NYC Rectal Bleeding Treatment | Blood In Stool Specialist

What Is Hematochezia?

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. Rectal bleeding 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.

NYC Rectal Bleeding | Best Rated Rectal Bleeding Specialist in New York
Rectal Bleeding Treatment in NYC

Anus bleeding should always be evaluated with a thorough consultation and examination by a gastroenterologist or 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.

Hematochezia can be a symptom of colorectal or anal cancer, a type of cancer that can be cured if detected early. Rectal bleeding can also be caused by bleeding hemorrhoids, anal fissures, colitis or many other causes. Disorder higher up in the digestive tract can also lead to bleeding from anus.

For these reasons, an examination with an experienced NYC 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. These conditions can be better treated if diagnosed and treated early.

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.”

Symptoms Associated with Rectal Bleeding

  • straining and constipation
  • abdominal pain
  • itching
  • swelling around the anus
  • skin problems
  • bloody diarrhea

What Causes Blood in Stool?

Causes of blood in stool 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:

  1. Hemorrhoids
  2. Anal Fissures
  3. Anal Cancer
  4. Colon Cancer
  5. Colon Polyps
  6. Ulcerative Colitis/Crohn’s Disease
  7. Solitary Rectal Ulcer (ulcer in the rectum)
  8. Diverticulosis (a bulging pouch that forms on the wall of the large intestine)
  9. Proctitis (inflammation of the rectum)
  10. Ischemic colitis  (a colon inflammation caused by reduced blood flow)
  11. Infectious Colitis (inflammation of the colon caused by infection)

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 rectum (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 thrombus.

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.

Colon Polyps

Anal bleeding or blood from rectum can be caused by abnormal, benign cell growth. Colon or rectal polyps are benign growths within the lining of your colon or rectum. Some can cause minor gastrointestinal bleeding from anus. Polyps usually are the result of abnormal cell growth. Although a vast majority of polyps do not lead to cancer, some do if left untreated, so it’s important to remove them. That’s why most doctors recommend a regular colonoscopy for people over 50 or younger depending on symptoms and family history.


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 your anal bleeding. They may:

  • Examine your anus visually
  • Feel for abnormalities within your rectum with a gloved, lubricated finger
  • Perform a colonoscopy
  • Use an anoscope, a short tube with a camera on its tip

Blood in Stool Treatment in NYC

Treating blood in stool depends first on finding its cause. It is crucial that rectal bleeding should always be evaluated with a thorough consultation and examination by an experienced NYC gastroenterologist for an accurate diagnosis and anal bleeding treatment plan as it may be a symptom or sign of a serious illness or condition.

Hematochezia 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 rectal bleeding 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?

You should make an appointment with your hematochezia doctor if your rectal bleeding lasts more than two days, or earlier if the bleeding is severe. Minor bleeding is rarely associated with colon cancer or other serious conditions. However, the only way to determine the causes of anal bleeding is through examination. Therefore, anyone who notices blood in stool for more than two days is advised to contact their gastroenterologist to see if examination is needed.

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 bleeding
  • Accompanied by severe abdominal cramping or pain

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.

As best in class NYC gastroenterologists, our doctors provide highly personalized and comprehensive care. Their philosophies regarding the doctor/patient relationship is based on trust and have earned them some of the most respected reputations in NYC.

For more information about the options of Rectal Bleeding treatment in NYC or to schedule an appointment with one of our GI doctors, please contact our Upper East Side or Midtown NYC offices.

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