Bleeding from the anus with stool is accompanied by a number of symptoms, some of which are considered by specialists as urgent. Suppose if blood in the anus is associated with an increase in body temperature, expressed by pain in the peritoneal space.
Clinical manifestations such as:
- The presence of signs of a holistic aggravation of well-being, confusion, or impaired consciousness. Significant weakness may develop.
- Bleeding from the anus during bowel movements should cause particular concern if hemorrhages under the skin join them. This, for example, can be hematomas (developing without obvious injuries), nosebleeds.
- Heavy and prolonged bleeding, threatening the loss of a large amount of blood.
It is recommended to consult a specialist in that situation, if the problem is combined with nausea and vomiting. No less disturbing evidence should be considered the presence of bloody inclusions in the vomit. The reasons for the manifestation of blood during bowel movements need to be sorted out in a separate order.
Disease of the gastrointestinal tract is manifested by anal bleeding, which can cause serious damage not only to health, but also to the patient’s life.
With various diseases, the color of the allocated blood also changes. By its color, one can judge some diseases.
It is also important not only what color it is, but also the nature of bowel movements, quantity and other factors. If fermented foods are present in food, then the tint of such secretions will also be distorted.
In men and women, the reasons for the allocation of blood from the anus are the same. The following diseases may be the cause of this symptom.
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- Anal fissure
- Rectal cancer
- First aid for anal bleeding
- Causes of bleeding from the anus in adults
- In men
- Gastric and duodenal ulcer and erosive gastritis
- Why is blood coming from the anus?
- Manifestations of hemorrhoids
- The basics of differential diagnosis of gastrointestinal diseases, accompanied by bleeding from the anus
- Bleeding in intestinal and systemic infectious diseases
- Colon Cancer
- Esophagus and stomach ulcers
- Digestive Tumors
- Helminthic invasions
It comes first in terms of the prevalence of blood secretion from the anus. Blood usually appears after a bowel movement, it is not mixed with feces, the color is usually light scarlet.
There is inflammation and ulceration in any part of the digestive tract, usually in the large intestine. In addition to blood discharge, patients with such a disease are concerned about intense pain in the lower abdomen, lack of appetite, and high fever. The chair can be almost black in color.
With this pathology, the blood comes out portionwise, usually after stool, and may be accompanied by severe burning sensation after a bowel movement. An anal fissure is more common in those who suffer from constipation. Delayed stools, hard (stiff) stools and irritation of the anorectal zone with soap and other hygiene products are fraught with microcracks of the mucosa. The main symptoms are scarlet blood in the feces and pain during bowel movements.
Since the network of blood vessels is extremely developed inside the anus, when you strain (when a person is pushing), the vessels can burst, and periodic discharge in the form of blood occurs.
This disease is associated with inflammation and ulceration of the rectal mucosa, and fecal excretion occurs with blood and mucus (bile).
The amount of blood released depends on the size of the polyp and its location. These are benign tumors growing on a thin stalk or broad base. For a long time, polyps do not manifest themselves, sometimes constipation or diarrhea may occur, which appear due to a violation of intestinal motor activity. Blood is bright red.
Bleeding with such a disease is similar in symptoms to the presence of polyps. Malignant tumors can secrete blood at any stage of their development. The bleeding itself from malignant neoplasms of the intestine manifests itself in different ways. Sometimes bright-colored blood may appear, at times – mixed with feces. The intensity of bleeding may be different. Very severe bleeding occurs with bleeding of a decaying tumor.
Injury during bowel movements diverticulum can be the cause of excrement of feces with blood. Diverticulosis is a protrusion of the intestinal mucosa through its outer layer, it is complicated by bleeding, peritonitis. Discharge – in the form of dark blood clots. Symptoms of an incipient disease: abdominal pain; bleeding from the anus; sometimes a fever. The main thing here is to correct problems with bowel movement to prevent the occurrence of new diverticula.
This disease is accompanied by heavy bleeding from the anus, high fever, loose stools, nausea, vomiting, severe abdominal cramps. An example of such an infection are: dysentery, amoebiasis, salmonellosis.
In this case, the reason is reduced immunity, which contributes to the development of any type of disease with symptoms of blood discharge from the anus.
Causes of bleeding can also be:
- gastritis – with this type of disease, bleeding is plentiful and constant,
- stomach ulcer and duodenal ulcer, when there is a tarry stool with heavy bleeding, and the first sign of the disease is vomiting of blood,
- varicose veins of the esophagus.
Sometimes, blood discharge from the anus can be a side effect of consuming certain medications that contain potassium.
Discharge from the anus may not be associated with any disease. They may be provoked by certain foods that you consume. You should remove them from the diet and observe the color of feces. If after a few days the discharge remains, you should consult a doctor.
The occurrence of blood in the stool of children is also found, as in adults, it can be triggered by the use of:
- iron preparations;
- food with dyes;
- some drugs (antibiotics).
If the reason is not in the use of the above products, and there really is blood in the feces, then these can be:
- anal fissure (may occur even in infancy);
- allergy to cow’s milk (passes when removed from the diet of the child);
- infectious diarrhea. May occur due to ingestion of contaminated foods and an imperfect immune system due to age.
