Blood in the stool in an adult what to do. Causes of bleeding during and after a bowel movement. Treatment of bleeding from the anus

Uncharacteristic stools that have suspicious inclusions, or scarlet marks on toilet paper after a bowel movement are warning signs that require immediate response. How dangerous the situation is depends on the intensity of the discharge, the frequency of their occurrence, and the presence of additional signs. Even if the discomfort is minimal, you can not let the situation take its course.

Blood in the stool in adults is considered negative manifestation. If such symptoms are not noticed for the first time, only a serious illness can be the cause of the changes that have occurred.

State Danger

Depending on the amount of blood masses in the stool, there are several options for the development of pathology:

  • Insignificant discharge is stated when scarlet blood comes out of the rectum in drops with the main volume of feces and without pain.
  • A moderate process is the presence of clots of a dark red hue, sometimes with mucus.
  • Staining of a large mass of feces in a scarlet or darker tone indicates severe bleeding.

The developing condition can be life-threatening when, in addition to these phenomena, the clinical picture is supplemented by the following conditions:

  • Increased perspiration.
  • Feeling of weakness.
  • Temperature rise.
  • Vomiting.
  • Strong spasms.

When to See a Doctor

They plan a visit to a medical facility if women have seen feces with blood more than once. This anomaly is often indicative of serious violations including damage to intestinal tissue. Only a proctologist can clarify the situation based on the results of the tests.

Feces in the blood: causes

provoke negative symptoms among women various diseases and functional disorders, but the essence of the mechanism remains unchanged - damaged muscle tissues, mucous and vessels.

anal fissure

The feature of the state is not a large number of characteristic inclusions in the excrement after each visit to the toilet. Additional feature- burning sensation when emptying the intestines, soreness of the anus. Injury to the walls of the anal canal becomes the result of difficult childbirth, proctitis, hemorrhoids. Another option is to exit along with the feces of a foreign body. Cracks in women are localized on any surface of the anus. In men, only the posterior wall is affected.


This is an anorectal problem. The subcutaneous node is an extension of the choroid plexuses. The reason for its increase is the difficult outflow of physiological fluid. As a result, the formation "grows" and begins to look like a bump. If erosive changes occur, bleeding occurs, the result of which is visible in the form of a scarlet strip after a visit to the toilet.

The factor that provokes pathology is prolonged constipation, lifting weights, staying most time while standing or sitting. If bleeding is detected, doctors state an exacerbation of hemorrhoids. Often pronounced manifestation pathology indicates the approach of the phase of the cycle to critical days. This situation is explained by increased blood circulation in the pelvic area, overflow and inflammation of the nodes.

Polyps in the intestine

The growths that form on the walls are benign formations that remain invisible for a long time. Minor changes are manifested only in violation of the stool - both diarrhea and constipation are possible. This condition is due to insufficient motor activity of the intestine. When the polyps are damaged, the wounds begin to bleed. The volume of secretions that come out with the feces directly depends on the size of the formed structure.

Oncology

When polyposis is diagnosed and blood comes out with feces with each bowel movement, you need to see a doctor as soon as possible to rule out a cancerous process. Any stage of the disease may be accompanied by the appearance of characteristic scarlet blotches in the stool. The outgoing masses have an intense red color if the malignant tumor is in the decay stage. During this process, trauma large vessels, therefore, there is a pronounced deterioration in general well-being.

Acute intestinal infection

This pathology is evidenced by the presence of brown-red veins in the feces. One of the options for the disease is dysentery, which is fraught with serious complications. Characteristic symptoms are the presence in the stool, along with blood, of mucous, purulent inclusions.

When the feces have a liquid consistency and a bright red color, doctors state damage to the intestinal walls. The inflammatory process is indicated by fever, physical weakness.

Crohn's disease

The main signs of the disorder are persistent or regularly recurring pain in the center or lower abdomen, exceeding normal performance temperature. The number of bowel movements can reach 20 per day. Pathology is suspected when general analysis blood, an increase in the level of leukocytes is noted, the erythrocyte sedimentation rate increases in comparison with the norm.

