Rectal Bleeding: Causes and When to Seek Help - Surgery

More Info

---

Rectal bleeding can be alarming, and it's important to understand the potential causes and when to seek medical help. Based on your description, it seems you may be experiencing symptoms related to hemorrhoids, especially since you mentioned previous issues with them. However, it's crucial to consider other possible causes of rectal bleeding as well.


Possible Causes of Rectal Bleeding
1. Hemorrhoids: These are swollen veins in the lower rectum or anus that can cause bleeding, especially during bowel movements. The blood is usually bright red and may be seen on toilet paper or in the toilet bowl.

2. Anal Fissures: Small tears in the lining of the anus can occur due to passing hard stools. This can cause sharp pain and bleeding during bowel movements.

3. Diverticular Disease: Diverticulosis involves small pouches that can form in the colon wall. If these pouches become inflamed or infected (diverticulitis), they can cause bleeding.

4. Colorectal Polyps or Cancer: Polyps are growths on the inner lining of the colon or rectum that can bleed. While many polyps are benign, some can develop into cancer over time.

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

6. Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the intestines.


When to Seek Medical Help
While hemorrhoids are a common cause of rectal bleeding, the amount of blood you described and the presence of pain should prompt you to seek medical attention. Here are some guidelines on when to consult a healthcare professional:
- Significant Bleeding: If you notice a large amount of blood, especially if it is accompanied by dizziness, weakness, or fainting, seek immediate medical attention.

- Persistent Symptoms: If the bleeding continues over several days or is recurrent, it’s important to have it evaluated.

- Accompanying Symptoms: If you experience severe abdominal pain, changes in bowel habits, weight loss, or fever, these could indicate a more serious condition.

- Age Considerations: If you are over 50 or have a family history of colorectal cancer, it is advisable to get screened.


Diagnostic Approach
When you visit a healthcare provider, they may perform a physical examination, including a digital rectal exam, and may recommend further tests such as:
- Colonoscopy: This procedure allows the doctor to view the entire colon and rectum and can help identify the source of bleeding.

- Sigmoidoscopy: Similar to a colonoscopy but examines only the lower part of the colon.

- Imaging Studies: In some cases, imaging studies like a CT scan may be necessary.


Management and Prevention
If hemorrhoids are confirmed as the cause, treatment options may include:
- Dietary Changes: Increasing fiber intake can help soften stools and reduce straining during bowel movements.

- Topical Treatments: Over-the-counter creams or ointments can relieve symptoms.

- Sitz Baths: Soaking in warm water can help soothe discomfort.

- Medical Procedures: In severe cases, procedures like rubber band ligation or surgical removal may be necessary.


Conclusion
While hemorrhoids are a common and often benign cause of rectal bleeding, the amount of blood you described and your previous symptoms warrant a thorough evaluation by a healthcare professional. Early diagnosis and treatment are key to managing any underlying conditions effectively. Don’t hesitate to seek medical advice to ensure your health and peace of mind.