First aid for anal bleeding
The first first aid to the patient can be provided at home, trying to stop the bleeding. To do this, lay the person, apply cold to the anus. With not very severe hemorrhoidal bleeding, anesthetizing and blood-stopping ointments and suppositories are used. A doctor’s consultation is required in any case.
Feces with blood should be the reason for going to the hospital in such cases:
- Profuse discharge of blood or scarlet clots.
- Minor but prolonged bleeding from the anus. Drops of blood not only remain on toilet paper after a bowel movement, but also on underwear. Duration of bowel movement for more than a week.
- Along with blood discharge, bloody vomiting occurs, the patient’s well-being worsens.
- An increase in body temperature joins the feces with blood. This is always a sign of infection or inflammation.
When there is a blood discharge in the feces, you need to visit a proctologist. Bleeding caused by gastrointestinal diseases is always accompanied by additional symptoms in the form of nausea, vomiting, and abdominal pain.
- if the bleeding is profuse and does not stop
- if bleeding is accompanied by bloody vomiting
- if bleeding is accompanied by discharge of blood from the nose, bruising and bruising
- if bleeding is accompanied by a deterioration in general condition
- if the temperature and intense abdominal pain increase in parallel with the bleeding
It is necessary to immobilize the patient, in case of persistent bleeding – apply a cold compress to stop blood loss and narrowing of blood vessels. Apply blood-stopping drugs – Vikasol, Etamzilat. Collagen tubes, which swell inside and prevent bleeding, can be inserted into the anus. You do not need to remove them back – they dissolve themselves.
Causes of bleeding from the anus in adults
The reasons for the discharge of blood from the anus is recommended to be divided into factors characteristic of the male and female representatives. Usually we are talking about digestive problems that can be solved by diet and conservative treatment. However, in some situations, if forced bleeding from the anus develops without pain, the disease can be much more serious.
In males, the cause of the anomaly in 60% of cases is ulcerative damage to the stomach, duodenum and erosive form of gastritis. Such causes of blood after defecation on paper without pain are noteworthy as:
- neoplasms developed due to colorectal cancer;
- intestinal tuberculosis;
- polypous formations;
- diverticulosis of the intestinal wall;
- Crohn’s disease;
- non-specific form of ulcerative colitis.
In men, the likelihood of scarlet blood on toilet paper after stool increases with hemorrhoids and cracks in the walls of the anus. Another category of provocative factors deserves special attention, namely infections, for example, typhoid or dysentery. The list of causes is supplemented by enteroviral and rotavirus lesions, helminthic invasions (amoebiasis, schistosoma).
Blood from the anal area in women can develop, primarily due to the progression of varicose veins of the esophagus. This can happen with thrombophlebitis of the splenic veins and even with cirrhosis. Female representatives may complain of similar problems with hemorrhoids, cracks in the anus, and infectious lesions.
A more specific cause is bleeding during pregnancy. The fact is that in the process of carrying a child, the amount of blood in the small pelvis increases. This process can more easily affect the occurrence of secretions during bowel movements, for example, due to constipation. Given the danger of blood from the anus during pregnancy and after childbirth, it is recommended to consult a specialist to diagnose and prescribe a recovery course.
Gastric and duodenal ulcer and erosive gastritis
Peptic ulcer caused by bacteria proceeds undulating. Periods of relative well-being give way to exacerbations. If a peptic ulcer or erosion in gastritis is small, then they can manifest themselves only as “hungry” pains or pain immediately after eating. Over time, the ulcer grows wide and deep, eventually drilling the wall of the stomach or intestines. If a blood vessel is damaged, profuse and life-threatening bleeding can occur.
Diagnosis and treatment at the same time is carried out using gastroscopy: a ulcer defect is found and cauterized. After normalizing the condition, they treat inflammation in the stomach and remove harmful bacteria.
Bleeding from the esophagus can manifest itself either in bloody vomiting, or, when passing through the stomach and intestines, by the presence of secretions in the feces. In this case, there is black digested blood. Here, the causes of bleeding from the anus are numerous. In addition to inflammation of the esophagus, a similar symptom may manifest Mallory-Weiss syndrome.
Its essence is that with frequent vomiting or coughing, damage to the mucous membrane of the esophagus occurs, which becomes bleeding. This phenomenon is quite common. Bleeding from the esophagus can also come from varicose veins of the esophagus, which develops in the late stages of cirrhosis and is associated with portal hypertension.
A stomach ulcer can manifest itself with long-term minor spotting in the stool that is not visible to the naked eye, but heavy bleeding can also occur. In this case, the blood in the stool is black, digested. This symptom is often accompanied by other symptoms, such as abdominal pain, food addiction, etc.
If bleeding from the anus is caused by a stomach ulcer (along with bouts of abdominal pain), antacids are prescribed to reduce acidity and help for a short time. But these means do not solve the situation.
The most commonly used and effective today are proton pump blockers that reduce the secretion of hydrochloric acid in the stomach. These drugs are good for both prevention and treatment. Even large ulcers, due to taking these drugs, contract and disappear. Medicines of this group are suitable for diseases in a child and an adult.
If a patient with gastric ulcer is found to have Helicobacter Pylori, removal should be part of the treatment. For this, antibiotic combinations are prescribed depending on age (the child uses other drugs, not the same as adults). Surgical treatment is rarely performed, mainly with the most serious complications (ulcer rupture).