When the ulcers that form on the walls begin to bleed, it is necessary to plan treatment with hemostatics as soon as possible. Such a pathology is chronic, therefore, a complete revision of the usual lifestyle, constant adherence to a diet, and taking medications that support remission are required. Lack of therapy leads to severe anemia.

Ulcerative colitis is similar to Crohn's disease. The risk group includes smokers, people prone to gastrointestinal infections, patients with poor heredity.

Intestinal diverticulosis

Pathology is accompanied by the formation on the walls of the site digestive tract small protrusions, which certain conditions may inflame. Another reason is damage to structures as a result of muscle contractions or the promotion of a food coma.

In addition to bleeding, there are painful spasms in the abdomen, the body temperature rises. Discomfort is localized below both in the right and in the left side. The condition improves slightly after the release of gases and the release of the intestines from the accumulated contents. On the whole unpleasant symptom present constantly. Strengthening the intensity of pain is facilitated by physical activity, inclinations, tension in the muscles of the press, pressure on the peritoneal region.

If bloody masses come out with diverticulosis, you may need to surgical intervention, within which damaged tissues are removed. In other situations, care must be taken effective work intestines, normalization of peristalsis by taking medications prescribed by a doctor.

endometriosis

Blood on the feces during a bowel movement sometimes accompanies a purely gynecological problem. Leading to thoughts about the development of the disease should be characteristic inclusions in the stool during critical days. The changes that occur are explained by the fact that the uterine mucosa penetrates into the organs located next to it. The main cause of the disorder is a hormonal imbalance, in particular, an insufficient level of steroids. Another provoking factor is a low immunological status.

Accurate diagnosis

It is possible to treat the disease with the hope of recovery only if a comprehensive preliminary diagnosis is carried out with an assessment of the state of the main body systems. It is necessary to respond to the situation, even if a woman’s spotting appears without pain.

Put correct diagnosis only a proctologist is able to do this on the basis of a number of studies.

Fecal analysis

The purpose of the procedure to determine in stool Oh hidden blood– study of the functioning of the gastrointestinal tract, identification possible problems. Sometimes the masses coming out of the intestines do not have a reddish color with each bowel movement. In these cases, the study is the most informative.

Sigmoidoscopy

Lets get reliable diagnosis thanks to the use of an endoscope, which provides a high-quality examination of the lower intestines. To get a picture that clarifies the situation, a tube equipped with a camera is inserted into the anus by 30 cm.

A contraindication for carrying out is a strong incessant bleeding. For a reliable result, preparatory measures are carried out. This is about strict observance diet food, cleansing enema on the day of the procedure.

Colonoscopy

It is prescribed when, after sigmoidoscopy, there are doubts about the condition of the intestine. During the examination, a probe is used to examine the entire space of the colon. Simultaneously with the study of mucous structures, material is taken for a biopsy. And also, it is possible to carry out a mini-surgery to remove polyps.

As in the previous case, manipulation is preceded by a transition to strict diet and taking bowel cleansers. The day before the scheduled study, the patient can only drink. Colonoscopy is performed on an empty stomach only. A contraindication is ulcerative colitis in the acute phase due to the risk of perforation of the inflamed walls. In most situations, the procedure is planned under general anesthesia.

An examination should be prescribed not only by a proctologist, but also by a gastroenterologist. At his discretion, the listed complex can be supplemented with ultrasound to assess the state of the gallbladder and liver. If there is a suspicion of a disease of the digestive tract, a gastroscopy is planned. It is also advisable to consult a gynecologist.

Prevention of intestinal diseases

The lower GI tract can be compared to litmus paper. By its functioning it is possible to judge about general health women. To prevent serious problems, follow simple recommendations:

  • The main place in the diet is given to foods rich in fiber. This category includes whole wheat bread, a variety of fruits and vegetables, cereals. Subject to the regular presence in the menu of the listed items for a month and a half, you can solve this problem. delicate issue like constipation. As a result, one of the most significant factors provoking bloody stools is excluded.
  • When planning a drinking regimen, the emphasis is not only on water. It is desirable that female body regularly received juices saturated with useful microelements and vitamins. For the intestines, a plum product is especially necessary.
  • paramount preventive measure becomes the provision of regular stool. So that the feces can easily come out without injuring the mucosa, it is important to go to the toilet immediately after the urge to defecate appears. Otherwise, peristalsis may increase or, conversely, weaken. As a result, the consistency of feces is disturbed.
  • Another one effective measure- Kegel exercises. This is about regular exercise perineal muscles, which are directly involved in all physiological processes. Such gymnastics is useful for both young mothers and nulliparous women.

