Saturday, October 1, 2022

What Causes Rectal Bleeding And Stomach Pain

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How Does Rectal Bleeding Appear

Health Problems : Upper Abdominal Pain With Rectal Bleeding

You might see or experience rectal bleeding in a few different ways, including:

  • Seeing blood on your toilet paper when you wipe.
  • Seeing blood in the bowl of the toilet when you are using the bathroom the water in the bowl might look like its been dyed red.
  • Noticing dark red, black or tarry poop while you are having a bowel movement.

Rectal bleeding can be bright red or darker in color. You can also have rectal bleeding without being able to see it. This can happen when you have very small amounts of blood in your stool called occult bleeding.

Screening For Bowel Cancer

Screening means looking for early signs of a particular disease in otherwise healthy people who do not have any symptoms and when treatment is likely to be curative. Bowel cancer screening aims to detect colorectal cancer at an early stage when there is a good chance that treatment will cure the cancer.

In the UK there is a screening programme for certain age groups. This involves testing three samples of your faeces for blood. The age group is slightly different in different parts of the UK. If you are in the relevant age groups, you will automatically be sent an invitation and then your FOB screening kit, so you can do the test at home. After your first screening test, you will then be sent another invitation and screening kit every two years until you reach the maximum age. You can then request further kits if you would like to continue to be included in the screening programme.

See the separate leaflet called Bowel Cancer Screening for more details.

What Are The Symptoms

  • Bright red blood coating the stool
  • Dark blood mixed with the stool
  • Black or tarry stool
  • Bright red blood in vomit
  • “Coffee-grounds” appearance of vomit

Other signs, which also need a doctorâs attention, include:

  • Fatigue, weakness, pale appearance
  • Anemia — your blood is low on iron-rich hemoglobin

The location of the bleeding may affect what you notice.

If it comes from the rectum or the lower colon, bright red blood will coat or mix with your stool. The stool may be mixed with darker blood if the bleeding is higher up in the colon or at the far end of the small intestine.

When there’s bleeding in the esophagus, stomach, or duodenum , the stool is usually black, tarry, and very foul smelling. Vomit may be bright red or have a “coffee-grounds” appearance when bleeding is from the esophagus, stomach, or duodenum.

If bleeding is hidden, you might not notice any changes in stool color.

Keep in mind that some medications, such as iron, bismuth, and the antibiotic cefdinir, and some foods, such as beets, can give the stool a red or black appearance that looks like blood but isn’t.

Symptoms also vary depending on how quickly you bleed.

If sudden, massive bleeding happens, you may feel weak, dizzy, faint, short of breath, or have cramp-like belly pain or diarrhea. You could go into shock, with a rapid pulse and drop in blood pressure. You may become pale.

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What To Expect At Your Office Visit

Your provider will take a medical history and perform a physical exam. The exam will focus on your abdomen and rectum.

You may be asked the following questions:

  • Have you had any trauma to the abdomen or rectum?
  • Have you had more than one episode of blood in your stool? Is every stool this way?
  • Have you lost any weight recently?
  • Is there blood on the toilet paper only?
  • What color is the stool?
  • When did the problem develop?
  • What other symptoms are present (abdominal pain, vomiting blood, bloating, excessive gas, diarrhea, or fever?

You may need to have one or more imaging tests to look for the cause:

  • Digital rectal exam
  • Sigmoidoscopy or colonoscopy to look inside your colon using a camera at the end of a thin tube to find or treat the source of bleeding may be needed.
  • Angiography

You may have one or more lab tests before, including:

  • Complete blood count
  • Stool culture

Changes In Bowel Habits

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Changes in bowel habits that can indicate colon or rectal cancer include the following:

  • New-onset constipation or diarrhea

  • Changes in frequency or size and caliber of bowel movements

  • A bowel that doesnt seem to empty completely

  • Stool that is narrower than normal

Occasional bowel changes can be caused by a dietary change, disagreeable food or a viral/bacterial infection. However, if you are experiencing something new and unexplainedand it lasts more than a couple of dayssee your doctor.

