Differences Between Rectal Bleeding and Hemorrhoidal Bleeding

Jul 02, 2024 Source: Cainiu Health
Disease description:

I have noticed blood in my stool recently, with bright red blood present. I'm not sure whether the bleeding is from the rectum or from hemorrhoids. Could you please explain the difference between rectal bleeding and hemorrhoidal bleeding?

Doctor's answer (1)
Dr. Li Jingxiang
The differences between rectal bleeding and hemorrhoidal bleeding are mainly reflected in the following aspects: 1. **Different causes**: Rectal bleeding is often caused by foreign bodies, trauma, tumors, inflammation, and other factors; whereas hemorrhoidal bleeding is primarily due to hardened stools rupturing swollen blood vessels or excessive straining during bowel movements leading to venous rupture. 2. **Different symptoms**: Rectal bleeding presents with varied symptoms, possibly accompanied by changes in bowel habits, pus-blood stools, or mucus-filled stools, with blood typically appearing dark red or black; hemorrhoidal bleeding is usually bright red, manifesting as dripping blood, jet-like bleeding, or blood on toilet paper during defecation, and the bleeding often stops after bowel movement. 3. **Different management approaches**: Rectal bleeding requires targeted treatment based on the underlying cause, such as surgical repair or medication; hemorrhoidal bleeding can be managed through daily care (e.g., warm sitz baths), medication, or surgical intervention to stop the bleeding.