Conclusion

You need to treat your health responsibly, without delaying the elimination of diagnosed disorders. Any problems with the intestines are fraught with the development of negative processes in the reproductive system, which is absolutely unacceptable. If blood in the feces appears repeatedly, you can not self-medicate. A positive trend is only possible if adequate therapy carried out under the supervision of physicians.

Man Woman Arms Belly Back Skin Legs Rib cage Pelvic region Neck Head Miscellaneous Pain in the rectum and anus Pain in the groin Pain in the testicles Pain in the penis Painful menstruation Painful urination Swelling in the groin Swelling in the testicle Blood in the urine Blood in the stool Vaginal bleeding

Blood in stool

digestive tract is one long tube that winds from the esophagus to anus. In some places it narrows, in others it widens.

Blood in the stool can occur anywhere along its course. The color of the blood will tell you if the bleeding is high (in the esophagus or stomach) or low (in the colon or rectum).

black stool usually mean that blood descends from the upper part of the digestive tract - the esophagus, stomach or duodenum; The blood turns black in the time it takes to pass from the start gastro- intestinal tract to end.

But if you have diarrhea and your intestinal tract is very active, so the contents move quickly, the blood will be red because it has not had time to turn black. At least two teaspoons of blood must be shed to make the stool black. It seems that this is not much, but such "light" blood loss for a long time can cause acute anemia.

Gastritis as a result of excess alcohol, daily taking aspirin or other irritating drugs that corrode the intestinal mucosa may be accompanied by such bleeding. The same applies to peptic ulcers and cancer. In fact, the conditions in which black stools are observed are the same as those that cause vomiting of blood. The only difference is that in one case the blood goes "to the north", and in the other - "to the south".
Do not think, however, that black stools always indicate the presence of blood.

Wrong coloration can be, for example, from such a harmless thing as preparations containing iron that you accept. The stool is black with blood and has the consistency of tar.

activated charcoal(usually taken with over-education gas) will make the bowel movements black, as will licorice and blueberries. Bismuth-containing stomach-soothing and anti-diarrheal preparations give stools a greenish-black color.

Bleeding from the middle part of the intestinal tract, i.e. from the small intestine, gives an intermediate color - chestnut.

Blood originating in the large intestine or rectum, will be bright scarlet. However, just as black stools can be caused by iron rather than blood, red stools can also be caused by beets you ate the night before.

Whatever the color of your bowel movements, do not rely on your impressions. Always check to be sure. You can do this with home kits or have your stool taken to a lab for analysis.

Another cardinal rule: blood in stool must mean cancer until proven otherwise. It is statistically much more likely that the presence of blood is due to hemorrhoids. But you are not a statistician and you can easily make a mistake. Most dangerous situation one in which you have chronic hemorrhoids and at the same time develop cancer higher in the intestine. Cancer signals its presence with blood, and you keep thinking it's because of your hemorrhoids.

Therefore, if you have long-standing bleeding in the intestines, be examined from time to time. This doesn't mean that you should see a doctor every time you find blood in your stool, but check at least once a year.

Some antibiotics(erythromycin, lincomycin) can cause intestinal ulceration - and bleeding. The same effect is caused potassium tablets with a shell (prescribed to compensate for the loss of potassium when taking diuretics), sexual intercourse through the anus and the introduction of any foreign body into the anus.

Some intestinal vascular abnormalities that you are not aware of can also cause bleeding.

When arteriosclerosis narrows the arteries that feed the intestines, the latter lacks oxygen in the same way as it happens with the heart and brain.

Symptoms include abdominal pain and blood in stool. Suspect such arteriosclerosis if you old man, you have abdominal pain after eating and bleeding, and if all the usual tests during the gastrointestinal examination are normal. But remember that the blood supply to the intestines can be blocked by other mechanisms, such as an embolism or a blood clot.