5 Things Your Poop Can Tell You About Your Health

Ever curious what bowel changes could signal about your health? Poop may be a gross topic that no one likes to talk about, but taking a quick peek before you flush may give you clues about your health.

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Common Causes Of Proctitis Include:

  • Dysentery .
  • sexiuallyitransmitted diseases of the irectumi and analiicanali.
  • rectalii ulcers.
  • Severe forms of food allergy or intolerance.
  • Anorectali cancers.
  • A continuous feeling that you need to have a bowel movement .
  • rectalii bleeding.
  • Passage of mucus, alone or with blood and stool.
  • abdominal pain .
  • Diarrhea.

Abnormalities Of The Gut

In young children various abnormalities of the gut or the gut wall may cause rectal bleeding. Examples include:

  • Volvulus – a twisting of the gut.
  • Intussusception – one part of the gut is sucked into another, creating a blockage.
  • Meckel’s diverticulum – an extra bulge or pouch in the small intestine, present from birth .
  • Hirschsprung’s disease – a condition where a part of the lower bowel does not function as it should. The muscles of the bowel wall are unable to squeeze along the faeces as they should do.
  • Abnormal blood vessel development.

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Are There Any Foods That Can Change The Color Of My Stool In A Similar Way To Rectal Bleeding

There are certain foods that can make your poop an unusual color. You can have green, yellow and even black stool. This can happen for a variety of reasons having too much bile during digestion, having a medical condition like inflammatory bowel disease or celiac disease, being on antibiotics, or even just eating foods with strong color pigments.

Often, blood can make your stool look very dark and almost black. Foods like black licorice, beets, dark berries and red gelatin can all make your poop look very dark. This can easily be confused for blood in your stool. If you notice very dark poop during a bowel movement, think back to what you ate recently. Theres a chance that what you ate could be the cause for the usually dark stool.

Alarm Symptoms: A Cause For Alarm


The lack of an obvious cause, and the absence of a physical abnormality in the gut are features common to all the functional gastrointestinal disorders. While these disorders are more common than structural diseases, they are not life threatening. However, they often impair quality of life.

Nevertheless, the presence of a functional disorder does not exclude the possibility of a co-existing disease, and your doctor will be on the lookout for worrying symptoms and signs. The following discussion describes so-called alarm symptoms that are not explained by any functional disorder, and therefore demand further inquiry.

A functional disorder refers to a disorder or disease where the primary abnormality is an alteration in the way the body works. These disorders generally cannot be diagnosed in a traditional way that is, as an inflammatory, infectious, or structural abnormality that can be seen by commonly used examination, x-ray, or blood test.

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Rectal Bleeding In Young People

While cancer is most commonly diagnosed in older adults, young adults often develop conditions that may cause rectal bleeding. Irritable bowel diseases such as ulcerative colitis or Crohns disease often first begin affecting adults in their 20s or 30. These conditions may increase the risk of colorectal cancer later in life.

Also, new diagnoses of colorectal cancer are surging in young adults. The disease is now the leading cause of cancer deaths in people 20 to 45 years old. Dr. Kachaamy says young adults should not ignore blood in the stool, even if it goes away after a few days.

While some conditions that cause bleeding resolve themselves quickly without treatment, other conditions like cancer and inflammatory disease will need treatment. Identifying them early offers you a stronger change for a better outcome, he says. Colorectal cancerespecially rectal canceris on the rise in young adults, and we currently do not screen average-risk adults below the age of 45. This means that to diagnose these diseases early, you need to be vigilant to early symptoms such as bleeding and not neglect these symptoms.

If youve been diagnosed with cancer of the digestive system, including colorectal cancer, stomach cancer or esophageal cancer, and are interested in a second opinion on your diagnosis and treatment plan, or chat online with a member of our team.

