Bleeding or Pain

Bleeding or Pain

Rectal bleeding or pain can be alarming and is often a sign of an underlying condition affecting the lower gastrointestinal (GI) tract. While some causes may be mild and temporary, others may require medical attention. At Heritage Hospital, our experienced General Surgery team is equipped to diagnose and manage rectal bleeding and pain with advanced treatment options and compassionate care.

Understanding Rectal Bleeding and Pain

Rectal bleeding refers to the presence of blood in the stool, on toilet paper, or in the toilet bowl after a bowel movement. It can range from light spotting to heavy bleeding, which may indicate a more serious condition. Rectal pain, on the other hand, can be sharp, throbbing, or persistent, often occurring during or after bowel movements.

The color of the blood in rectal bleeding can provide clues about its origin:

• Bright red blood suggests bleeding from the rectum or lower colon.
• Dark red or maroon blood may indicate bleeding from the upper digestive tract.
• Black, tarry stools (melena) often result from bleeding higher up in the digestive system.

Common Causes of Rectal Bleeding and Pain

1. Hemorrhoids

• Swollen veins in the rectum or anus, often caused by straining during bowel movements, prolonged sitting, or pregnancy.
• Symptoms: Bright red blood in the stool, pain, itching, and discomfort.

2. Anal Fissures

• Small tears in the lining of the anus, typically caused by passing hard stools or constipation.
• Symptoms: Sharp pain during bowel movements, followed by burning pain.

3. Diverticular Disease

• Small pouches (diverticula) in the colon wall that can become inflamed or infected.
• Symptoms: Rectal bleeding, abdominal pain, and changes in bowel habits.

4. Inflammatory Bowel Disease (IBD)

• Conditions like Crohn’s disease and ulcerative colitis cause chronic inflammation in the intestines.
• Symptoms: Bloody diarrhea, abdominal cramps, and weight loss.

5. Colorectal Polyps or Cancer

• Growths in the colon or rectum that can bleed and potentially develop into cancer.
• Symptoms: Rectal bleeding, unexplained weight loss, and changes in bowel habits.

6. Proctitis (Rectal Inflammation)

• Inflammation of the rectal lining due to infections, radiation therapy, or autoimmune disorders.
• Symptoms: Rectal pain, urgency, and bloody stools.

7. Rectal Ulcers

• Open sores in the rectum caused by chronic constipation, trauma, or IBD.
• Symptoms: Rectal pain, bleeding, and mucus discharge.

When to Seek Medical Attention

Mild cases of rectal bleeding or pain, such as those caused by hemorrhoids, often resolve with home care. However, immediate medical attention is required if you experience:

• Heavy or continuous rectal bleeding.
• Severe or persistent rectal pain.
• Blood mixed with mucus or pus.
• Unexplained weight loss.
• Changes in bowel habits lasting more than a few weeks.

Diagnosis of Rectal Bleeding and Pain

Our specialists at Heritage Hospital perform a comprehensive evaluation to determine the cause of rectal bleeding or pain. Diagnostic tests may include:

• Physical Examination: A digital rectal exam (DRE) to assess abnormalities.
• Anoscopy or Sigmoidoscopy: Direct visualization of the rectum and lower colon.
• Colonoscopy: A full examination of the colon to identify polyps, inflammation, or tumors.
• Stool Tests: To check for infections, blood, or inflammation.
• Imaging Tests: CT scans or MRIs if deeper evaluation is needed.

Treatment Options

Lifestyle and Home Remedies

• Increase fiber intake to soften stools and reduce straining.
• Drink plenty of water to prevent constipation.
• Avoid prolonged sitting, especially on the toilet.
• Practice proper hygiene to reduce irritation.

Medical and Surgical Treatments

• Medications: Pain relievers, stool softeners, and anti-inflammatory drugs for conditions like IBD.
• Minimally Invasive Procedures:
  • Rubber band ligation for hemorrhoids.
  • Sclerotherapy injections to shrink hemorrhoids.
  • Endoscopic procedures to remove polyps.
• Surgical Interventions:
  • Hemorrhoidectomy (for severe hemorrhoids).
  • Colectomy (removal of part of the colon in cases of cancer or severe IBD).
  • Fistulotomy (surgical treatment for anal fistulas).

Why Choose Heritage Hospital?

At Heritage Hospital, we offer:
✅ Expert Surgeons: Skilled professionals with extensive experience in treating colorectal conditions.
✅ Advanced Technology: State-of-the-art diagnostic and surgical facilities.
✅ Personalized Care: Individualized treatment plans tailored to patient needs.
✅ Comprehensive Support: Guidance on diet, lifestyle changes, and post-treatment recovery.

If you or a loved one is experiencing rectal bleeding or pain, don’t ignore the symptoms. Contact Heritage Hospital today for expert diagnosis and treatment.