Diverticulosis, a condition most commonly seen in people with chronic constipation, is caused by the presence of small, finger-like protrusions (diverticula) in the intestines. As long as these sacs do not become inflamed, there is no problem. But from time to time they become infected, and diverticulosis becomes diverticulitis. Then you feel sick - you have a temperature, pains and sometimes blood in stool.

Diverticulitis can sometimes result in intestinal perforation. It used to be thought that the disease was caused by eating nuts, seeds, and a lot of fiber, but the theory is wrong.

Doctors today admit they don't know what causes diverticulitis attacks and that fiber actually helps prevent them.

So, what clues can lead you to the correct diagnosis if you see blood in your stools?

If the blood trickles on the surface of the stools, not in them, and if, in addition, it is on toilet paper and in the toilet bowl, then the source probably lies in the rectum or anus - hemorrhoids or scratches that occurred after passing a massive, hard stool.

If the blood in the stools themselves and not on the surface, suspect cancer, although polyps can also cause bleeding. Cancer is most likely if the stool looks narrow, like a ribbon, and your way (walking on the big one) has changed (before everything was regular, and now you have diarrhea alternating with constipation). Also, with any tumor, benign or malignant, in cases where it is significant and located in the large intestine, it may feel like you have something left after you went to the toilet.

If you have pain during bowel movements, you probably have hemorrhoids or an abrasion (fissure) in your rectum or anus.

But if you have stomach ache, not associated with defecation, then blood in your stool may indicate colitis, infection, vascular disorders in the intestines or about a tumor.

If you have diarrhea that comes and goes, bleeding is more likely due to cancer, infection, or colitis than hemorrhoids. The latter usually bleeds when the nodes are damaged by dense feces or with strong tension during bowel movements.

If you feel weak or dizzy after losing blood from your intestines, this is bad sign. It usually means that you have lost more than 20% of your total blood volume. Get to the hospital as soon as possible!

There are other discolorations of the stool that have nothing to do with bleeding but may still be important.

If you have recently been given barium enema or you have been taking barium for an upper gastrointestinal exam, you will notice that your stools are white, pink, or at least clear for a few days. How long this will last depends on how vigorous your bowel contractions are. Don't worry, bowel movements will eventually return to their normal color. But the stool may appear white when covered in mucus due to colitis or intestinal irritation.

If your bowel movements are gray or greenish-black, you either took drugs containing bismuth, or you have little bile pigments in your stools. These pigments give them their brown color. Bile is produced in the liver and stored in gallbladder, then descends through the duct into the intestine, where it mixes with the products of digestion, giving them a normal Brown color. Anything that interferes with the passage of bile from the liver or bladder to the intestines will give you clay-colored stools.

What could be the reason?

For example, stone in bile duct. In this case, you will have pain in the right upper section abdomen, fever and, because bile pigments enter the bloodstream as a result of blockage, jaundice. If the stone has passed by itself or it has been removed, the jaundice and the clay color of the stools disappear.

If the gray color of the stool varied gradually and is not accompanied by symptoms of gallbladder disease, then this is not a stone, but something else that clogs the duct. This is worrisome, as the most common cause is pancreatic cancer.

Get into the habit of looking at your stool (as well as urine, saliva, and any other bodily secretions). It can help you recognize the problem at an early stage and fix it in time. In fact, this is probably the most important self-exam you can do.

Blood with feces in men is an alarming symptom that is often the cause of severe, chronic pathologies. They occur in the human intestine.

The act of defecation healthy person, occurs no more than twice a day. It is painless and stools are dark or light brown in color. It should not contain blood impurities.

If such symptoms appear, this means that the patient urgently needs to contact a proctologist.

Common causes of blood in the stool

There are many reasons why spotting, or streaks of blood, can be observed in the feces.

The following diseases can contribute to this:

All these manifestations are symptoms (consequences) of the underlying pathology. Therefore, in order to get rid of their manifestation, therapy of the underlying disease and its causes is required.