How Is Rectal Bleeding Treated

Treatment will depend on what is causing the rectal bleeding.

For some problems, the treatment could be to make changes to your lifestyle or diet.

Haemorrhoids often settle down quickly after a few days and do not require any special treatment. If your haemorrhoids are causing you pain or discomfort, ask your doctor or chemist about medicated creams or ointments that may ease your symptoms.

If your haemorrhoids keep coming back, you can talk to your doctor about the possibility of surgical treatment.

Treatment for anal fissures can involve botox injections or surgery.

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Chronic Or Recurrent Hemorrhoids

Chronic, or recurrent, hemorrhoids are swollen veins in the anus and rectum that never really resolve and may be symptomatic more or less constantly.

Hemorrhoids are caused by anything that puts pressure on the anus from the inside, such as straining during bowel movements constipation pregnancy or anal intercourse.

Most susceptible are pregnant women and older people, though anyone can be affected.

Symptoms include a small amount of bleeding during or after a bowel movement, as well as discomfort, itching, or swelling around the anus.

A medical provider can suggest treatment to ease the symptoms of chronic hemorrhoids, as well as make certain of the diagnosis since other, more serious conditions can have symptoms similar to hemorrhoids.

Diagnosis is made through patient history and physical examination.

Treatment most often involves simple lifestyle changes such as drinking more water adding fiber-rich foods to the diet using fiber supplements and stool softeners not delaying, or straining, to pass a bowel movement and using topical medications. Surgical procedures to remove the hemorrhoid can be used in some cases.

Rarity: Common

Top Symptoms: rectal bleeding, rectal pain, pain when passing stools, anal itching, painless rectal bleeding

Symptoms that never occur with chronic or recurrent hemorrhoids: unintentional weight loss

Urgency: Self-treatment

How Is Rectal Bleeding Diagnosed

Hemorrhoid Abdominal Pain

Your doctor will start by asking you about your symptoms. Questions may include when you first noticed the bleeding, related symptoms youre experiencing, and what color the blood is.

  • Visual or physical exam. The doctor will look or feel to check the affected area. This can include inserting a gloved, lubricated finger into the anus to check for abnormalities, such as hemorrhoids.
  • Endoscopic procedures. The doctor inserts a thin, flexible lighted scope with a camera into the anus. This allows the doctor to view the area. Examples include a sigmoidoscopy or a colonoscopy.
  • Blood tests. A complete blood count can help assess the extent of the bleeding and show if anemia is present.
  • Stool tests. These can show if theres bleeding that isnt visible.
  • Gastric lavage. If the doctor suspects the problem may lie in the stomach, they may pass a tube through the nose into the stomach to remove the contents and try to locate the site of any bleeding.
  • Imaging tests. This could be a scan or an X-ray, possibly with a contrasting agent, such as barium.

Rectal bleeding treatments depend on the cause and severity.

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Why The Color Of The Blood Matters

The color of the blood and the texture of the bloody stool may be influenced by many factors, especially what youve eaten. Beets can produce stool that turns the toilet water red or purple, while green, leafy vegetables rich in chlorophyl may produce darker stools.

If the bloody stool was caused by diseases such as cancer, the color may indicate where the bleeding is coming from in the digestive tract and may help doctors find its source.

For instance:

  • Bright red blood in stool often means the blood is fresh and the bleeding is lower in the colon or rectum. This condition is called hematochezia.
  • Dark red blood may mean the bleeding is higher in the colon or in the small intestine.
  • Dark, tar-like stool may mean the bleeding is in the stomach or the gastroesophageal junctionwhere the stomach meets the esophagus. This condition is called melena.

Polyps, which are small growths in the lining of the colon, may also grow and begin to bleed. Polyps may be benign at first, but they may develop into cancer. Thats why its important to talk to your doctor about when to get a colonoscopy, which is considered the gold standard for detecting colorectal cancer early. Polyps found during the procedure may be removed during the colonoscopy.

