Rectal Bleeding in Men

This condition is medically referred to as hematochezia. In this condition, bright red blood oozes out of the anus. It is generally combined with stools, and oozes out as clots. It is one of the most common abdominal disorders prevalent in men. The blood discharge occurs from the rectum in most cases, but sometimes it may also ooze out of the gastrointestinal tract. The color of the blood coming out of the anus may be black, in the form of tarry stools, maroon stools, and bright red blood in the stool. You will see these stains appearing on toilet tissue or staining the toilet water, as a necessary symptom.

When the patient suffers from mild or severe rectal bleeding, it can cause major blood loss in men. This can cause symptoms like weakness, dizziness, nausea, fainting, low blood pressure, or even orthostatic hypotension which means drop in blood pressure when the person shifts from a sitting to a lying or standing position. Rectal bleeding in men can become a mild or even a life threatening issue. You will need to indulge in care or medical attention.

Causes

Anal Fissure

An anal fissure is a common cause for rectal bleeding in men. In this the lining of the anal canal gets torn due to constipation or forceful bowel movements which not only cause blood discharge but also severe pain while passing the stools.

Fistula

A fistula is an unusual, burrowing channel that extends from the rectum to the skin around the anus. It usually drains a whitish discharge, but sometimes can also bleed. Fistula is normally related with the chronic inflammation of the intestinal tract, causing pain and bleeding while passing feces.

Diverticulosis

Diverticulosis is a condition in which the pockets or sacs called diverticula present in the colon project out. The outcoming of these sacs is mainly due to recurrent, high pressure spasm of the colon or weakness in the colon wall which results in mild rectal bleeding.

Polyps and Cancer

Polyps are the benign tumors of the large intestine which when reach a large size can start bleeding. Certain types of polyps develop into malignant tumors, called colon cancer, that cause bright red bleeding, maroon colored stools, and sometime melena.

Rectal Prolapse

This condition usually occurs due to weakened rectal support tissues, and so is commonly seen in older people. The person can feel an abnormal bulging from the rectum while wiping, which may eventually cause rectal bleeding.

Diagnosis

Depending on the severity of the condition, the following tests are prescribed to the patient.

  • Anoscopy: In this test, a plastic or metal scope is inserted into the anus which enables a quick examination of the rectal vault.
  • Flexible Sigmoidoscopy: The test is performed by inserting a flexible tube in to the rectum to examine the rectum and lower end of the colon.
  • Barium Enema X-ray: This study uses liquid barium which is inserted into the rectum to highlight the infected area like tumors or diverticula.
  • Blood Tests: Blood samples are used to evaluate the degree of blood loss, the clotting ability of blood, and the possibility of infection.

Treatment

The treatment varies from self care to antibiotics to even blood transfusion or surgery, depending on the source of bleeding.

  • The low blood volume and anemia needs to be corrected. For this the cause and site of bleeding as well as preventing the bleeding are some of the parameters that need to be considered
  • In case of mild bleeding, you need to use across the counter rectal ointments and suppositories to get cured
  • In case you face severe bleeding, you will need to get hospitalized to stabilize the condition

For natural cure, you need to ensure there is minimum strain with bowel movements.

You should ideally drink 8-10 glasses of water, with a healthy and balanced diet to cure rectal bleeding. You should have fiber rich foods like whole grains, fresh fruits and vegetables. Working out can also help

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