Hemorrhoids are the most common reason why blood is released from the anus during pregnancy and in other cases. Blood has a bright red color, visible on the surface of feces and on paper. When these symptoms appear, you should not be scared: with the greatest probability, the allocation of blood from the anus is caused by hemorrhoids. A visit to the doctor will help rule out colon cancer.
Due to the fact that the dilated venous sinuses are anatomically connected directly to the arteries, they can bleed under the influence of relatively high pressure, resulting in the presence of red blood in the stool. Such symptoms should not be underestimated, especially in older people.
In addition to bleeding from the anus during bowel movements, internal hemorrhoids can cause pain during bowel movements, the appearance of mucus in the feces, expansion, and sometimes even prolapse of the rectum, can occur. With less developed forms of the disease, the hemorrhoids can be returned back to the rectum on their own, in more complicated stages this cannot be done. Undeveloped internal hemorrhoidal nodes are not visible from the outside and are not felt to the touch.
Why is blood coming from the anus?
Some diseases of the large intestine provoke blood from the anus of varying intensity. In most clinical pictures, in addition to blood secretions, there is an acute attack of pain, which can be stopped only with medical methods. More often, characteristic symptoms prevail after defecation, but gradually recedes before the next trip to the toilet:
- anal fissures;
- internal or external hemorrhoids;
- diverticulums of the digestive tract;
- rectal polyps;
- exacerbations with intestinal infections;
- oncology (malignant neoplasms of the intestine);
- exacerbations of chronic constipation.
If after defecation, when the patient had to push too much, blood appeared, it is possible that at this moment a microcrack appeared, which is a consequence of chronic constipation. So, after emptying the intestine, the toilet paper is painted in scarlet color, acute pain in the anus worries. To make a presumptive diagnosis and exclude neoplasms of the intestine, it is required to carefully study the color of the blood, the profuse bleeding. Even at home, the patient can figure out why such an unpleasant symptom occurred.
When blood appears in the feces, it does not matter in men or women, you need to visit a therapist and proctologist. In the future, you may need the help of a gastroenterologist. If the child has blood stool, then the baby should be immediately shown to the pediatrician.
Even blood discharge from the anus without pain should be taken as a prerequisite for contacting a coloproctologist or therapist. Fecal analysis is recommended to detect occult blood. Frequent are cases where there is no visible discharge, but blood is still excreted in microscopic amounts, which is also dangerous. Further, the coloproctologist insists on:
- rectoscopy, which is a study of the lower parts of the digestive system. Due to this, anal fissures, hemorrhoids and neoplasms are identified in the region of the rectum and in a certain area of the sigmoid colon;
- colonoscopy, which is a more detailed study with an endoscope, which makes it possible to identify any changes in the colon;
- irrigoscopy, namely examination by x-ray and contrast component. The latter is introduced into the intestine in order to obtain the most clear image.
To identify blood from the anus after emptying the stool, gastroduodenoscopy is performed, namely, endoscopic examination of the stomach and duodenum. For diagnostic purposes, a biopsy device and cauterization of ulcerative lesions can also be used.
Laparoscopy and abdominal surgery deserve special attention. We are talking about both diagnostic and therapeutic intervention, which allows you to examine in detail the peritoneum and all its departments, take fluid for analysis, and also carry out a biopsy of the pathological site. After such a full diagnosis, the coloproctologist will decide what to do if there is blood from the rectum.
In the vast majority of cases, blood during defecation in the feces or its allocation from the anus during defecation in men without pain, pain in the anus, the detection of traces on underwear, hygiene products should be an occasion for examination by specialists. Blood with feces in men (even if bowel movements are painless) can indicate many diseases and pathologies, starting with almost harmless mucosal cracks and ending with bowel cancer, leukemia and other life-threatening diseases.
However, there are a number of bleeding characteristics in which emergency care is vital. The call of the ambulance team or immediate hospitalization should be accompanied by the following manifestations:
- if during bleeding there is also an increase in body temperature, severe pain in the peritoneum;
- when the discharge of blood from the anus is accompanied by signs of a general deterioration in well-being, confusion or impaired consciousness, significant weakness, etc.
- when bleeding from the anus is not the only one, and subcutaneous hemorrhages (hematomas that occur without preliminary injuries), nosebleeds join it;
- with the release of blood clots, profuse and prolonged bleeding, which threatens significant blood loss;
- if anal bleeding is combined with nausea and frequent vomiting, blood inclusions are also found in the vomit.
All of these symptom complexes are signs of health and life-threatening conditions that occur due to injuries, pathologies, infectious and somatic diseases in the acute stage. Self-treatment or waiting for a visit to the doctor in the clinic in such cases is unacceptable.
If blood inclusions are insignificant and are not accompanied by a sharp deterioration of the condition, the symptoms listed above and requiring urgent hospitalization, then therapist and proctologist become specialists of the first choice. If necessary, a gastroenterologist, an infectious disease specialist and other specialists can also be examined and diagnosed, depending on the initial diagnosis.
