Diluted blood when I wipe sometimes
Why do I wipe blood after I poop?
Rectal bleeding usually refers to bleeding from the anus, rectum, or colon, all of which are the last part of the digestive tract.
In most cases, bright red blood indicates bleeding in the lower colon or rectum, while dark red blood is a sign of bleeding in the small intestine or upper large intestine.
Very dark or black and red blood is often associated with bleeding in the stomach or other organs of the digestive tract.
In this article, we're examining 11 causes of rectal bleeding, along with other symptoms that anyone can cause. We also consider when rectal bleeding should be referred to a doctor.
A variety of health conditions and factors can cause or increase rectal bleeding.
Some of the most common causes are:
Hemorrhoids are anal blood vessels and they are very common. They can develop on the outside or inside of the anus and appear as small bumps that occasionally bleed during a bowel movement or when you wipe it.
Hemorrhoids, also known as piles, can affect any age, but are associated with some risk factors, including:
- chronic constipation and exertion
- Chronic diarrhea
- Exertion during bowel movements or sitting on the toilet for too long
- Low-fiber or one-sided diet
Hemorrhoids usually respond well to over-the-counter creams and suppositories that contain hydrocortisone. Taking hot baths frequently, eating a high-fiber diet, and using stool softeners can also help reduce the discomfort of hemorrhoids.
If the initial treatments fail, a doctor may perform minor surgery to remove the hemorrhoids.
A fistula occurs when an incorrect opening or pocket develops between two adjacent organs. Fistulas that appear between the anus and rectum, or anus and skin, can cause white fluid and blood to leak out.
Fistulas are sometimes treated with antibiotics, but they may require surgery if they progress.
Fissures occur when tissues lining the anus, colon, or rectum are torn, causing pain and rectal bleeding.
Warm baths, a high-fiber diet, and stool softeners can all reduce symptoms of a fistula. In severe cases, fissures may require prescription creams or surgery.
Diverticulosis is when tiny pockets called diverticula develop on the walls of the colon around a weakness in the muscle layers of the organ.
These pockets or diverticula are very common. Sometimes diverticula can start to bleed, but this bleeding usually stops on its own.
Usually these pockets don't cause symptoms or require treatment unless they become infected when a condition called diverticulitis occurs.
Infected and inflamed diverticula are often painful and can cause rectal bleeding, usually a moderate flow of blood that flows for a few seconds.
Diverticulitis is treated with antibiotics and operated on for major surgery.
5. Proctitis or colitis
Proctitis occurs when the tissues that make up the rectum become inflamed, often causing pain and bleeding.
Colitis occurs when the tissues that line the colon become inflamed. A type of colitis called ulcerative colitis can also cause ulcers or open, progressive sores that are prone to bleeding.
Treatments for proctitis and colitis vary, depending on the causes and the range from antibiotics to surgery.
Common causes of proctitis and colitis are:
- some conditions that cause digestive problems, such as irritable bowel syndrome (IBS) and Crohn's disease
- some medications, such as blood thinners
- Radiation or chemotherapy
- Anal intercourse
- reduced blood flow to the colon or rectum
- a blockage in the colon or rectum
Bacterial infections can cause inflammation of the colon and stomach, and cause diarrhea, which can contain mucus and blood stains. Viral gastroenteritis typically does not cause bloody diarrhea.
Treatment for gastroenteritis usually includes fluids, rest, and antibiotics or antiviral medication, depending on the cause.
7. Sexually transmitted infections (STIs)
Unprotected intercourse that includes the anal area can spread a wide range of viral and bacterial diseases. These can cause inflammation of the anus and rectum. Inflammation, when it occurs, increases the chance of bleeding.
Treatment for STIs usually involves either an antibiotic, antiviral, or antifungal drug, depending on whether the cause is bacterial, viral, or fungal.
Weakened rectal tissues can allow part of the rectum to protrude or bulge outside the anus, usually causing pain and almost always bleeding.
Prolapse is more common in older adults than in younger people. Some people with this condition may need surgery to correct it.
Polyps are non-cancerous, abnormal growths. When polyps grow on the lining of the rectum or colon, they can cause irritation, inflammation, and minor bleeding.
In many cases, a doctor will remove polyps to check for signs of cancer and to avoid the risk of them becoming cancerous.
10. Colon or rectal cancer
Cancer that affects the colon or rectum can cause irritation, inflammation, and bleeding. As many as 48 percent of people with colon cancer have experienced rectal bleeding.
Colon cancer is a very common form of cancer and tends to progress slowly, so it is often treatable if caught early.
