Rectal Bleeding: Causes, Symptoms, and Treatment Options

Q: Rectal Bleeding: Causes, Symptoms, and Treatment Options

Hello： It is recommended to first visit a colorectal surgeon to check for any wounds. <br>Wishing you safety and good health. <br>Sincerely, Dr. <br>Lin Ming-Hui, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Bleeding from the rectal mucosa?

I previously heard that men can experience pleasure from anal intercourse, so I decided to try it.
About half a month ago, during one occasion, I accidentally cut myself due to long fingernails (right after pouring hot water over myself).
After withdrawing, I noticed some bleeding but didn't carefully observe how much blood there was (it was washed away by the water).
When I tried to rinse the blood away, I noticed it consisted of a dark red clump surrounded by bright red blood (the dark red clump was slightly smaller than a chocolate morsel in height, and it didn't disperse when I rinsed it with water).
Since then, I haven't inserted my fingers again.
That day, lying in bed didn't cause much pain, but afterward, I experienced a slight stinging sensation whenever I had a bowel movement (about 2-3 days later, I felt the urge to hold back my stool, and after using the restroom, I noticed some blood on the stool (it wasn't completely covered), and the bleeding didn't continue).
In normal circumstances, there were no visible traces of blood (on the toilet paper).
I also felt a bit of pain while riding a bicycle.
I haven't applied any medication or seen a doctor (I was too scared to go).
What should I do? If medication is needed, please let me know what it is called.
Thank you!

Lingyue, 10~19 year old female. Ask Date: 2015/03/16

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello: It is recommended to first visit a colorectal surgeon to check for any wounds.
Wishing you safety and good health.
Sincerely, Dr.
Lin Ming-Hui, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/03/16

More Info

Rectal bleeding can be a concerning symptom, and understanding its causes, symptoms, and treatment options is essential for proper management. Based on your description, it seems that you may have experienced a minor injury to the anal area, possibly due to the prolonged insertion of your finger, which could have caused a small tear or abrasion. This type of injury can lead to bleeding, especially if the skin is broken or if there is irritation during bowel movements.

Causes of Rectal Bleeding
1. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools or trauma. They can lead to sharp pain during bowel movements and may cause bleeding that appears bright red on toilet paper or in the stool.

2. Hemorrhoids: Swollen blood vessels in the rectal area can also cause bleeding. They can be internal or external and may lead to discomfort, itching, and bleeding during bowel movements.

3. Diverticular Disease: This condition involves the formation of small pouches in the colon wall, which can become inflamed or infected, leading to bleeding.

4. Colorectal Polyps or Cancer: While less common, these can also be sources of rectal bleeding. Polyps are growths on the colon lining that can bleed, and colorectal cancer can present with bleeding as a symptom.

5. Infections or Inflammatory Conditions: Conditions such as inflammatory bowel disease (IBD) or infections can also lead to rectal bleeding.

Symptoms to Monitor
- Color of Blood: Bright red blood typically indicates bleeding from the lower rectum or anus, while dark red or maroon blood may suggest bleeding from higher up in the colon.

- Pain: The presence of pain during bowel movements or persistent discomfort in the anal area can indicate an anal fissure or hemorrhoids.

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

Treatment Options
1. Home Care: For minor injuries or anal fissures, home care measures can be effective. These include:
- Warm Sitz Baths: Soaking the anal area in warm water can help soothe irritation and promote healing.

- High-Fiber Diet: Increasing fiber intake can help soften stools and reduce straining during bowel movements, which can prevent further injury.

- Hydration: Drinking plenty of water can also help maintain stool consistency.

2. Over-the-Counter Treatments: If you are experiencing pain or discomfort, topical treatments such as hydrocortisone creams or ointments designed for hemorrhoids may provide relief. These can help reduce inflammation and promote healing.

3. Avoid Straining: When using the bathroom, try to avoid straining, as this can exacerbate any existing injuries.

4. Consult a Healthcare Provider: If the bleeding persists, worsens, or if you experience significant pain, it is crucial to consult a healthcare provider. They may perform a physical examination and possibly recommend further tests, such as a colonoscopy, to rule out more serious conditions.

When to Seek Immediate Medical Attention
- If you experience heavy bleeding (more than a small amount on toilet paper).

- If you have severe pain that does not improve with home care.

- If you notice any changes in your bowel habits, such as persistent diarrhea or constipation.

In summary, while minor rectal bleeding can often be managed with home care, it is essential to monitor your symptoms closely and seek medical advice if you have concerns. Early intervention can help prevent complications and ensure proper healing.

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