Have you ever noticed some minor rectal bleeding? It could have been a few drops of bright red blood on the toilet paper or toilet bowl, but it made you stop in your tracks. How concerned should I be?  Is it cancer? What kind of doctor should I see about it?

Minor rectal bleeding can be caused by several things, Anal Fissures, Rectal ulcers, Proctitis (inflammation of the rectum), Hemorrhoids , Colon or anal cancer, or Rectal or colon polyps. Continuing on from last week’s blog.

Hemorrhoids 

According to the Mayo Clinic, “Hemorrhoids, also called piles, are swollen veins in the anus and lower rectum. Hemorrhoids are like varicose veins. If they develop inside the rectum, they’re called internal hemorrhoids. Hemorrhoids that develop under the skin around the anus are called external hemorrhoids.”

Hemorrhoids can be very uncomfortable and down right painful. They are typically caused by diarrhea, constipation, obesity, straining, standing or sitting for extended period of time, and pregnancy. There are several forms of treatments, but the first step is to see a gastroenterologist. 

Colon And Rectal Polyps 

While many polyps are benign growths that develop in the lining of the large bowel, those that develop in the rectum and lower colon can cause minor bleeding. 

Since these polyps can turn into colon cancer, it is important to have a colonoscopy to discover and remove the polyps.

Colon Cancer

If rectal polyps have gone untreated, they can result in colon cancer. As the second most common cause of deaths related cancer, it can cause rectal bleeding. While if caught early, it can be cured.

Removing any polyps through a colonoscopy is the best way to minimize the risk of colon cancer.

Rectal Ulcers

Solitary rectal ulcer syndrome is often associated prolong straining during bowel movements and long standing constipation. While not very common, it may cause rectum bleeding and pain.

Once diagnosed by a gastroenterologist, there are a few different treatments available.

The Key Takeaway

Any rectal bleeding should be addressed and evaluated by a gastroenterologist. This has become even more important with rectal cancer on the rise in younger people. Note that black or maroon color stools or a greater amount of blood, can be a sign of something more serious and should be evaluated promptly.