False bleeding

Very often, patients find a change in the color of the feces, and are sent to the doctor to determine the cause of the disease, which is accompanied by this symptom. However, they do not take into account what food they ate the day before.

Boiled beets can cause blood-colored impurities in stools

The bowel movements may turn blood-colored if the person has consumed:

  • Overripe tomatoes.
  • Sweet red pepper.
  • Boiled beets.
  • Red currant.
  • Sausage made from blood.

Sometimes, medicines(the doctor forgets to warn the patient) change the color of the feces into a dark red color. This is observed when using De-nol, Bismofalk.

To exclude such manifestations, it is necessary to conduct a laboratory analysis.

Diagnosis at home

Most often, the appearance of an admixture of blood during the act of defecation, the patient discovers himself. He is not able to make a correct diagnosis for himself, but when contacting a proctologist, information about the nature of the manifestation of this alarming symptom will be very important.

Therefore, you need to pay attention:

  1. The amount of blood in the discharge.
  2. On the color of blood and feces.
  3. Are there clots or veins.
  4. When blood is released, at the beginning of the act of defecation or at the end.

Even when analyzing these preliminary data, experienced specialist can make a preliminary diagnosis:

  • If after a bowel movement there are bloody scarlet discharge, and they remain on toilet paper or clothes, this may indicate that the patient has hemorrhoids.
  • In the event that mucous discharge joins such symptoms, most often this indicates the presence of enterocolitis or colitis, polyps or malignant neoplasms.
  • Diverticula can cause streaks from blood clots that are mixed with feces.
  • Loose stools with some blood may appear with peptic ulcer, or dysentery.
  • Whenever there is bright red blood in the stool, this is a sign of the development of pathology in the sections of the large intestine. Dark-colored blood will mean that the pathology is located in the small intestine.
  • Due to the presence of blood in the stomach or intestines, changes in the color of the stool itself occur. In some cases, it becomes black, which suggests the presence of bleeding in the digestive tract. Very often black is warning sign development of the oncological process.
  • Chestnut or brownish stools indicates inflammation of the small intestine.

Diagnosis by a proctologist in the presence of blood in the stool

After a detailed study of the history of the disease, and the patient's complaints, the proctologist prescribes the following types of research:

Choose the right technique examinations can only be done by a doctor.

Blood in stool with hemorrhoids

This disease may occur due to different reasons and factors.

It is customary to identify the main causes of hemorrhoids:

This type of disease is characterized by a staging process. There are 4 stages of this pathological condition.

They are replaced sequentially, and have a different clinical picture. Depending on this, bleeding has a different character.

During the first two stages, a small amount of scarlet blood appears when going to the toilet. It appears after a bowel movement, and remains on the toilet paper.

If the appropriate treatment is not carried out, the disease progresses, and the third and fourth stages begin. In this case, spotting may appear on the underwear, regardless of the act of defecation.

This occurs due to increased traumatization of the thinned walls of hemorrhoids. Such blood loss can lead to a reduced content of hemoglobin and erythrocytes in the blood, a decrease in the color index.

Distinguish between acute and chronic form this pathology:

  • For the acute form, the rapid onset of the disease is characteristic. Blood can stand out in a large volume and is accompanied by a pronounced pain syndrome.
  • The chronic course of hemorrhoids is different frequent prolapse of hemorrhoids from the lumen of the anus, and spotting become constant companions of the patient.

It is also customary to distinguish:

  1. Internal hemorrhoids. With this form of pathology, hemorrhoids do not leave the rectum. Most often, this form occurs at the initial stage of the development of this pathology.
  2. External hemorrhoids. When examining a patient, it is possible to detect nodes that are localized in the region of the anal sphincter. They are very painful, indurated, and may bleed profusely.

Stories from our readers!
“From childhood, I had stomach problems, pancreatitis, periodic inflammation of the pancreas. I tried to monitor my diet, I was regularly observed by the doctor. But this did not save me from gastritis. There was heaviness in the stomach, when I ate something sour, heartburn occurred.

I bought a propolis elixir, I liked the composition, and in all forums about self-treatment you will always find propolis. I started drinking and after a few weeks the disease subsided. Now I know what can help in the fight against the signs of gastritis, I will have propolis tincture in my first aid kit!"

