/10/18

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Miss.
It is determined that you have bleeding from internal hemorrhoids.
You may visit the gastroenterology outpatient clinic for diagnosis and treatment.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2018/10/18

More Info

Rectal bleeding can be a concerning symptom, and understanding its causes and potential solutions is crucial for maintaining digestive health. Based on your description, it seems that you have been experiencing a combination of constipation, hard stools, and rectal bleeding, which can be indicative of several underlying issues.

Causes of Rectal Bleeding
1. Hemorrhoids: One of the most common causes of rectal bleeding, especially in individuals who experience constipation, is hemorrhoids. These are swollen veins in the rectal area that can become inflamed and bleed, particularly during bowel movements. The blood is usually bright red and may be seen on the toilet paper or in the toilet bowl.

2. Anal Fissures: Another potential cause is an anal fissure, which is a small tear in the lining of the anus. This can occur when passing hard stools, leading to sharp pain and bleeding during bowel movements. The blood is typically bright red and may appear on the stool or toilet paper.

3. Diverticular Disease: This condition involves the formation of small pouches in the colon wall, which can become inflamed or infected, leading to bleeding. While less common than hemorrhoids and fissures, it is still a possibility, especially if you have a history of digestive issues.

4. Inflammatory Bowel Disease (IBD): Conditions such as Crohn's disease or ulcerative colitis can cause inflammation in the digestive tract, leading to symptoms like abdominal pain, diarrhea, and rectal bleeding.

5. Polyps or Colorectal Cancer: Although less common in younger individuals, polyps can develop in the colon and rectum, and some can be precursors to cancer. If bleeding persists, it is essential to rule out these more serious conditions.

Solutions and Management
1. Dietary Changes: Since you mentioned that your diet has been irregular due to a busy work schedule, focusing on a balanced diet rich in fiber is essential. Incorporate more fruits, vegetables, whole grains, and legumes into your meals. Fiber helps to soften stools and promote regular bowel movements, reducing the risk of constipation and associated bleeding.

2. Hydration: Ensure you are drinking enough water throughout the day. Adequate hydration is crucial for maintaining soft stools and preventing constipation.

3. Regular Exercise: Engaging in regular physical activity can help stimulate bowel function and reduce the likelihood of constipation.

4. Over-the-Counter Remedies: If you are experiencing hard stools, consider using over-the-counter stool softeners or fiber supplements. However, consult with a healthcare professional before starting any new medication.

5. Warm Sitz Baths: Taking warm sitz baths can help soothe the anal area and relieve discomfort associated with hemorrhoids or fissures.

6. Avoid Straining: When using the bathroom, try to avoid straining, as this can exacerbate hemorrhoids and fissures. If you feel the urge to go, respond promptly to avoid hardening of the stool.

7. Medical Consultation: Given your symptoms, especially the presence of bright red blood and pain during bowel movements, it is crucial to consult a healthcare professional. They can perform a thorough evaluation, which may include a physical examination and possibly a colonoscopy, to determine the exact cause of your bleeding and recommend appropriate treatment.

Conclusion
While occasional rectal bleeding can be attributed to benign causes like hemorrhoids or anal fissures, persistent or severe symptoms warrant medical attention. By addressing dietary habits, hydration, and lifestyle factors, you can significantly improve your digestive health and reduce the risk of rectal bleeding. Remember, early intervention is key to preventing more serious complications, so do not hesitate to seek medical advice if your symptoms persist or worsen.

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