Rectal Bleeding and Abdominal Pain: When to Seek Help - Surgery

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Rectal bleeding


Hello doctor, I have a female friend who experiences pain on the right side of her abdomen, which seems to be near the kidney area.
The pain lasts for about an hour and then goes away, but it recurs after a month.
She also notices blood when wiping after a bowel movement, although she does not have constipation and her stools are not hard.
She eats fruit after meals.
What could be causing the bleeding and pain? Which specialist should she see? Please help us resolve this issue.
Thank you!

andy, 20~29 year old female. Ask Date: 2003/12/25

Dr. Hou Yongji reply Surgery


Hello: For recurrent abdominal pain on the right side, please first consult a urologist to rule out pain caused by kidney stones.
If the pain is associated with menstrual periods, please see a gynecologist.
If both of these specialties do not identify any issues, please consult a gastroenterologist to rule out problems related to the gallbladder and colon.
There are many causes of rectal bleeding; please visit the colorectal surgery clinic for examinations to determine the cause.
Our colorectal surgery department has educational materials that may be helpful regarding rectal bleeding issues; please refer to them.
Dr.
Hou Yong-chi

Reply Date: 2003/12/25

More Info


When it comes to understanding rectal bleeding and abdominal pain, it is crucial to take these symptoms seriously, especially when they are recurrent. Your friend’s symptoms, which include pain in the right side of the abdomen (possibly near the kidney area) and rectal bleeding, warrant a thorough evaluation by a healthcare professional.


Possible Causes of Symptoms
1. Hemorrhoids: One of the most common causes of rectal bleeding is hemorrhoids, which are swollen blood vessels in the rectal area. They can cause pain and bleeding, especially during bowel movements. Given that your friend does not experience constipation, this could be a potential cause.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. However, even without constipation, fissures can occur due to other factors, such as straining during bowel movements or irritation from certain foods.

3. Diverticulitis: This condition occurs when small pouches (diverticula) in the colon become inflamed or infected. Symptoms can include abdominal pain, changes in bowel habits, and rectal bleeding.

4. Kidney Issues: Since the pain is located on the right side near the kidney, it could also be related to kidney stones or infections, which can sometimes cause referred pain to the abdominal area.

5. Gastrointestinal Conditions: Conditions such as inflammatory bowel disease (IBD), including Crohn's disease or ulcerative colitis, can lead to abdominal pain and rectal bleeding.

6. Infections: Certain infections of the gastrointestinal tract can cause abdominal pain and bleeding.


When to Seek Help
Given the symptoms described, it is advisable for your friend to seek medical attention promptly. Here are some guidelines on when to see a doctor:
- Persistent Symptoms: If the abdominal pain and rectal bleeding persist or worsen, it is essential to consult a healthcare provider.

- Severe Pain: If the pain becomes severe or is accompanied by other symptoms such as fever, chills, or vomiting, immediate medical attention is necessary.

- Changes in Bowel Habits: Any significant changes in bowel habits, such as diarrhea or constipation, should be evaluated.

- Signs of Anemia: If your friend experiences symptoms of anemia (such as fatigue, weakness, or pale skin), this could indicate significant blood loss and requires urgent evaluation.


Recommended Specialist
Your friend should consider seeing a gastroenterologist, a specialist in digestive system disorders. They can perform necessary diagnostic tests, such as a colonoscopy, to evaluate the cause of the bleeding and pain. If the symptoms are more related to the urinary system, a urologist may be appropriate.


Conclusion
In summary, your friend's symptoms of abdominal pain and rectal bleeding are concerning and should not be ignored. It is crucial for her to seek medical evaluation to determine the underlying cause and receive appropriate treatment. Early intervention can lead to better outcomes and prevent potential complications. Encourage her to keep a record of her symptoms, including when they occur and any associated factors, as this information can be helpful for the healthcare provider.

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