The presence of diverticula in the intestine

Sometimes the wall of the intestine bulges outward, resulting in a mass that resembles the shape of a sac. This is called a diverticulum.

Most often, this pathological process begins in the sigmoid intestine., gradually growing, acquires a multiple character, and the place of localization moves to the rectum.

A feature of this pathology is the location of the diverticulum. Usually, its localization occurs on the intestinal wall, where large vessels are located.

The main cause of a diverticulum is a change connective tissue that lines the intestinal wall.

Also, the cause of the appearance of this pathological condition can be considered:

The presence of bleeding occurs due to ulceration of the surface of this outgrowth.

In this case, severe bleeding is noted, which, depending on the location of the diverticulum, may have a dark brown (chestnut) or red color.

The closer the location to the anal sphincter, the brighter the bloody inclusions.

Blood in stool with peptic ulcer

In the etiology of this disease, there are many reasons for the occurrence of which erosive changes first appear in the stomach. They turn into .

In the biomechanism of the development of this condition, the following reasons are distinguished:

Bleeding with peptic ulcer can sometimes be the first symptom in the development of the clinical picture, but in some cases, blood discharge is secretive.

If the stomach is damaged, then the feces acquire a tar-like character. They are black and fetid odor(melena).

Very often when ulcerative lesion of the stomach and intestines, the patient has a pronounced pain syndrome, and in connection with a sharp blood loss, there may be a sharp decline blood pressure.

It should be noted that in case of peptic ulcer, interspersed blood may have a bright, red color. This is due to the location of the ulcer.

Get rid of gastritis and ulcers!

The most common diseases of the gastrointestinal tract are gastritis and peptic ulcer, so it is important to take care of the prevention of these diseases.

It has the following properties:

  • Relieves bloating and diarrhea
  • Instantly removes heartburn, belching, sour taste, burning and other discomfort
  • Quickly relieves any kind of pain. Pain goes away on the 3rd day of application
  • Normalizes the secretion of gastric and intestinal enzymes
  • Promotes the most complete absorption and breakdown of nutrients

Blood during bowel movements in men - a sign of oncology

Department rectum, most susceptible to the development of the oncological process.

Abundant blood loss, with the appearance of this pathology, is observed infrequently.

Usually, the blood mixes with the feces, as a result, it has a black color during bowel movements.

This is the main symptom of oncological lesions of the intestine. Also, the feces may contain impurities of mucus and purulent contents.

With the growth of a malignant neoplasm, a change in the shape of the stool occurs. They become thin and elongated. This indicates that a cancerous tumor blocks the intestinal lumen. This course of the disease leads to the inability to defecate.

The reasons for the development of this pathology are not fully understood. There are risk factors that provoke this disease.

Usually they are:

  • Increased addiction to alcohol (especially in men).
  • Tobacco smoking.
  • Unbalanced diet, low consumption of coarse fiber (vegetables and fruits).
  • Extra pounds and overweight.
  • Passive lifestyle, sedentary work.
  • Decreased immunity.
  • Prolonged exposure to ultraviolet radiation (sun exposure).

Cirrhosis of the liver

With cirrhosis of the liver, a violation of the morphological structure of cells occurs. They are modified, reborn into connective tissue. This leads to a violation of its physiological work.

Provoking factors in the development of this pathology in the male population may be:

The clinical picture of liver cirrhosis is very diverse. This disease is characterized by gradual development.

At the beginning of the disease, symptoms are observed that occur with various less severe pathological processes:

  • Sometimes there are pains on the right under the ribs, which are aggravated by heavy physical exertion. Or errors in eating, overeating, or drinking a large amount of alcoholic beverages.
  • In the morning, dryness and a feeling of bitterness in the mouth may be noted.
  • Very often there is a breakdown and increased irritability.
  • Symptoms of anorexia and dyspepsia may develop.
  • Yellowness of the skin.

Such symptoms are characteristic of the onset of the disease, usually they do not cause concern on the part of the sick person.

