Rectal Bleeding

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Rectal Bleeding : can be a sign of a serious disease

Although rectal bleeding is common and most causes are treatable and not serious. In some cases, rectal bleeding can be a symptom of a serious disease such as colorectal cancer, anal cancer, hemorrhoids and gastrointestinal bleeding.

The color of the blood can indicate where the bleeding is coming from:

  • Bright red blood : usually indicates bleeding low in the colon or rectum which may be a sign of haemorrhoids, constipation or other localised conditions.
  • Dark red or maroon blood : usually indicates bleeding higher in the colon, the small bowel or gastrointestinal tract.
  • Melena mixed with blood clots : usually means bleeding in the stomach which may be a sign of colon cancer or colitis.

Diagnostic Tests for Rectal Bleeding

  • Proctoscopy : an endoscopic procedure used to examine the anal canal, rectum, and the sigmoid colon
  • Flexible Sigmoidoscopy : a procedure that allows doctor to examine the rectum and the lower colon.
  • Colonoscopy : an exam used to detect changes or abnormalities in the large intestine and rectum.

The treatment for rectal bleeding depends on the cause and source of the bleeding.

Medically Reviewed by

Dr. Piya Totemchokchyakarn
Dr. Piya Totemchokchyakarn

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