Whyam I bleeding in my bowels?

Rectal bleeding is a common symptom with many possible causes. Some are quite serious and require immediate medical attention. Common causes include:

- Hemorrhoids. Hemorrhoids are swollen veins in the anus or rectum. They can cause painless bleeding, especially after a bowel movement.

- Anal fissures. Anal fissures are small tears in the skin around the anus. They can cause pain, bleeding, and itching.

- Diverticular disease. Diverticular disease is a condition in which small pouches (diverticula) form in the colon. They can sometimes bleed, especially if they become infected or inflamed.

- Colorectal cancer. Colorectal cancer is cancer of the colon or rectum. It can cause a variety of symptoms, including rectal bleeding, abdominal pain, and weight loss.

- Other causes. Rectal bleeding can also be caused by a variety of other conditions, including:

- Inflammatory bowel disease (IBD)

- Infectious colitis

- Ischemic colitis

- Angiodysplasia

- Radiation proctitis

- Trauma

When to seek medical attention

Seek immediate medical attention if you experience rectal bleeding along with any of the following symptoms:

- Severe abdominal pain

- Fever

- Nausea or vomiting

- Weight loss

- Black, tarry stools

- Light-headedness or dizziness

- Confusion

You should also seek medical attention if you have rectal bleeding that is persistent or heavy, or if you are over 50 years old and have never been screened for colorectal cancer.

How rectal bleeding is diagnosed

The doctor will ask about your symptoms and medical history, and perform a physical exam. The doctor may also order one or more of the following tests:

- Blood tests

- Stool tests

- Colonoscopy

- Sigmoidoscopy

- CT scan

- MRI

Treatment for rectal bleeding

The treatment for rectal bleeding depends on the underlying cause. In some cases, no treatment is necessary. In other cases, treatment may include:

- Over-the-counter medications to relieve pain and itching

- Prescription medications to treat the underlying condition

- Surgery

Prevention of rectal bleeding

Some cases of rectal bleeding can be prevented by:

- Eating a high-fiber diet

- Drinking plenty of fluids

- Exercising regularly

- Avoiding straining during bowel movements

- Getting regular screening tests for colorectal cancer