In some cases, bleeding cannot be detected by visual examination of feces, since when a blood source is localized in the upper intestine, stomach or esophagus, blood passing through all sections of the digestive tract changes color to dark brown or black. With copious discharge of blood, this leads to the appearance of the so-called tarry stool:
- retroscopic examination;
- colonoscopic examination;
- fluoroscopy with the introduction of a contrast medium into the intestines (irrigoscopic method);
- gastroduodenoscopic examination of the inner surface of the stomach and the condition of the duodenal mucosa;
- laparoscopic examination can have both diagnostic and therapeutic goals.
The presence of a slight inclusion of blood in the feces during defecation in most cases is not a sign of a dangerous disease. However, in the absence of timely and appropriate treatment, attempts at self-diagnosis and independent therapy, the disease will progress, passing to stages that threaten human health and life.
Blood from the anus is a common symptom that can occur at any age in both men and women. Bleeding may be profuse or minor, but in any case, it should alert you and force you to seek medical help from a government agency or private clinic.
When people hear about bleeding from the anus, they think that blood should literally flow from the anus.
This, of course, happens, but this is an extreme manifestation of the disease, which requires urgent medical attention, mainly surgical.
Most often, a person discovers bloody marks on toilet paper or in feces. But even such minor blood loss should alert you.
- intestinal polyps;
- malignant tumor of the intestine;
- stomach bleeding (there will be dark blood or bloody clots in the feces);
- trauma to the anus due to constipation and the passage of excessively hard feces in the rectum;
- intestinal infections;
- nonspecific ulcerative colitis.
The exact cause of intestinal bleeding can only be established after examining the patient and conducting certain diagnostic procedures. Many people perceive blood from the anus too calmly, believing that only normal hemorrhoids proceed like this.
Even if the cause of intestinal bleeding is an increase in hemorrhoidal nodes, you need to visit a proctologist and begin treatment.
Even simple hemorrhoids pose a threat to life and health, especially if it progresses over many years and is prone to recur frequently.
The main methods for diagnosing intestinal bleeding are colonoscopy and irrigoscopy. These research methods are most informative regarding intestinal diseases, including oncological pathologies.
In addition, laboratory tests of feces, blood tests, ultrasound, x-ray methods for the diagnosis of digestive organs can be prescribed, which help to identify concomitant diseases that cause blood secretion from the anus.
Colonoscopy is an endoscopic examination that allows you to examine the large intestine. The procedure is carried out using a fibrocolonoscope: it is inserted into the rectum and gently advanced, supplying air, which straightens the intestinal walls.
Colonoscopy has been successfully used to diagnose polyps, ulcerative colitis, Crohn’s disease, and malignant tumors. The study allows you to view the entire large intestine, take pictures of suspicious areas and take tissue for histological analysis in the future.
During colonoscopy, specialists often remove small pathological neoplasms, in particular polyps, which degenerate into cancer and are accompanied by blood loss. Also, during the procedure, you can stop intestinal bleeding and remove a foreign object that injures the walls of the colon.
Colonoscopy is not performed for anal fissures, in the acute phase of hemorrhoids, with a risk of perforation of the intestinal wall.
The study is recommended for preventive purposes 1-2 times a year for early detection of colorectal cancer.
Manifestations of hemorrhoids
The disease in most cases is observed in adults with an increase in the older age period (from 45-50 years) and during the period of gestation and after delivery. The pregnancy process is accompanied by a change in the hormonal background of the body, leading to changes in the elasticity of the walls of the vessels, which, combined with increased pressure of the growing uterus on the veins of the intestine, digestive disorders and bowel movement, leads to varicose veins of the anus in the walls of the rectum.
The debut of the disease is most often observed in the postpartum period, when excessive pressure on the veins in the afterparty period leads to inflammation of the hemorrhoidal nodes and cracks, and the absence of defecation in the first days exacerbates the problem with subsequent constipation.
The disease is expressed in varicose veins of the lower intestine, which can be accompanied by bleeding during bowel movements, pain, anal itching, a feeling of heaviness, discomfort, etc. The first stage of the disease can be asymptomatic, accompanied by slight discomfort during the bowel movement. At the most severe stage, hemorrhoids can be accompanied by constant bleeding, pain, chronic anemia and require surgical treatment.
The amount of blood released depends on the degree of the disease and the features of its manifestation: most often, quantitative indicators of bleeding are insignificant, however, in the later stages, bleeding can be severe, leading to anemia, and a general deterioration. Treatment is carried out by a proctologist; in most cases, conservative methods are sufficient.
Excessive bleeding with hemorrhoids can be productively eliminated with venotonics and anti-hemorrhoids, which are available in the form of ointments, creams, and rectal suppositories. Alternatively, it can be Relief, Proctosan candles. The main goal of drug therapy is to relieve inflammation, stop blood during hemorrhoids, remove an attack of pain, and accelerate the recovery of injured tissues. If the disease is dominated by 4 degrees, and the nodes fall out even in the resting stage, the operation cannot be dispensed with. After rehabilitation is needed.
Two-thirds of people over 45 suffer from hemorrhoids. The cause of the disease is varicose veins of the direct anorectal region. These veins can expand outside the anus and inside the rectum. Most often, these two options are combined.
