RECTAL BLEEDING
The rectum is the last part of the large intestine (colon) and ends in front of the anus. Bleeding from this area can cause blood to appear in the feces. Rectal bleeding can take any of the following forms: bright red blood is applied to feces or feces, blood in the toilet appears dark or black tar-like after exercise, and maroon stools bleed on toilet paper.
Despite the name "rectal bleeding," blood in the stool does not always come from the rectum. The source of bleeding can be anywhere in the gastrointestinal tract (even as far as the stomach).
COLOUR OF BLOOD/ DISCHARGE
- Bright red/ Fresh blood: Rectum and anus
- Dark blood: Upper GIT to above rectum. Drugs eg: iron tablets appear as greenish-black formed stool.
Discharge apart from blood
- Mucus - irritable bowel syndrome
- Copious mucus - villous adenoma, frank cancer of the rectum
- Mucus and pus - IBD, diverticular disease
Common Causes of Rectal Bleeding
- Benign Anorectal Disease
- Haemorrhoids Anal fissure fistula-in-ano Diverticular disease
- Inflammatory bowel disease
- Crohn’s disease
- Ulcerative colitis
- Colonic polyps
- Colorectal Cancer
Less Common Causes of Rectal Bleeding:
- Infectious gastroenteritis
- Coagulopathy
- Arteriovenous molformation(angiodysplasia)
- Radiaton proctitis
- lschaemic colitis(mesentric vascular insufficiency) Solitary rectal ulcer
- Meckel’s diverticulum
- Rectalvarices
- Trauma(possible sexual abuse)
- STD
Treatment of Rectal Bleeding
1. The treatment of rectal bleeding depends on the cause; simple treatments (such as some acne) can be done at home, but other more serious causes (tumour or ulcers, for example, may require more effort like surgery and other treatments).
2. The minimum rectal bleeding can be treated at home if the cause is known to be mild, but if it does not improve quickly or if the person is 40 years of age or older, seek medical attention.
3. Follow-up is important if treatment is ineffective or rectal bleeding begins again.
4. The prognosis of rectal bleeding depends on the cause and the response of the person to the treatment; in general, those who relax a small amount of blood are better than those who relax a large amount of blood (usually an elderly person with other medical problems).
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