Each person may one day face the fact that he is bleeding from the anus, and this causes terrible discomfort, discomfort, and is also a symptom of a possible disease.
Many do not immediately seek the help of a doctor, under the pretext of it’s not scary,may itself pass,too intimate to share with the medical staff And so on.
However, if you experience bleeding from the anus, even if it is small, you should contact the proctologist as soon as possible.
The causes of this symptom are many, only the doctor will help you understand the various pathologies, because it is very important to know what is happening with your body and how it can be helped.
Why does bleeding occur?
There are many reasons for which may bleed from the anus. Among them are the following main groups:
- acute proctological diseases (acute anal fissure, thrombosis of hemorrhoidal vessels);
- chronic proctological diseases (chronic hemorrhoids, chronic anal fissure, prolapse of the rectum);
- chronic diseases of the small and large intestine (NUC or ulcerative colitis, Crohn’s disease);
- chronic diseases of the stomach and duodenum (chronic peptic ulcer, hemorrhagic gastritis);
- cancers of any part of the gastrointestinal tract.
It should be noted that bleeding from the anus may vary in color and consistency. If blood comes from the upper gastrointestinal tract – the feces will be black (due to the interaction of hemoglobin with hydrochloric acid), from the upper intestines – dark, possibly with clots, from the lower parts – bright scarlet. Each of the diseases has its own specific symptoms and manifestations that need to be considered in more detail.
1. Acute proctological diseases
Acute diseases of the anus are usually accompanied by a pronounced pain symptom due to the involvement of the rectum in the pathological process. The disease develops against the background of excellent well-being, however, frequent constipation or diarrhea may precede the disease.
The pain is constantly increasing and increasing with the act of defecation., during which a small amount of bright scarlet blood is released. Usually, all these symptoms are observed with thrombosis of hemorrhoidal vessels – a complication of chronic hemorrhoids.
The cause is the compression of the falling out nodes, their damage, inflammation and the formation of blood clots in them. In this case, it is necessary to consult a doctor as soon as possible and start the appropriate treatment, because these blood clots can enter the general bloodstream and cause serious complications.
Blood can also appear in small quantities when a sharp anal fissure occurs, which appears suddenly and is characterized by the presence of burning pain, giving into the surrounding tissues, as well as spasm of the anal sphincter.
2. Chronic proctological diseases
Very often from the anus blood can go due to the presence of chronic hemorrhoids. This is a very common disease associated with the presence of enlarged and blood-filled hemorrhoidal veins. Permanent constipation, pregnancy, work in an upright position, hard physical labor can be provoking factors. Patients complain of itching in the anal region, discomfort and the release of dark red blood during or immediately after an act of defecation. Hemorrhoids can also fall out with excessive physical exertion.
Most often, the blood from the anus in women is due to the presence of chronic anal fissure. In men, this pathology is less common than in women. The cause may be infectious factors or trauma to the anus by hard stool. It is characterized by the presence of pain, aggravated by defecation, urination disorders and menstrual disorders. A specific symptom is a small strip of scarlet blood on the feces from the side where the anal fissure is located.
3. Chronic bowel disease
Serious enough diseases are ulcerative colitis and Crohn’s disease. The exact cause of their origin is unknown.
Ulcerative colitis is a chronic ulcerative necrotic inflammation of the large intestine. In most cases, the rectum is affected. The main symptoms are frequent watery bowel movements up to 5-10 times a day or more, acute onset, discharge of bright red blood in the feces or a small trickle after a bowel movement, significant abdominal pain, false urge to have a bowel movement, fever, loss of water, and weight loss. . This chronic disease can often be exacerbated depending on diet and treatment.
During exacerbation of the intestinal mucosa, multiple bleeding ulcers and surface erosion are formed. A more dangerous pathology is Crohn’s disease, which can inflame all parts of the gastrointestinal tract. The disease usually begins acutely – nausea, profuse vomiting, abdominal pain, discharge of red blood from the anus, frequent stools. To differentiate these diseases is possible due to instrumental methods prescribed by a proctologist.
4. Diseases of the stomach and duodenum
In men, the blood from the anus is most often due to the exacerbation of a peptic ulcer (this pathology in men occurs 7 times more often than in women). In the stomach or duodenum under the action of gastric juice and Helicobacter pylori infection, an ulcer arises, which in treatment cicatrizes.
However, during exacerbation (violation of the diet, taking anti-inflammatory drugs, stress, etc.), the vessels in the ulcer are unprotected and their walls are eroded by hydrochloric acid – there is abundant bleeding, vomiting of “coffee grounds” and black feces (modified blood), dagger-like abdominal pain. The state of health is strongly disturbed. In this case, you must immediately call a medical ambulance.
The clinical picture is not always so bright – often bleeding is minor, and the patient practically does not pay attention to it. For small chronic bleeding, anemia develops.
5. Neoplasms and bleeding
Oncology of the stomach, small and large intestines is often diagnosed already in the later stages. For this reason, it is necessary to recognize the symptoms of cancer as early as possible.
Any tumor is richly supplied with blood vessels, but they are very fragile and often give complications in the form of bleeding from the anus.
It is worth paying attention to such important symptoms as rapid weight loss, lack of appetite (with stomach cancer often there is disgust for meat), poor health, fever. Possible vomiting coffee grounds, the admixture of blood in the feces, the release of red blood trickle from the anus.
If you find symptoms similar to any of the above diseases, you can not make a diagnosis, much less self-medicate! Mandatory consultation is required proctologist. A thorough examination is required, such as a physical examination, a palpation examination, a complete blood count, a coagulogram, a biochemical blood test, a urine, stool test, and instrumental methods such as fibrogastroduodenoscopy, colonoscopy, rectoromanoscopy, ultrasound, X-ray, MRI, CT.
Blood from the anus indicates the presence of pathology of the gastrointestinal tract, the main task is to correctly diagnose the disease and cure it.
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