- itching in the anus
- scarlet blood secretion during bowel movements
- visible loss of nodes when straining or at rest
- severe pain with infection and thrombosis of the node
Bleeding with hemorrhoids can be of different intensities: from a few drops during bowel movements to profuse discharge of blood, worsening the general condition and causing chronic anemia.
In any case, the diagnosis can only be made by a proctologist who will conduct a digital examination, rectoscopy or apply other methods.
- The first step should always be the normalization of the stool. Constipation and too frequent bowel movements should be avoided. To do this, use fractional nutrition, include prunes, kefir, beets and other vegetables with fiber in the diet (see diet for hemorrhoids). In the absence of effect, plant-based mild laxatives can be used (Mukofalk, Senade, prebiotics with the active substance Lactulose, see all laxatives for constipation)
- In the initial stages of the disease, symptoms may be relieved with medication. In order to stop bleeding, rectal suppositories are used (Natalsid, Proctosan, see suppositories for hemorrhoids). To relieve pain, pain medications (ointments from hemorrhoids) are used.
- In case of progression of the disease, sclerotherapy and surgical treatment methods are used. The effect of the operations is good, but the risk of relapse remains (see external hemorrhoids: treatment, internal hemorrhoids).
The basics of differential diagnosis of gastrointestinal diseases, accompanied by bleeding from the anus
This is not an independent disease, but an unpleasant symptom that indicates the course of the pathological process. This often happens with anal fissures, inflammation and rupture of hemorrhoids. With heavy bleeding, immediate hospitalization is required, moderate blood loss is effectively stopped at home.
If after the next visit to the toilet on the paper traces of blood are found or it is present in the feces:
- Do not immediately panic. It is necessary to consult a doctor as soon as possible.
- Only after a comprehensive examination of the patient, the specialist will be able to prescribe therapy, choose the right treatment for bleeding from the anus.
- When the bleeding intensifies over time, a lot of blood comes out of the rectum, you need to immediately call an ambulance.
After hospitalization, a preliminary examination and relief of blood loss, the doctor will prescribe a comprehensive examination to determine the cause of bleeding from the anus, which includes:
- rectoscopy – helps to examine the digestive system, its lower sections (large intestine, rectum);
- colonoscopy – examination of the colon;
- gastroduodenoscopy – examination of the digestive tract using an endoscope.
It is impossible to stop blood from the anus independently. This can only be achieved using surgical techniques. Minimally invasive methods help to quickly stop bleeding. The choice of treatment tactics depends on the amount of blood loss, the area of the lesion. To treat the disorder, surgeons actively use:
- injection sclerotherapy – chipping of the identified bleeding site with saline solution with a vasoconstrictor.
When a small area of the intestine is affected, overlapping clips, latex rings can be performed. In some cases, embolization of a bleeding vessel with spirals, microspheres from a gelatinous sponge can be carried out. It is worth noting that surgical treatment requires nearly 30% of patients with bleeding from the anus.
After the doctors have established, due to which, in a particular case, red blood appeared from the anus during bowel movements, rectal suppositories may be recommended as a treatment tool. These drugs directly affect the focus of the disorder, have a good healing property.
Prescribed suppositories can have several effects at once: restore, stimulate local immunity, anesthetize. Commonly used suppositories include:
- Ichthyol candles.
When a patient has blood flowing from the anus due to frequent constipation, hemorrhoids, doctors prescribe complex therapy, which includes taking tablets. Of these funds, laxatives and antispasmodics are more often used. These drugs help empty the intestines and relieve spasm, relieve patients from pain. Among laxatives can be identified:
As antispasmodics for treatment are used:
The appearance of blood from the anus requires diagnosis, regardless of the amount of blood loss. Heavy bleeding from the anus must be eliminated immediately, therefore, such patients are hospitalized urgently. After a full examination and elimination of the cause of bleeding, the patient needs to be monitored to prevent relapse.
The characteristics of the recovery course directly depend on the reasons that provoked the discharge. Suppose the treatment of hemorrhoids and anal fissures at the initial stage is successfully carried out with medications. Suppositories (venotonic, painkillers) are used, as well as tablets. In case of complication of the condition, it is recommended that the operation be performed – minimally invasive or more serious (with critical aggravation of hemorrhoids).
If the reason that the blood is dripping from the anus is ulcerative colitis, a special diet and hormonal names are prescribed. With the development of polyps, we are talking about their removal, for example, during colonoscopy. To cope with bleeding from the rectum without pain with constipation will help laxative names, a special menu. The diet is aimed at “unloading” the intestines and digestive tract.
When identifying intestinal infections, experts insist on the introduction of antibiotics, in the most difficult cases, treatment can and should be carried out in a hospital. If the diagnosis revealed tumors of any origin, a course of radio or chemotherapy will be required. The specific tactic depends on the size of the tumor, the presence or absence of metastases.
The causes of bleeding from the anus in men are quite diverse. Most often, blood from the anus in men is a sign of disease or damage to the lower intestine, colon. But other diseases, including those not related to the gastrointestinal tract, can lead to this symptom.
