Manhattan Gastroenterology
  • MIDTOWN 51 EAST 25TH, 4 FL New York, NY, 10010
  • UPPER EAST SIDE 983 PARK AVE, STE 1D New York, NY, 10028
  • UNION SQUARE 55 W. 17TH ST STE 102 New York, NY, 10011

What Is Rectal Bleeding?

Rectal Bleeding

Rectal bleeding (known medically as hematochezia) can refer to any blood that passes from your anus, although rectal or anal bleeding is usually assumed to refer to bleeding from rectum or your colon. It may show up as blood in your stool, blood on toilet paper or in the toilet bowl. Blood caused by rectal bleeding from anus can range in color from bright red blood in stool to dark maroon to a dark tarry color. There are many possible causes of anal bleeding and complete evaluation and early diagnosis by your gastroenterologist is very important. Hematochezia should always be evaluated with a thorough consultation and examination by a specialist in NYC for an accurate diagnosis and blood in stool treatment plan as it may be a symptom or sign of a serious illness or condition.  Rectal bleeding can be a symptom of colorectal or anal cancer, a type of cancer that can be cured if detected early.  In addition to a complete physical exam and medical history, colonoscopy is the gold standard for visual evaluation of your colon for an accurate diagnosis and can detect polyps, mass lesions, abnormalities of the lining of the intestine, and many other causes for your symptoms.

There are many possible causes of anal bleeding and complete evaluation and early diagnosis by your gastroenterologist is very important.

This condition can also be caused by bleeding hemorrhoids, anal fissures, colitis, or many other causes that are amenable to diagnosis and treatment. Disorder higher up in the digestive tract can also lead to bleeding from anus. For these reasons, an examination with an experienced gastroenterologist like our blood in stool doctors is the first step to identifying the underlying rectal bleeding causes and determining the best hematochezia treatment options. The cause needs to be properly diagnosed in order to have the correct treatment. Common causes of rectal bleeding include internal hemorrhoids bleeding and anal fissures.  Along with a thorough physical exam, colonoscopy is the gold standard for visual evaluation of the colon for diagnosis. These conditions can be better treated if diagnosed and treated early.



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According to the study “Factors identifying higher risk rectal bleeding in general practice” published on PubMed: “Rectal bleeding is common in the community and may be an early symptom of bowel cancer. The most useful factors in identifying higher risk groups were rectal bleeding in combination with a change in bowel habit to looser stools and/or an increased frequency of defaecation, bleeding without perianal symptoms and age over 60 years.”

What Are the Symptoms of Rectal Bleeding?

Rectal bleeding symptoms include:

  • Straining and constipation
  • Abdominal pain
  • Itching
  • Swelling around the anus
  • Skin problems
  • Bloody diarrhea

What Causes Rectal Bleeding?

Reasons for rectal bleeding can range from harmless conditions of the gastrointestinal tract such as bleeding hemorrhoids and anal fissures to more serious conditions such as cancer.

Rectal bleeding causes include:

  • Hemorrhoids
  • Anal Fissures
  • Anal Cancer
  • Colon Cancer
  • Ulcerative Colitis/Crohn’s Disease
  • Solitary Rectal Ulcer (ulcer in the rectum)
  • Diverticulosis (a bulging pouch)
  • Proctitis (inflammation of the rectum)
  • Ischemic colitis  (a colon inflammation)
  • Infectious Colitis (inflammation of the colon)

Colon Cancer

More serious causes of rectal bleeding include colorectal and anal cancer. The second leading cause of cancer deaths in the United States, colon cancer begins in your large intestine. Since it is a slow-growing disease, it can be effectively treated with early detection. Most cases of colon cancer come from polyps in your colon. Finding polyps through a colonoscopy and removing them reduces your cancer risk. Anal cancer is less common but also curable when diagnosed early.

Hemorrhoids

withhemorrhoid-rectalbleeding

Hemorrhoids are veins just below the surface of the skin that have become inflamed or swollen. They can occur on the skin around your anus (external hemorrhoids) or inside your anal canal  (internal hemorrhoids). Already sensitive, they can easily cause bleeding from rectum if irritated. Common causes of hemorrhoids are:

  • Sitting on the toilet too long
  • Straining during bowel movements
  • Aging
  • Chronic diarrhea or constipation
  • Pregnancy
  • Obesity
  • A low-fiber diet

The condition usually is signaled by itching, discomfort, and bleeding from rectum. If blood pools in an external hemorrhoid, it may form a clot, called a thrombosed external hemorrhoid.

Anal Fissures

Anal-Fissures

Tears in the lining of your anus are called anal fissures. Most often, they appear after bouts of constipation, passing hard stools, diarrhea or inflammation. Anal fissures can cause pain during and immediately after a bowel movement as well as bleeding from anus. You may also experience spasms in the ring of muscle at the end of your anus.

Proctitis

Proctitis is a medical condition that occurs when the lining of your rectum and rectal lining becomes inflamed. This can be a painful condition. The symptom of proctitis can include anus bleeding.