Why Does It Happen

The reasons vary, depending on where the bleeding is happening.

If itâs in your esophagus causes can include:

Esophagitis and gastroesophageal reflux. Stomach acid that returns, or “refluxes,” back into the esophagus from the stomach can cause irritation and inflammation of the esophagus that may lead to bleeding. Read more about gastroesophageal reflux .

Varices. These are abnormally enlarged veins usually located at the lower end of the esophagus or the upper stomach. They may break open and bleed. Cirrhosis of the liver is the most common cause of esophageal varices. Learn more about the symptoms of bleeding varices.

Mallory-Weiss tear. This is a tear in the lining of the esophagus. Itâs usually caused by severe vomiting. It can also happen due to things that increase pressure in your belly, such as coughing, hiccupping, or childbirth. Find out more on nausea and vomiting.

Bleeding from the stomach can be caused by:

Gastritis. This is inflammation in the stomach. Alcohol and some pain medicines can cause it. Watch a video about gastritis.

Ulcers. Ones in the stomach may enlarge and erode through a blood vessel, causing bleeding. Aside from medication, the most common cause of these is an infection with a bacterium called Helicobacter pylori. Also, people who have had burns, shock, head injuries, or cancer, and those who’ve had major surgery, may get stress-related stomach ulcers. Get the facts on peptic ulcers.

Cancer of the stomach.

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Treatment For Rectal Bleeding

The cause and source of the bleeding determine the treatment. However, if the patient does not know the cause of the bleeding, the first thing the doctor will do is ask about the patientâs medical history. The doctor may also recommend additional tests depending on the severity and the accompanying symptoms. Significant blood loss may require hospitalization. Patients may also be hospitalized if the bleeding has not stopped or if their vital signs do not return to normal .

Rectal Bleeding: Causes And Treatments

Bleeding Ulcer Symptoms And Causes – How To Know If You Have A Bleeding Stomach Ulcer

If you have seen blood in the toilet after a bowel movement, or on the toilet paper after you wipe, this may or may not be a serious problem. In most cases, the blood will appear bright red. It might also be accompanied by stools that are maroon in color. And while pain or discomfort may occur with the bowel movement, it also might not.

Minor rectal bleeding is typically caused by abrasions on the outside of the anus, which often clear up without treatment, as well as hemorrhoids or anal fissures . Its important to pay close attention to any blood you see in your stool because, if its coming from the colon or further up the gastrointestinal tract, it could indicate a more serious problem. Mild cases of rectal bleeding will usually clear up within a day or two either without treatment or with over-the-counter medications.

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Schedule Your Care Today

Your health is too important to delay. We have worked hard to safely reopen our doors, and our team is ready when you are. To request an appointment, please complete the form at right and our team will contact you to schedule your visit.

As it relates to COVID-19, we are committed to the health, safety & wellbeing of our patients, associates and physicians. As the country begins to reopen and elective procedures are again permissible pending local regulations, we have instituted specific practices and procedures to ensure the health and safety of everyone in our facility.

At this time, we are only seeing patients in-person that are presumed COVID-19 free and/or are not showing any symptoms of the virus. Please refer to our COVID-19 guidelines for additional information and context. Thank you for your understanding and cooperation as we navigate current conditions in the best interest of the health and safety of all.

Tell us a little about you, and we will reach out to schedule your visit.

Is Rectal Bleeding Serious

In some cases, rectal bleeding can be a minor symptom of a condition that can be easily treated. Hemorrhoids, for example, can cause you to experience rectal bleeding. This usually doesnt last long and hemorrhoids are often easy to treat. However, rectal bleeding can sometimes be a sign of a serious condition like colorectal cancer. Its important to keep track of any bleeding you are experiencing. If its heavy, frequent or causing you to worry, call your healthcare provider to check it out.

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