From the absence of symptoms to pain in the abdomen, weakness, general malaise, weight loss
|Color, quantitative characteristics of blood inclusions||Disorders of the bowel movement||Other symptoms|
|Varicose veins of the lower intestine with hemorrhoids||Blood color is scarlet, quantities are insignificant||Difficult bowel movements, constipation (optional symptom)||Sensations of itching, pain in the anus during and after defecation|
|Cracks in the mucosa of the anus||Scarlet blood in small quantities||Constipation observed||Acute pain in anus, quickly passing after defecation|
|Perforation of a stomach ulcer||Amounts range from slight to pronounced, dark color||In a non-acute condition without changes, with severe bleeding, a liquefaction of feces is noted||Characteristic pain in the stomach, peritoneum|
|Tumor formations, intestinal polyps||Most often, the volume of blood is significant, the color is dark brown||In the later stages – the impossibility of defecation due to intestinal obstruction, the sensation of false urge to defecate is possible|
|Violation of the integrity of the veins of the esophagus||A small amount at the initial and developing stage of the disease, the color depends on the location of the affected intestine||Stool liquefaction||Sensation of heartburn, heaviness, discomfort in the hypochondrium|
|Infectious, parasitic diseases||A small amount of blood, often dark||In most cases, stool thinning||Depending on the infectious agent or type of parasite|
|Symptom of Crohn’s disease, ulcerative colitis||Permanent minor bloody inclusions in feces||Unstable chair||Accompanied by pain, dermatitis, etc.|
The appearance of microcracks on the skin or mucous membrane of the anorectal region in most cases is caused by stool dysfunctions, chronic constipation, leading to surface damage. Diagnosis is based on the collection of an anamnesis, in which the presence of blood in the feces and acute pain during bowel movements are present, as well as an examination to detect a crack.
Therapy is based on the normalization of bowel movements, the use of disinfectants, painkillers that promote surface regeneration and muscle relaxation of the sphincter drugs.
The basis of therapy is to improve digestion processes, change the diet, which causes constipation, regular hygiene of the anus. Without these directions of treatment, medications will have the nature of temporary therapy, relapses of the disease with intestinal dysfunctions are almost inevitable.
With rectal bleeding, therapeutic measures are necessarily carried out aimed at eliminating the cause of the appearance of blood. With constant constipation, effective laxative microclysters are prescribed, for example, Microlax. And with diarrhea – sorbents and astringents. Medication should include taking antibiotics to prevent the development of infectious complications.
From folk remedies, a decoction or tincture of nettle has a hemostatic effect. However, with most diseases that cause intestinal bleeding, surgical emergency care remains the main treatment method. Ligation of bleeding vessels is indicated in the case when it is not possible to cure the disease conservatively with the help of drugs.
Prevention consists, first of all, in lifestyle correction, rational and balanced nutrition, the use of dietary products, the treatment of chronic diseases, the passage of periodic medical examinations and the implementation of the recommendations of the attending physician.
It should be understood that anal bleeding is a symptom, but not an individual disease, therefore, the direct treatment procedure is developed only after a comprehensive diagnosis of the patient with the determination of the true factors that led to the development of the corresponding pathological process.
During the study, both a general primary and instrumental diagnosis of pathology, if necessary. The main doctor leading the reception in this case is a proctologist.
- The result of such an inattentive attitude subsequently turns out to be an unpleasant symptom in the form of blood on toilet paper every time after a bowel movement.
- Only half, having discovered such a nuisance in themselves, turn to a proctologist for examination.
- The second half simply waits for an independent resolution of the problem, which triggers the process of destruction of the body, since blood from the intestine can signal the presence of serious problems, including even colon cancer.
|Color and amount of blood||The nature of the chair||Other symptoms||Additional Survey Results|
|Hemorrhoids||A small or moderate amount of scarlet blood on the surface of the feces or after bowel movements||More common – chronic constipation||Itching in the anal area, pain during infection of the node||On examination, sometimes external nodes. With rectoscopy – internal hemorrhoids|
|Anal fissure||A small amount of red blood||More often – constipation||Sharp pain during bowel movements and hygiene procedures||On examination, damage to the skin and rectal mucosa|
|Gastric and 12 duodenal ulcer||With perforation, a small amount of blood or heavy bleeding. Bloody vomiting, tarry stool||Without features, with heavy bleeding – liquid due to a large amount of blood||The previous “hungry” pain, with bleeding – pallor of the skin and weakness||With gastroduodenoscopy, a peptic ulcer in the wall of the stomach, often through. Blood in the stomach|
|Esophageal vein hemorrhage||Bloody vomiting, black tarry stools, often heavy bleeding||Liquid||Prior heartburn, heaviness in the hypochondrium. With heavy bleeding – weakness, pallor||With gastroduodenoscopy – dilated veins in the esophagus, the presence of liquid blood, damage to the mucous membrane of the esophagus|
|Polyps and tumors of the intestine||More often – a small amount of blood. Heavy bleeding only with destruction of the intestinal wall. Scarlet to black tarry color||Often – intestinal obstruction. With rectal tumors – false urge to defecate||Abdominal pain, weakness, weight loss in malignant tumors. Small polyps are usually asymptomatic.||With colonoscopy, neoplasms in the intestine. Confirmation of the diagnosis after a biopsy (taking a piece of a tumor and examining it under a microscope)|
|Crohn’s disease, ULC||More often – chronic bleeding in the form of impurities of blood in the feces||Constipation, diarrhea||Abdominal pain (over the entire surface or lower left), arthritis, dermatitis||Colonoscopy – extensive or local ulcerative lesions of the intestine|
|Инфекции||Insignificant amount of blood||More common – diarrhea||Abdominal pain, fever, sometimes – skin rashes||Inflammatory changes in the blood test, often – pathogen excretion during fecal analysis|
Bleeding in intestinal and systemic infectious diseases
The main preventive measures are the consumption of sufficient amounts of fiber, vegetables, and an increase in motor activity.
