Rectal Bleeding: Causes and Treatment Options

Q: Rectal Bleeding: Causes and Treatment Options

Answer： Since I don't know what the ENT specialist prescribed for you, I can't tell you the exact reason. <br>At such a young age, bleeding from hemorrhoids is often caused by prolonged straining during bowel movements. <br>As long as there is no further bleeding, it shouldn't be

Rectal bleeding

I would like to ask about a recent issue where I notice blood after wiping during bowel movements, specifically starting after the fourth wipe, while the previous wipes do not show any blood.
This problem has persisted for two months.
During this time, I experienced an episode of acute gastroenteritis and visited an ENT clinic, where I was prescribed medication that improved the issue, but it returned a few days after finishing the medication.
What could be the cause of this? Could it be that I am wiping too hard? Also, what medication was prescribed, and can I find it at a pharmacy?

A-Guan, 10~19 year old female. Ask Date: 2020/02/12

Dr. Ke Fangxu reply Surgery

Answer: Since I don't know what the ENT specialist prescribed for you, I can't tell you the exact reason.
At such a young age, bleeding from hemorrhoids is often caused by prolonged straining during bowel movements.
As long as there is no further bleeding, it shouldn't be a major concern.
I recommend avoiding constipation during this period and shortening the time spent on the toilet.
Increasing your intake of dietary fiber can also be helpful.
Warm sitz baths may alleviate symptoms, and you can purchase hemorrhoid suppositories over the counter.
It's best to avoid using stool softeners indiscriminately.
If bleeding persists, it is advisable to consult a physician.
As for the medication, you may need to ask the ENT specialist for more information.

Reply Date: 2020/02/12

More Info

Rectal bleeding can be a concerning symptom and may arise from various causes. It is essential to understand the potential reasons behind this issue and the available treatment options. Based on your description, it seems that you have been experiencing rectal bleeding intermittently for the past two months, particularly after bowel movements. This situation can be distressing, and it is crucial to address it appropriately.

Possible Causes of Rectal Bleeding
1. Hemorrhoids: One of the most common causes of rectal bleeding is hemorrhoids, which are swollen veins in the rectal area. They can be internal or external and may cause bleeding, especially during bowel movements. Straining or wiping too hard can exacerbate this condition.

2. Anal Fissures: Another potential cause is an anal fissure, which is a small tear in the lining of the anus. This can occur due to passing hard stools or straining during bowel movements, leading to pain and bleeding.

3. Gastrointestinal Issues: Conditions such as diverticulosis, inflammatory bowel disease (IBD), or infections can also lead to rectal bleeding. Your mention of having acute gastroenteritis could suggest that your gastrointestinal tract has been irritated, which might contribute to bleeding.

4. Polyps or Tumors: Although less common, rectal bleeding can also be a sign of polyps or colorectal cancer, especially if there are changes in bowel habits or if the bleeding is persistent.

Treatment Options
1. Dietary Changes: Increasing fiber intake can help soften stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying hydrated is also essential.

2. Topical Treatments: If hemorrhoids or anal fissures are the cause, over-the-counter topical treatments such as hydrocortisone creams or witch hazel pads can provide relief. These can help reduce inflammation and discomfort.

3. Medications: If your bleeding improved with medication prescribed during your visit for gastroenteritis, it might have been an anti-inflammatory or a stool softener. Common medications for such conditions include fiber supplements (like psyllium) or stool softeners (like docusate sodium). You can find these at most pharmacies.

4. Avoiding Strain: It is crucial to avoid straining during bowel movements. If you feel the urge to go, try to respond promptly rather than waiting, as this can lead to harder stools.

5. Consultation with a Specialist: If the bleeding persists or worsens, it is advisable to consult a gastroenterologist. They may recommend further evaluation, such as a colonoscopy, to rule out more serious conditions.

When to Seek Immediate Medical Attention
If you experience significant bleeding (more than a small amount), severe pain, or any other concerning symptoms (such as changes in bowel habits, weight loss, or fatigue), it is essential to seek medical attention promptly.

Conclusion
In summary, rectal bleeding can stem from various causes, with hemorrhoids and anal fissures being the most common. It is essential to maintain a healthy diet, avoid straining, and consider over-the-counter treatments for relief. If symptoms persist, consulting a healthcare professional is crucial for proper diagnosis and treatment. Always prioritize your health and seek professional advice when needed.

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