How to effectively treat rectal bleeding?

Jul 15, 2024 Source: Cainiu Health
Disease description:

There is always pain at the anal opening, and blood often oozes out, sometimes accompanied by itching. I'm very worried and would like to ask the doctor, what is the best way to treat rectal bleeding?

Doctor's answer (1)
Dr. Li Jingxiang
The treatment of hematochezia (blood in stool) needs to be determined according to its specific cause. Generally speaking, treatment methods for hematochezia include: 1. Identify the cause: Examinations such as colonoscopy or gastroscopy should be conducted to determine the cause of bleeding—hemorrhoids, anal fissure, intestinal polyps, tumors, or other inflammatory diseases. 2. Conservative treatment: For mild bleeding, such as from hemorrhoids or anal fissures, conservative treatment can be adopted, including maintaining rest, increasing fluid intake, using anti-inflammatory and analgesic medications, applying hemorrhoid ointment or inserting hemorrhoid suppositories locally, to relieve symptoms. 3. Medication therapy: For certain inflammatory bowel diseases, anti-inflammatory and hemostatic drugs may be administered orally or via enema according to the patient's condition. 4. Endoscopic therapy: For patients with severe bleeding that cannot be controlled, doctors may perform endoscopic interventions, such as using gastroscopy or colonoscopy to treat and stop bleeding at the bleeding site. 5. Surgical treatment: For severe bleeding situations, such as massive bleeding, persistent bleeding, or cases where endoscopic treatment is not feasible, surgical interventions may be required, such as intestinal anastomosis, resection, or proctocolectomy. It is recommended to follow the physician's advice for standardized treatment.