This is an inflammation of the intestine, which is caused by a lack of oxygen and nutrients entering the intestinal wall. Manifestations depend on the degree and speed of intestinal hypoperfusion. Typical symptoms are abdominal pain, which may be associated with nausea and vomiting. Relatively often, there are urges to defecate and diarrhea, blood is secreted from the anus (also present in the stool).
In severe forms, toxic megacolon and ileus (obstruction) develops with a stop of intestinal activity. Different parts of the colon begin to die. The disease is manifested by fever and the gradual development of peritonitis with sepsis. The result is a state of shock and death.
In milder forms of the disease, conservative treatment is used. Fluids are administered intravenously to the patient, as a rule, oral ingestion is excluded in order to minimize intestinal irritation (with the possible introduction of special nutrition intravenously) and antibiotics are prescribed. If it worsens, surgical removal of the affected part of the intestine may be required.
One of the main complications that can occur in both an adult and a child is short bowel syndrome, which occurs after these operations. Typical manifestations of proctitis are:
- mucous or purulent discharge from the anus;
- bleeding with stool.
Discharge from the anus in women is accompanied by painful sensations in the perineum, which can give to the labia. Pain during bleeding from the anus in men often gives to the scrotum. Discomfort and the following symptoms may add to these symptoms:
- a feeling of fullness in the rectum;
- frequent or constant urge to defecate;
- itching or pain in the rectum, especially during bowel movements.
Less common symptoms include cramping on the left side of the abdomen and diarrhea. These manifestations are either chronic (chronic proctitis) or reoccur (acute proctitis).
A disease in which even blood clots can exit the anus is diverticulosis. This disease is characterized by the occurrence of multiple sacs in the colon caused by an unhealthy diet deficient in fiber. They can trigger bleeding or inflammation (diverticulitis).
A special type of diverticulum that can cause bleeding in the gastrointestinal tract is Meckel’s diverticulum. It is located in the small intestine in approximately 2% of people (including children) as a congenital malformation of the gastrointestinal tract.
Once arising diverticuli cannot be cured conservatively until complete disappearance. If diverticulosis is present and does not cause problems, this condition does not require treatment. However, solutions to the complications of the disease are required. With bleeding, the problem can be solved endoscopically, but diverticulitis is also treated with antibiotics.
For repeated complications, when diverticulosis is bleeding, along with the lack of the possibility of an endoscopic solution, with intestinal perforation and worsening of the disease, the first-line method is an abdominal surgery to remove part of the colon with a diverticulum.
The oncological cause is not as frequent as other diseases in which blood flows from the passage or is noticed in the stool, but it should always be borne in mind. Cancer is usually preceded by a benign polyp from which the blood comes. In the initial stage, this problem can be solved using a relatively simple procedure during colonoscopy.
Due to the fact that we are talking about the colon, the blood that can go has a bright red color. If the presence of red blood in the stool occurs with an elderly patient, accompanied by weight loss and alternating diarrhea and constipation, we are talking about a possible oncological neoplasm.
Treatment depends on the stage at which the cancer was detected. At the initial stage of the transformation of the polyp into a malignant tumor, the formation using a colonoscope is correctly removed (polypectomy). There is no need for surgery, even general anesthesia is not necessary. For some time before the procedure, it is necessary to exclude the use of drugs that thin the blood (Aspirin, Varifarin).
At a later stage, a decision on treatment should be made in conjunction with an oncologist. The best choice is surgical removal of a part of the intestine (sometimes accompanied by a temporary or permanent colostomy), and local lymph nodes that are examined for the presence of metastases are often removed. Treatment may be completed with chemotherapy.
If blood is found in the stool, it is important to pay attention to the presence of other symptoms. A warning should be the fact of weight loss, appetite, the alternation of diarrhea and constipation, the presence of jaundice, fever and abdominal pain.
These two diseases are very similar to each other, are chronic in nature and are manifested by inflammation, ulcers and impaired bowel function.
Manifestations of ULC and Crohn’s Disease
- pain (usually throughout the abdomen or lower left)
- multiple loose stools with UC and constipation in Crohn’s disease
- discharge of blood with feces (from a drop to massive bleeding), sometimes with an admixture of pus
- extraintestinal manifestations: arthritis, dermatitis, liver disease
If one of these diseases is confirmed by colonoscopy and biopsy, treatment must begin. Both diseases, and especially ulcerative colitis, can lead to the formation of malignant tumors. In addition, ulcers can grow and cause a rupture of the intestinal wall, bleeding and peritonitis, which poses a direct threat to life.
The main component of the treatment of diseases is prednisone. It relieves inflammation and blocks the attack of one’s own immune cells on the intestines. In addition to it, diet, painkillers, antidiarrheals are used. With extensive intestinal lesions, it is necessary to quickly remove the part of the organ covered with ulcers. After surgery, long-term rehabilitation and the use of hormonal drugs are required.
