Bleeding Per Rectum

Presence of visible blood in stools is a matter of concern and one of the multiple causes can be responsible for the same:

  • Hemorrhoids (piles).
  • Anal fissure or fistula.
  • Bacterial or amebic Dysentery.
  • Inflammatory bowel diseases like Ulcerative colitis and Crohn’s diseases.
  • Colo-rectal polyps.
  • Rectal or colonic malignancy.
  • First of all, do no panic.
  • See a doctor.
  • If you feel dizzy, collapse blackouts in front of your eyes or feel generally unwell then consider calling for an immediate help as this might be a heavy bleeding.
  • Another feature which should raise alarms are large quantity of blood, tarry black color stool (malena) which indicates heavy bleeding.
  • However, as in most of the cases if the bleeding is mild, make an appointment with your doctor soon.
  • A doctor will perform a complete history taking.
  • Apart from an examination of your vitals like pulse, blood pressure, and abdominal examination, many times per rectal digital examination is done.
  • If required proctoscopy is done.
  • Many times a Colonoscopy or Sigmoidoscopy is done in search of the site of bleeding.
  • In very difficult cases rarely a CT angiogram is done to locate the site of bleeding.
  • Although minor causes like hemorrhoids and fissure are treated by medicines sometimes surgery is required.
  • Colonoscopy has multiple therapeutic options to stop bleeding which includes glue injection therapy, heater probe coagulation, argon plasma coagulation, injection of a sclerosant solution.
  • In some cases, surgery may also be required.
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