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Rectal bleeding refers to bleeding in the rectum, thus a form of lower gastrointestinal bleeding. There are many causes of rectal hemorrhage, including inflamed hemorrhoids (which are dilated vessels in the perianal fat pads), rectal varices , proctitis (of various causes), stercoral ulcers , and infections .
Some sexually transmitted infections can promote the breakdown of tissue resulting in a fissure: syphilis, herpes, chlamydia and human papilloma virus. [5] Other common causes of anal fissures include: childbirth trauma in women, [6] anal sex, [7] [8] Crohn's disease, [6] ulcerative colitis, [9] and poor toileting in young children. [10]
Rectal bleeding and trouble peeing — such as trouble initiating a urinary stream or painful urination — may also be present, according to the American Society of Colon & Rectal Surgeons, or ASCRS.
A lower gastrointestinal bleed is defined as bleeding originating distal to the ileocecal valve, which includes the colon, rectum, and anus. [2] LGIB was previously defined as any bleed that occurs distal to the ligament of Treitz, which included the aforementioned parts of the intestine and also included the last 1/4 of the duodenum and the entire area of the jejunum and ileum. [1]
Mild symptoms include rectal pain with bowel movements, rectal discharge, and cramping. With severe cases, people may have discharge containing blood or pus, severe rectal pain, and diarrhea. Some people have rectal strictures, a narrowing of the rectal passageway. The narrowing of the passageway may cause constipation, straining, and thin stools.
Blood in stool looks different depending on how early it enters the digestive tract—and thus how much digestive action it has been exposed to—and how much there is. The term can refer either to melena, with a black appearance, typically originating from upper gastrointestinal bleeding; or to hematochezia, with a red color, typically originating from lower gastrointestinal bleeding. [6]
The symptoms of a perianal hematoma can present over a short period of time. Pain, varying from mild to severe, [ 3 ] will occur as the skin surrounding the rupture expands due to pressure. This pain will usually last even after the blood has clotted, and may continue for two to four days.
Two more highly common causes of functional anorectal pain are levator ani syndrome (LAS) and proctalgia fugax.Both of these conditions are thought to be caused by muscle spasms of the either the levator ani muscle or the anal sphincter muscle respectively, and may overlap symptomatically with a third less-common condition called coccygodynia which is the result of previous trauma to the ...