Bleeding From Anal – Causes, Diagnosis, and Treatment
Bleeding from the anus is a symptom that can be alarming, and it should never be ignored. While it’s often related to common conditions such as hemorrhoids, it can also signal more serious issues that require medical attention. Recognizing the cause is the first step in finding the right treatment.
Common Causes of Bleeding From the Anus
1. Hemorrhoids
Swollen veins in the rectum or anus can lead to bright red bleeding during or after bowel movements. You may also experience itching, pain, or swelling.
2. Anal Fissures
Small tears in the lining of the anus, often caused by passing hard stools, can cause bleeding along with sharp pain.
3. Gastrointestinal Conditions
Inflammatory bowel disease (IBD), ulcerative colitis, Crohn’s disease, or colorectal cancer can cause rectal bleeding.
4. Polyps or Tumors
Growths in the colon or rectum—whether benign or cancerous—can lead to bleeding.
5. Infections
Certain infections of the digestive tract can irritate tissues and cause bleeding.
Symptoms to Watch For
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Bright red blood on toilet paper or in the toilet bowl
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Dark or tarry stools (which may indicate bleeding higher in the digestive tract)
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Pain or discomfort while passing stool
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Unexplained weight loss
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Fatigue or weakness (possible anemia from blood loss)
Diagnosis
If you experience bleeding from the anus, a gastroenterologist can determine the cause through:
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Physical examination
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Anoscopy or sigmoidoscopy
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Colonoscopy
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Stool tests
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Blood work to check for anemia
Treatment Options
1. For Hemorrhoids
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High-fiber diet
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Warm sitz baths
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Minimally invasive procedures such as rubber band ligation or infrared coagulation
2. For Anal Fissures
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Stool softeners
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Topical anesthetics and ointments
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Botox injections or surgery in severe cases
3. For More Serious Causes
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Medications for IBD
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Removal of polyps
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Cancer treatment plans including surgery, chemotherapy, or radiation
When to Seek Medical Help Immediately
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Heavy rectal bleeding
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Black, tarry stools
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Dizziness or fainting
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Family history of colon cancer
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Persistent bleeding lasting more than a few days
Prompt evaluation by a specialist ensures that serious conditions are caught early and treated effectively.
Bottom Line
While bleeding from the anus is sometimes due to minor issues, it can also indicate serious gastrointestinal problems. A prompt visit to a qualified gastroenterologist is essential for an accurate diagnosis and the right treatment.
Manhattan Gastroenterology - New York
55 W 17th St STE 102, New York, NY 10011
+1 212-378-9983
