Rectal bleeding with fresh blood during bowel movements, no pain—what could be the cause and what should I do?
Nov 17, 2024
Source: Cainiu Health
Dr. Li Jingxiang
Introduction
In general, rectal bleeding characterized by blood spraying or dripping fresh blood without pain may be related to improper diet, medication irritation, hemorrhoids, anal fissures, intestinal polyps, or other causes. It is recommended to seek timely medical treatment at a hospital when such symptoms occur. During treatment, patients should maintain a light diet, avoid spicy and irritating foods, and practice good personal hygiene to promote recovery.
Bleeding during bowel movements, characterized by blood spraying or dripping fresh blood without pain, is usually associated with factors such as improper diet, medication irritation, hemorrhoids, anal fissures, or intestinal polyps. It is recommended to seek timely medical attention when symptoms occur. Specific causes are analyzed as follows:
1. Improper Diet: Consuming large amounts of spicy food or excessive alcohol may irritate the gastrointestinal tract, causing damage to the intestinal mucosa and resulting in bleeding, often accompanied by symptoms such as abdominal pain and diarrhea. It is advised to adjust dietary habits by avoiding excessive spicy foods and alcohol, and maintaining a light, easily digestible diet.
2. Medication Irritation: Long-term use of certain medications may damage the gastrointestinal mucosa, leading to bleeding, along with symptoms like nausea, vomiting, and stomach pain. It is recommended to discontinue the relevant medications promptly and, under a doctor's guidance, adjust the treatment plan and use medications such as gastric mucosal protectants.
3. Hemorrhoids: Hemorrhoids are a common condition caused by varicose veins around the anus. When hardened stool irritates and ruptures the hemorrhoidal veins, bleeding may occur, possibly accompanied by symptoms such as anal itching and a sensation of heaviness. Patients may use medications such as Zhisuening tablets, Ma Yinglong Musk Hemorrhoid Ointment, or Compound Cacaoatril Cream under medical guidance until symptoms improve.
4. Anal Fissure: Constipation or excessively dry, hard stools may cause tears in the skin or mucosa around the anus, resulting in anal fissures and bloody stools. Some patients may not experience significant pain, but anal fissures typically cause pain during defecation. Patients may follow medical advice to use medications such as glyceryl trinitrate ointment, hydrochloride oxybuprocaine gel, or erythromycin ointment for treatment.
5. Intestinal Polyps: Benign proliferative lesions protruding from the rectal wall can lead to intestinal polyps. When irritated, these polyps may rupture and bleed, sometimes accompanied by bloating and indigestion. Under a doctor’s recommendation, patients may take medications such as cefuroxime axetil capsules, levofloxacin hydrochloride capsules, or lactobacillus tablets to manage symptoms. In severe cases, surgical intervention may be considered after inflammation is controlled.
During treatment, patients should maintain a light diet, avoid spicy and irritating foods, and practice good personal hygiene to promote recovery.
