Rectal Bleeding and Pain: Is It Hemorrhoids? - Gastroenterology and Hepatology

Q: Rectal Bleeding and Pain: Is It Hemorrhoids?

Hello, Student Chen： It is recommended that you visit a colorectal surgery specialist, as they should be able to determine the issue. <br>Nantou Hospital cares about you.

Blood in stool, accompanied by itching and pain?

Every time I have a bowel movement, I almost always notice blood.
Sometimes, there is a small amount of wet, sticky mucus, and I experience itching.
I often have blood and pain in my anus after using the restroom, and this pain continues until the next day, which makes me afraid to go to the bathroom.
Is this hemorrhoids? Should I get a colonoscopy for further examination? The bleeding has been ongoing for several months, and I'm a bit scared.
Thank you, doctor!

Chen Tongxue, 20~29 year old female. Ask Date: 2020/01/23

Dr. Cai Jinji reply Gastroenterology and Hepatology

Hello, Student Chen: It is recommended that you visit a colorectal surgery specialist, as they should be able to determine the issue.
Nantou Hospital cares about you.

Reply Date: 2020/01/23

More Info

Rectal bleeding and pain can be concerning symptoms, and it’s understandable that you are feeling anxious about them. Based on your description, it is possible that you are experiencing hemorrhoids, which are swollen veins in the lower rectum and anus that can cause pain, itching, and bleeding during bowel movements. However, it is crucial to consider other potential causes of rectal bleeding, as they can range from benign conditions to more serious issues.

Symptoms of Hemorrhoids
Hemorrhoids can present with several symptoms, including:
- Bright red blood on toilet paper or in the toilet bowl after a bowel movement.

- Pain or discomfort around the anus, especially during bowel movements.

- Itching or irritation in the anal region.

- A lump near the anus, which may be sensitive or painful.

The presence of mucus and itching, as you described, can also be associated with hemorrhoids. However, these symptoms can overlap with other conditions, such as anal fissures, infections, or inflammatory bowel disease.

When to Seek Medical Attention
Given that your symptoms have persisted for several months, it is advisable to consult a healthcare professional. A thorough evaluation is necessary to rule out other potential causes of rectal bleeding, such as:
- Anal Fissures: Small tears in the lining of the anus that can cause pain and bleeding.

- Diverticular Disease: Pouches that can form in the colon wall and may become inflamed or infected.

- Colorectal Polyps or Cancer: Abnormal growths in the colon or rectum that can lead to bleeding.

Diagnostic Procedures
A colonoscopy is a common procedure that allows a doctor to examine the inside of your colon and rectum. It is typically recommended if:
- You have persistent rectal bleeding.

- You experience significant changes in bowel habits.

- You have a family history of colorectal cancer or polyps.

During a colonoscopy, the doctor can identify any abnormalities and take biopsies if necessary. It is a safe procedure, and while it may seem intimidating, it is an important step in ensuring your health.

Management and Treatment
If hemorrhoids are confirmed, treatment options may include:
- Lifestyle Changes: Increasing fiber intake through diet or supplements can help soften stools and reduce straining during bowel movements.

- Over-the-Counter Medications: Topical treatments, such as hydrocortisone creams or witch hazel pads, can alleviate itching and discomfort.

- Sitz Baths: Soaking in warm water can help relieve pain and promote healing.

- Minimally Invasive Procedures: If conservative measures fail, procedures such as rubber band ligation or sclerotherapy may be necessary to treat hemorrhoids.

Conclusion
While hemorrhoids are a common cause of rectal bleeding and pain, it is essential to seek medical evaluation to rule out other serious conditions. Do not hesitate to reach out to a healthcare provider for a proper diagnosis and treatment plan. Early intervention can help alleviate your symptoms and address any underlying issues effectively. Remember, taking care of your health is paramount, and addressing these symptoms sooner rather than later is the best course of action.

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