Rectal bleeding (Piles), though often alarming, is a common issue that many people experience at some point in their lives. While it can be unsettling, it’s important to approach this topic with a clear understanding of what it is, its potential causes, and when it’s crucial to seek medical attention.

In this blog we are going to discuss Rectal bleeding in detail, what are the causes of it, the symptoms that help in identifying it and how can it be cured.

What is Rectal Bleeding (Piles)?

Rectal bleeding refers to the passage of blood from the rectum, which is the lower part of the large intestine. The blood might appear bright red or darker, depending on where the bleeding originates. It can be seen on the stool, on toilet paper, or in the toilet bowl after a bowel movement.

Causes of Rectal Bleeding (Piles):

• Hemorrhoids: Swollen blood vessels in the rectal area are a common cause of rectal bleeding. These are known as hemorrhoids and can be internal or external.

• Anal Fissures: Small tears in the lining of the anus can result in bleeding, often caused by straining during bowel movements or passing hard stools.

• Gastrointestinal Conditions: Conditions like diverticulosis, inflammatory bowel disease (IBD), and colorectal polyps can lead to rectal bleeding.

• Anal Fistulas: These are abnormal connections between the anus and nearby skin. They can cause bleeding and discomfort.

• Rectal Cancer: While less common, rectal bleeding could be a sign of a more serious condition like colorectal cancer. It’s important to consult a doctor for proper evaluation.

Symptoms Associated with Rectal Bleeding (Piles):

• Blood in Stool: The most obvious symptom is seeing blood in your stool or on toilet paper after wiping.

• Discomfort or Pain: Some people might experience discomfort, pain, or itching in the rectal area.

• Change in Bowel Habits: If you notice changes in your bowel habits, such as diarrhea or constipation, along with rectal bleeding, it’s worth discussing with a medical professional.

• Weakness or Fatigue: Severe bleeding can lead to anemia, which might cause weakness, fatigue, and pale skin.

• Unexplained Weight Loss: In more serious cases, unexplained weight loss could be associated with rectal bleeding due to an underlying condition.

When You Should See A Doctor?

While rectal bleeding can sometimes have harmless causes, it’s crucial to know when to consult a doctor:

• Persistent Bleeding: If you notice blood in your stool on multiple occasions, even if it’s small amounts, it’s important to seek medical advice.

• Severe Bleeding: If bleeding is heavy, continuous, or accompanied by other concerning symptoms, seek medical attention promptly.

• Family History: If you have a family history of gastrointestinal issues or colorectal cancer, it’s wise to be proactive and discuss any bleeding with a doctor.

• Age and Risk Factors: As you age, the risk of certain conditions increases. If you’re over 50, it’s recommended to have regular screenings for colorectal cancer, especially if you experience rectal bleeding.

Dr. Kailash Mishra
Director & Gastroenterologist Consultant
Prime Gastro Liver Clinic