Rectal cancers, which are far rarer than colon cancer, are usually curable if they are detected and treated in good time.
Some cases of colon and rectal cancer develop from initially benign polyps. All cases of gastrointestinal cancer require treatment, which usually includes a combination of chemotherapy, radiation therapy, and surgery.
11. Internal bleeding
Major injuries to any of the gastrointestinal organs can lead to internal bleeding that travels through the rectum. Serious gastrointestinal disease can also cause internal bleeding.
Internal bleeding almost always requires hospitalization and surgery.
When to see a doctor
Occasionally light to light rectal bleeding is very common and often does not require medical attention or treatment.
Severe, chronic, or painful rectal bleeding can be a sign of a more serious underlying condition and should be assessed by a doctor.
People usually notice rectal bleeding when they see streaks or drops of blood in their stool, toilet bowl, or while wiping. Some people may also find blood in their underwear, or the toilet water may appear reddish-pink when they go to the bathroom.
Some cases of rectal bleeding also cause very malodorous, dark, tarry stools with very dark red to black blood.
Reasons to see a doctor about rectal bleeding include:
- Bleeding that lasts for more than 2 or 3 weeks
- Children with bloody stools or rectal bleeding
- unexplained weight loss, tiredness, or weakness
- painful, swollen, or tender abdomen
- accompanying fever
- simultaneous bumps in the abdomen
- Stool that is thinner, longer, or softer than normal for 3 weeks or more
- accompanying nausea or vomiting
- accompanying long-term constipation or changes in bowel habits
- associated uncontrolled leakage from the anus
Reasons for emergency care for rectal bleeding include:
- Vomiting or coughing up blood
- Blood runs out of the nose, eyes or ears
- Bleeding that is very dark red or black
- The reason for bloody diarrhea is unclear, for example regardless of a condition of the abdomen or medical treatment
- Loss of consciousness or confusion
- extreme abdominal or lower back pain
Tests and diagnosis
If bleeding is related to a previously diagnosed condition, a doctor will discuss ways to manage, reduce, and track symptoms.
When the cause of rectal bleeding is unknown, the doctor usually asks questions about symptoms and the person's medical history.
Depending on the severity, frequency, and accompanying symptoms, the doctor will determine if further tests are needed. A doctor can also make a referral to a gastrointestinal or colorectal specialist.
Common tests with rectal bleeding include:
- a physical exam of the anus and rectum
- Analysis of a stool sample
Specialists can do additional tests, which can include:
- Colonoscopy, or flexible sigmoidoscopy, where the colon is examined through the insertion of a tube with a camera
- Anoscopy, in which a device is inserted into the anus to examine tissue
- Biopsy, or removal of a small sample of tissue for examination
- Computed tomography or CT scan that provides a 3-D image
In some cases, there is no way to prevent minor cases of rectal bleeding. However, some factors are known to cause, contribute, or worsen rectal bleeding.
Common prevention tips for rectal, colon, and anal bleeding include:
- a balanced diet that is high in fiber
- always stay hydrated
- not exhausting when going to the washroom
- Gently wipe the anus
- Treating chronic or long-term constipation with over-the-counter medicines, such as: B. stool softeners available online
- Treat chronic or persistent diarrhea with over-the-counter drugs such as bismuth subsalicylate, which is available online
- try not to lift heavy objects when not in use
- Maintaining a healthy weight
- Take long, warm baths frequently if you experience symptoms following treatment plans drawn up by a doctor for related medical conditions
- Try to avoid spicy, rich, fatty, highly processed, and refined foods
- to see a doctor about abnormal growths in the area
- Avoiding excessive use of nonsteroidal anti-inflammatory drugs (NSAID)
- wear a condom during sex
People can talk to a doctor about gastrointestinal symptoms, which could be a sign of the underlying conditions, including infection, digestive conditions, or abnormal growth.
Should you be concerned?
A few occasional drops or strands of blood in the toilet, when wiping it, or in the stool are usually not a concern.
Some people avoid discussing rectal bleeding from embarrassment and anxiety with their doctor, even in moderate or severe cases. Rare, severe, or chronic rectal bleeding can cause severe blood loss or be a sign of an underlying disease that needs treatment.
People should see a doctor about rectal bleeding that is chronic or noticeable, abnormal growths around the anus. It's also a good idea to talk to a doctor about rectal bleeding that is unresponsive to home remedies.
People should get urgent medical attention because of rectal bleeding or very dark stools, especially if they are vomiting or coughing up blood. It is also important to seek immediate help with bleeding that lasts longer than a few minutes or that is accompanied by other symptoms such as severe pain, fever, or weakness.
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