Polyp – the growth of the intestinal mucosa, rising above its surface. They can be an accidental pathology, but can be hereditary in nature (in this case several growths are detected at once). Small formations usually do not make themselves felt and accidentally show up during colonoscopy.
Familial (hereditary) polyposis is manifested by pain in the intestine, frequent stools and an admixture of blood in the feces. It is especially dangerous with a high percentage of polyp conversion to cancer (in about one third of cases)
Treatment of intestinal polyps is possible only by surgery. It is very important to conduct a remote growth study to rule out cancer. With family diffuse polyposis, polyps very often appear again, so the operation has to be repeated periodically.
Anatomical features of the intestine and chronic constipation are the cause of another unpleasant disease. Intestinal diverticulosis – protrusion of the intestinal mucosa through its outer layer. You can imagine this in the form of a bubble formed outside the intestines. The contents of this cavity are poorly emptied. Over time, inflammation (diverticulitis) occurs there. This can be complicated by bleeding, colon germination, and peritonitis.
Signs of incipient diverticulitis:
- abdominal pain, especially lower left
- anus bleeding
- sometimes a fever
The main task in the treatment of diverticulitis is to relieve inflammation and stop bleeding. Very often you have to resort to surgery to remove part of the infected colon. Since diverticula are usually multiple, you need to undergo a colonoscopy to detect other protrusions.
Many infectious diseases adversely affect the intestines, leading to the formation of ulcers, erosion, and inflammatory changes. Often, bleeding occurs, sometimes very profuse. So, dysentery begins with copious watery stools, and then rare bowel movements appear mixed with mucus and blood. Typhoid fever is diagnosed with a high fever, a characteristic rash on the stomach and the appearance of dark stool due to bleeding.
In the pathology of bone marrow and peripheral blood, when anemia appears in the general analysis, there is a lack of immune cells and platelets, and there are tumor cells in the puncture of the bone marrow. With blood diseases, symptoms are divided into three groups:
- symptoms of anemia (pallor, weakness, weak hair and nails, chilliness, feeling of lack of air)
- leukocyte deficiency symptoms (frequent bacterial, viral and fungal diseases)
- symptoms of platelet deficiency (nosebleeds, severe bleeding from the anus after difficult bowel movements, cause small and large bruises, an outflow of blood in the joints and organs)
The reason for such symptoms is the replacement of “good” blood cells with bad, tumor cells, that is, blast cells. These blast cells do not perform the necessary functions. To eliminate all symptoms, treatment with cytostatics is necessary. With severe bleeding, blood transfusions are often required.
Isolation of blood from the anus, blood during defecation is a multivariate symptom that accompanies many diseases. When collecting an anamnesis, the specialist will primarily focus on whether blood is released during bowel movements in men without pain or whether there are pains of a different nature, whether blood appears during bowel movements or after it, what color it is.
Esophagus and stomach ulcers
Violation of blood circulation in the liver with cirrhosis, hepatitis, tumors and parasitic diseases leads to increased pressure in the other veins of the body. Including in the veins of the esophagus and stomach. The disease does not make itself felt for a long time, it usually manifests itself in advanced stages.
Manifestations of varicose veins of the esophagus:
- heartburn, belching, heaviness after eating
- pain in the liver
- bleeding (vomiting of scarlet blood, with defecation – dark stools)
Bleeding usually occurs after overeating or physical exertion. Most often, the blood volume is insignificant, but its regular loss leads to anemia. Sometimes bleeding is profuse.
- treatment of underlying liver disease
- antacids (to reduce heartburn and damage to the esophagus)
- with heavy discharge – the introduction of a special inflated balloon into the esophagus to stop bleeding
- surgical treatment of portal hypertension (the creation of artificial connections between the veins of the liver)
Tumors of the stomach and intestines very often manifest themselves for the first time precisely with an admixture of blood in the feces or bleeding. Depending on the location of the tumor, the color and amount of blood will vary: the lower the source, the scarier and brighter the discharge.
With cancer of the intestines and esophagus, the blood has a dark color, often accompanied by bloody vomiting. Other symptoms of tumors of the digestive system are pain, diarrhea or constipation, signs of intestinal obstruction, and general symptoms of cancer (weight loss, weakness, anemia).
Tumors are diagnosed with CT, MRI, colonoscopy and rectoscopy. With timely diagnosis, neoplasms are amenable to surgical removal and are successfully treated with chemotherapy. Intestinal tumors, for example, develop over the years and decades, and therefore have a good prognosis in the early stages. But unfortunately, oncology in the early stages is rarely detected, only by chance when examined for another reason, because at first the cell mutation and tumor growth are asymptomatic, so a person does not consult a doctor in a timely manner.
With excessive reproduction of parasites in the intestine, they violate the integrity of the mucosa, which leads to bleeding of the injured surface, can be expressed in chronic anemia and general inhibition of health indicators. Parasitoses are accompanied by a decrease in immunity, allergic reactions, an abundance of respiratory viral and bacterial diseases, and dysfunctions of internal organs. At the stage of detection of spotting during helminthic infestations, the patient needs urgent specific therapy, often in a hospital setting.