Bleeding from the rectum?
Hello Dr.
Chen, yesterday I had barbecue and ate 5 pieces of beef, which may not have been cooked thoroughly.
After returning home, I experienced stomach pain and had diarrhea four times.
The first bowel movement was normal without any loose stools.
The second time, the stool was somewhat loose and semi-solid.
By the third and fourth times, I had watery stools, and there was a burning and sharp pain in my anus.
When I wiped with toilet paper, there was blood.
This morning, my stool appeared not very solid, and I still felt sharp pain in my anus.
The toilet paper showed a mixture of semi-solid stool and blood.
For the second and third wipes, there was no blood.
Upon examining my anus, I found a small protrusion of tissue.
Could this be hemorrhoids? What tests do I need to undergo? Thank you.
DADA, 30~39 year old female. Ask Date: 2014/10/27
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Acute gastroenteritis can lead to anal fissures or hemorrhoidal bleeding due to diarrhea, and the protrusion from the anus is likely related to hemorrhoids.
If bleeding or pain persists, please consult a colorectal surgeon.
Wishing you safety and health.
Dr.
Chen Chih-Feng, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2014/10/27
More Info
Rectal bleeding can be a concerning symptom, and it is important to understand the potential causes and appropriate actions to take. In your case, the symptoms you describe—such as abdominal pain, changes in stool consistency, burning pain during bowel movements, and the presence of blood—could indeed suggest several possibilities, including hemorrhoids, anal fissures, or even more serious conditions.
Hemorrhoids are swollen veins in the lower rectum or anus that can cause discomfort, itching, and bleeding, especially during bowel movements. They are often associated with straining during defecation, prolonged sitting, or conditions that increase pressure in the abdominal area, such as pregnancy or obesity. The presence of blood on toilet paper after wiping, especially if it is bright red, is a common sign of hemorrhoids.
On the other hand, anal fissures are small tears in the lining of the anus, which can also lead to sharp pain and bleeding during bowel movements. The blood from fissures is typically bright red and may be accompanied by a burning sensation.
Given your symptoms, it is advisable to take the following steps:
1. Hydration and Diet: Ensure you are drinking plenty of fluids and consuming a diet high in fiber to help soften your stools. This can reduce straining during bowel movements, which may alleviate symptoms.
2. Over-the-Counter Treatments: You may consider using over-the-counter topical treatments for hemorrhoids, such as hydrocortisone creams or witch hazel pads, which can help reduce inflammation and discomfort.
3. Warm Sitz Baths: Taking warm baths can soothe the anal area and promote healing if you have hemorrhoids or fissures.
4. Avoid Straining: When using the bathroom, try to relax and avoid straining, as this can exacerbate the problem.
5. Monitoring Symptoms: Keep track of your symptoms. If the bleeding persists, worsens, or if you experience severe pain, it is crucial to seek medical attention.
6. Consult a Healthcare Provider: Given the presence of blood and the discomfort you are experiencing, it is important to consult a healthcare provider for a thorough examination. They may perform a physical examination, and possibly a digital rectal exam or anoscopy, to determine the exact cause of your symptoms.
7. Further Investigations: If hemorrhoids or fissures are ruled out, your doctor may recommend further investigations, such as a colonoscopy, especially if there are any concerning features in your history or examination findings.
In summary, while hemorrhoids are a common cause of rectal bleeding, it is essential to have a healthcare professional evaluate your symptoms to rule out other potential causes. Early diagnosis and treatment can prevent complications and improve your quality of life.
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