Rectal Bleeding Evaluation

Rectal bleeding may appear on tissue, coat the stool, drip into the toilet or be mixed with stool. Piles and fissures are common causes, but inflammation, polyps and other bowel conditions can also bleed. Repeated bleeding should not be assumed to be piles without an examination.

Evaluation includes the colour and amount of blood, pain, bowel changes, medicines, family history and general health. A focused anorectal examination, proctoscopy or anoscopy may identify the source. Depending on age and warning features, blood tests, colonoscopy or specialist referral may be advised.

Treatment is directed at the confirmed cause rather than the symptom alone. Seek urgent care for heavy bleeding, dizziness, faintness, black stools or severe abdominal pain. Early assessment is usually simpler and provides reassurance as well as an appropriate care plan.