Causes of proctitis include:

  • An infection
  • Certain medications
  • Prior radiation therapy for cancer treatment
  • Some forms of inflammatory bowel disease (IBD)

Diagnosing Anal Bleeding in Our New York Clinic

Pooping blood or finding bright red blood in the stool is never normal. During your examination, our rectal bleeding doctors have several options to find the source of the problem. They may:

  • Feel for abnormalities within your rectum with a gloved, lubricated finger
  • Examine your anus visually and using an anoscope during the physical exam
  • Perform a colonoscopy for direct visualization of your colon which is the gold standard for evaluation

Blood in Stool Treatment

Anal bleeding treatment depends first on finding its cause. It is crucial that bleeding from the rectal area should always be evaluated with a thorough consultation and examination by an experienced gastroenterologist for an accurate diagnosis and anus bleeding treatment plan as it may be a symptom or sign of a serious illness or condition.

Bleeding rectum can be a symptom of colorectal or anal cancer, a type of cancer that can be cured if detected early. The first step to identifying the underlying cause of your rectal bleeding and determining the best treatment options.  You may need a colonoscopy for further evaluation. If the cause of the condition is ultimately found to be bleeding hemorrhoids, our doctors may recommend infrared coagulation (IRC) as the definitive response to stubborn hemorrhoids or hemorrhoid banding or other state-of-the-art treatments. If the blood in stool causes is found to be anal fissures, this can be diagnosed and easily treated in most cases. Your NYC rectal bleeding treatment plan will be tailored to your needs but accurate examination, diagnosis, and treatment are very important.

When Should You Worry About Rectal Bleeding?

Bleeding rectum can also be caused by bleeding hemorrhoids, anal fissures, colitis or many other causes that are amenable to diagnosis and treatment.

Bleeding from the rectal area should always be evaluated with a thorough consultation and examination by a rectal bleeding specialist in NYC for an accurate diagnosis and blood in stool treatment plan as it may be a symptom or sign of a serious illness or condition.

When should you see a doctor for rectal bleeding? You should seek immediate emergency help if you have significant bleeding from rectum and any of the following symptoms:

  • Rapid and shallow breathing
  • Blurred vision
  • Dizziness after standing up
  • Fainting
  • Nausea
  • Confusion
  • Cold and pale skin
  • Low urine output
  • Heavy rectal bleeding
  • Accompanied by severe abdominal cramping or pain

Frequently Asked Questions

Can Medications Cause Bleeding From Anus?

GI bleeding might be linked to the use of oral anticoagulants. Hemorrhoidal bleeding can be also associated with medications that lead to constipation. Other triggers and drugs that cause rectal bleeding could be advancing age, the use of multiple medications, drug-drug interactions, and health-related disorders.

Are There Any Home Remedies for Rectal Bleeding?

Bleeding rectum treatment depends on the root cause of the problem. There are several natural ways that can help you address bleeding from the anus.

These natural remedies are:

  • Relieve constipation
  • Calm bleeding hemorrhoids
  • Improve ulcerative colitis
  • Soften stools
  • Reduce your stress level

Even though the aforementioned recommendations are considered helpful, you should talk to your healthcare provider before starting any treatment.

Can Stress Cause Bleeding Out of Rectum?

Stress does not typically lead to ulcerative colitis. However, chronic stress can have a negative impact on your immune system and trigger chronic inflammation. It will increase ulceration and cause bleeding. Undoubtedly, it is not possible to eliminate all stress but you can learn ways to handle your emotions and stress. Try to avoid the consumption of caffeine and alcohol, which can stimulate intestinal contractions and worsen diarrhea. Caffeine and alcohol might also worsen stress and anxiety.

Important Reminder: This information is only intended to provide guidance, not definitive medical advice. Please consult a doctor about your specific condition. Only trained, experienced physicians like our doctors can determine an accurate diagnosis and proper rectal bleeding treatment.

Our best in class NYC rectal bleeding doctors provide highly personalized and comprehensive care. They have earned some of the most respected reputations in NYC. For more information about the options of rectal bleeding treatment in Upper East Side or Midtown NYC or to schedule an appointment with one of our GI doctors, please contact our offices.

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Manhattan Gastroenterology Locations: Manhattan Gastroenterology (Upper East Side) 983 Park Ave Ste 1D, NY 10028
(212) 427-8761
Manhattan Gastroenterology (Midtown) 51 East 25th Street Ste 407, NY 10010
(212) 533-2400
Manhattan Gastroenterology (Union Square) 55 W 17th St Ste 102, NY 10011
(212) 378-9983

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general information. The information on this website does NOT reflect definitive medical advice and self diagnoses should not be made based on information obtained online. It is important to consult a best in class gastroenterologist for a consultation and examination regarding ANY and ALL symptoms or signs including abdominal pain, hemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. An accurate diagnosis and treatment plan should only be made by your physician in order to exclude a serious condition.