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
Accolades and awards received by our gastroenterologists

Rectal Bleeding Specialists

The gastroenterologists in our practice have undergone extensive training in the evaluation of digestive diseases and are experts in rectal bleeding management. Our goal is to provide safe and effective therapies in a warm and friendly environment.

Dr. Qin Rao, MD - gastroenterologist in New York City

Dr. Qin Rao, MD

Dr. Daniel Perl, MD - gastroenterologist in New York City

Dr. Daniel Perl, MD

Dr. Lauren Schwartz, MD

Dr. Lauren Schwartz, MD

Dr. Susan Ramdhaney

Susan Ramdhaney, MD

Dr. Eric Yoon

Eric Yoon, MD

Dr. Kristen Lee

Kristen Lee, MD

Dr. Mikhail Yakubov

Mikhail Yakubov, MD

Dr. Michael Dann

Michael Dann, MD

Dr. Shawn Khodadadia

Shawn Khodadadian, MD

★ ★ ★ ★ ★ I’ve never seen such a good doctor before. I explained my situation my concern. He explained everything in detail peacefully and clearly with a smile, including what and when the following procedures gonna happen. What a nice consultation experience! Google ★ ★ ★ ★ ★ I have been to this clinic a few times and it has always been hassle free. The staff are welcoming and friendly and Dr Dann is great. He’s very thorough and takes the time to explain everything properly. ZocDoc ★ ★ ★ ★ ★ The office was very nice, I waited for only a minute or two before being taken to an exam room and then seen by the doctor. He was very kind, explained everything fully and I feel very comfortable with his plan for addressing the issue. I would absolutely recommend Dr. Yabukov. Yelp ★ ★ ★ ★ ★ My son had an endoscopy by Dr Kristen Lee. He only had wonderful things to say about her and the entire staff. Upon meeting her today, I felt very comfortable and confident in her advice regarding my concerns. Dr Lee was very professional, and friendly. zocdoc Book online now (212) 427-8761

What Is Rectal Bleeding?

Rectal Bleeding

Rectal bleeding (known medically as hematochezia) can refer to any blood that passes from your anus. However, rectal or anal bleeding is usually assumed to refer to bleeding from the rectum or your colon. It may show up as blood in your stool, on toilet paper, or in the toilet bowl. Blood caused by rectal bleeding from the anus can range from bright red blood in the stool to dark maroon to a dark tarry color.

There are many possible causes of anal bleeding, and your gastroenterologist’s complete evaluation and early diagnosis are critical. Hematochezia should always be evaluated with a thorough consultation and examination by a specialist for an accurate diagnosis and blood in the stool treatment plan. 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. It can detect polyps, mass lesions, abnormalities of the intestine lining, and many other causes for your symptoms.

This condition can also be caused by bleeding hemorrhoids, anal fissures, colitis, or other causes amenable to diagnosis and treatment. Disorder higher up in the digestive tract can also lead to bleeding from the anus.

For these reasons, an examination with an experienced gastroenterologist 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 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.

★ ★ ★ ★ ★The entire staff was welcoming and made the visit quick and seamless. The office is clean, and the staff even make a point in offering coffee or water while you wait. The doctor was very friendly and to the point. Highly recommend choosing this office.

According to the study “Factors identifying higher risk rectal bleeding in general practice” published on PubMed: “Rectal bleeding is common in the community and maybe 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 gastrointestinal tract conditions 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 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 the rectum if irritated. Common causes of hemorrhoids are:

with hemorrhoid rectal bleeding
  • 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 the 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 and bleeding from the anus. You may also experience spasms in the ring of muscle at the end of your anus.


Proctitis is a medical condition that occurs when the lining of your rectum and the 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

Pooping blood or finding bright red blood in the stool is never normal. During your examination, our 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. It may be a symptom or sign of a serious illness or condition.

The bleeding rectum can be a symptom of colorectal or anal cancer, which can be cured if detected early. The first step is 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 condition’s cause 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 treatment plan will be tailored to your needs, but accurate examination, diagnosis, and treatment are critical.

When Should You Worry About Rectal Bleeding?

Bleeding from the rectal area should always be evaluated with a thorough consultation and examination by a gastroenterologist for an accurate diagnosis and blood in the 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 the 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 also be 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. Several natural ways 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 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 gastroenterologists 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.


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.