Rectal Bleeding

To determine the cause of rectal bleeding, a healthcare professional may:

• Perform a physical examination: The doctor will conduct a thorough examination, which may include a digital rectal exam to assess for hemorrhoids, anal fissures, or other abnormalities.
• Conduct diagnostic tests: Additional tests may be ordered, such as a colonoscopy, sigmoidoscopy, or imaging studies like CT scan or MRI, to visualize the rectum and colon and identify any underlying issues.
• Blood tests: Blood tests may be performed to evaluate for anemia or signs of infection or inflammation.
• Stool sample analysis: A sample of stool may be tested for the presence of blood or any underlying infections.

The treatment for rectal bleeding depends on the underlying cause and may include:

• Conservative measures: For mild cases of rectal bleeding, conservative measures such as increasing dietary fiber, staying hydrated, and avoiding straining during bowel movements may help relieve symptoms.
• Medications: Medications such as topical creams, suppositories, or oral medications may be prescribed to reduce inflammation, relieve pain, or treat underlying conditions such as hemorrhoids or inflammatory bowel disease.
• Surgical interventions: In some cases, surgical interventions may be necessary, especially for conditions like colorectal polyps or diverticulosis that require removal of abnormal tissue or repair of the affected area.
• Management of underlying conditions: If rectal bleeding is caused by an underlying condition like inflammatory bowel disease, appropriate treatment plans may be devised to manage and control the disease.

It is important to seek immediate medical attention if:

• Rectal bleeding is severe, persistent, or accompanied by dizziness, lightheadedness, or fainting.
• You experience significant abdominal pain or notice a rapid increase in blood in the stool.
• Rectal bleeding is associated with symptoms such as weight loss, changes in appetite, or persistent fatigue.
• You have a personal or family history of colorectal cancer or other gastrointestinal conditions.

• Maintain a balanced diet: Consuming a diet rich in fiber and staying hydrated can help prevent constipation, which is a common cause of rectal bleeding.
• Practice good bowel habits: Avoid straining during bowel movements and respond promptly to the urge to have a bowel movement.
• Exercise regularly: Regular physical activity can help maintain bowel regularity and overall digestive health.

Rectal bleeding can be a symptom of colorectal cancer, especially if it is persistent or accompanied by other concerning symptoms. However, it is important to note that rectal bleeding can have various causes, many of which are noncancerous. A healthcare professional can evaluate your symptoms and order appropriate tests to determine the cause of rectal bleeding.

Rectal bleeding can occur as a result of sexually transmitted infections (STIs) that affect the rectum or anus, such as gonorrhea or chlamydia. If you engage in receptive anal intercourse or have concerns about STIs, it is important to consult with a healthcare professional for testing and appropriate treatment.

While stress and anxiety can sometimes lead to gastrointestinal symptoms, such as changes in bowel movements or abdominal discomfort, they are not direct causes of rectal bleeding. If you experience rectal bleeding, it is important to consult a healthcare professional to determine the underlying cause.

Rectal bleeding in children should always be evaluated by a healthcare professional, as it may indicate an underlying issue. Common causes of rectal bleeding in children include constipation, anal fissures, or less frequently, inflammatory bowel disease. Prompt evaluation and appropriate management are important for children experiencing rectal bleeding.