About Bleeding in Stools

it is one of the commonest symptoms of patients in a surgical clinic. Although it may sometimes be due to a serious reason, more often than not, it is not the case.

Bleeding is either noticed as drops or stream in the toilet bowl or as streak on the tissue paper. Fresh blood, as would happen when you cut your finger, is usually due to anorectal problem while maroon dark blood is usually due to a problem higher up.



Causes & Treatment

What are the common causes of Blood in Stools?

  • Anal Fissure
  • Piles
  • Peptic ulcer disease
  • Colitis
  • Inflammatory bowel disease
  • Diverticular disease
  • Oesophageal avarices or tears
  • Polyps
  • Cancer

How can one diagnose the cause of Bleeding from Stools?

Usually on history, the clinician can fairly precisely judge the probable cause, however a detailed clinical examination would be helpful.

A bedside per rectal examination and if possible, a proctoscopy can reliably diagnose common anorectal conditions.

Additionally, a few investigations may be performed depending of the suspicious source which include:

  • Upper GI endoscopy
  • Colonoscopy
  • CT Scan
  • Rrarely radionuclide scanning

What is the treatment of Bleeding in Stools?

The underlying cause needs to be evaluated and treated appropriately.

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