Rectal Bleeding: Causes, Solutions, and Local Specialists - Surgery

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Rectal bleeding can be a concerning symptom, and it’s important to understand its potential causes, solutions, and the appropriate specialists to consult for effective management. Given that you have been experiencing rectal bleeding for over two months without pain and with no significant weight change, it is crucial to approach this issue with a thorough understanding of possible underlying conditions.


Potential Causes of Rectal Bleeding
1. Hemorrhoids: One of the most common causes of rectal bleeding, hemorrhoids can cause bright red blood during bowel movements. They may be internal or external and can lead to discomfort, itching, or pain, although some people may not experience pain.

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

3. Diverticular Disease: Diverticulosis can lead to diverticulitis, which may cause bleeding. This condition involves small pouches forming in the colon wall.

4. Inflammatory Bowel Disease (IBD): Conditions like Crohn’s disease or ulcerative colitis can cause inflammation in the digestive tract, leading to bleeding.

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

6. Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract.


Suggested Solutions
1. Consult a Specialist: Given the duration and nature of your symptoms, it is advisable to consult a gastroenterologist. They can perform diagnostic procedures such as a colonoscopy to visualize the colon and rectum, which can help identify the cause of the bleeding.

2. Dietary Adjustments: Increasing fiber intake can help soften stools and reduce straining during bowel movements, which may alleviate symptoms related to hemorrhoids or fissures. Staying hydrated is also essential.

3. Topical Treatments: If hemorrhoids or anal fissures are suspected, over-the-counter topical treatments may provide relief. However, these should be used under the guidance of a healthcare provider.

4. Monitoring Symptoms: Keep track of your symptoms, including the amount and appearance of blood, any changes in bowel habits, and any new symptoms that may arise. This information can be valuable for your healthcare provider.

5. Avoid Straining: Straining during bowel movements can exacerbate bleeding. Consider establishing a regular bowel routine and using stool softeners if necessary.


Recommended Specialists and Facilities
Since you reside in Zhonghe, I recommend seeking care at a reputable hospital with a gastroenterology department. Some well-regarded hospitals in the area include:
- Taipei Medical University Hospital: Known for its comprehensive gastroenterology services and experienced specialists.

- National Taiwan University Hospital: Offers a wide range of diagnostic and treatment options for gastrointestinal issues.


Conclusion
Rectal bleeding, especially when persistent, should not be ignored. While there are many benign causes, it is essential to rule out more serious conditions. Consulting with a gastroenterologist will provide you with a clear diagnosis and appropriate treatment plan. Remember to maintain a healthy diet, monitor your symptoms, and seek medical attention promptly. Your health is paramount, and addressing these symptoms early can lead to better outcomes.