The development of subsequent symptoms, force the patient to consult a doctor:

  • The pains acquire a stabbing or aching character, become unbearable, sometimes they are not stopped even by strong analgesics.
  • The volume of the abdomen may increase, despite the fact that the patient is losing a lot of weight.
  • and vomiting become constant companions of the patient.
  • The palms and feet are painted red.
  • Men have hypertrophy mammary glands, disappear hair in armpits and on the forehead.
  • Appears nosebleeds, swelling of the legs and tongue.
  • Feelings of depression and apathy may develop.
  • The nature of the stool changes, its color and consistency.

The stools in this disease become white or light yellow. This indicates severe lesions, and a serious functional failure of the liver.

In more advanced forms, the color of the feces may change, it may turn black due to the presence of internal bleeding. Sometimes it may contain blotches of a small amount of scarlet blood.

The disease often aggravates hemorrhoids, which makes itself felt by a burning sensation and discomfort in the area of ​​the rectal sphincter.

Bleeding due to proctitis

Proctitis is a type of disease in which inflammation of the mucous epithelium of the rectum occurs. This pathological process is characterized fast development and disease progression.

The patient has:

If proper therapy has not been performed for acute proctitis, the disease becomes chronic and has a sluggish character. The main manifestation of this course of the process is the presence of a small amount of blood and mucus in the feces.

Only in case of exacerbation do pains appear, and spotting intensifies. In the remission stage, the symptoms may disappear completely.

The main reasons for the development of proctitis can be:

  1. Violation of the venous outflow and intestinal dyskinesia.
  2. A common cause in men may be an addiction to alcoholic beverages, eating hot and spicy seasonings.
  3. Infectious diseases caused by Neisser's gonococci, Trichomonas, fungal mycelium, dysenteric amoebae.
  4. Frequent hypothermia.
  5. Work downgrade immune system development of allergies.

At the beginning of this disease, a few drops of blood can be seen in the feces of the patient., clots may be observed less frequently. A large number of fragments of mucus are present.

At severe course illnesses are common, false urges to the bottom, and the act of defecation itself can occur without excretion of feces, contain only blood, and a large amount of mucus.

When choosing the tactics of therapy, which is performed in case of detection of blood in the feces, one should take into account the fact that this is a consequence serious illness. First of all, it is necessary to establish the cause of this ailment, and only after its elimination, this symptom will disappear.

The presence of blood in men is usually noted between the ages of 40 and 45 years. Therefore, upon reaching the age of 40, men are recommended to undergo an examination of the intestine. This will eliminate intestinal pathology, and if it is present, promptly treat it.

If rectal bleeding occurs, it is recommended to take a horizontal position (lie down in bed) and wait for the doctor to arrive.

Treatment directly depends on the type of disease:

With the development of such a symptom, you need to adhere to correct tricks food:

  1. It should be low-fat, preferably boiled.
  2. Be sure to have a large amount of coarse fiber.
  3. AT daily diet must attend boiled vegetables or fruits (beets, carrots, prunes, dried apricots).
  4. It's best when the dishes are ferried vegetable oil This will ensure (in case of constipation) a painless bowel movement.
  5. It is very important to consume dairy products.
  6. Eliminate use white bread giving preference to black.
  7. During the day, drink at least 2 liters of water that does not contain gases.

Conclusion

Diseases of the digestive system, in which bleeding from the lumen of the rectum occurs, are best prevented using preventive measures.

For this you need:

  • Keep active and healthy lifestyle life, a man needs to give up smoking, and, if possible, reduce the amount of alcohol taken.
  • Constipation is very dangerous and very often the first symptom of hemorrhoids! Few people know, but getting rid of it is very simple. Just 3 cups of this tea a day will relieve you of constipation, flatulence and other problems with the gastrointestinal tract...

Fecal masses normally should not contain blood.

If, during the act of defecation, spotting was detected (blood in pure form, streaks, blood clots, etc.), this may indicate a disease. If there is blood in the stool, it is necessary to see a proctologist, undergo an examination and, if necessary, a course of treatment. However, it is possible to preliminary diagnosis and independently.

Blood during bowel movements in men: causes and diagnosis of the problem

Blood in the stool can be a sign of a variety of pathological processes occurring in the body. It can indicate both a small crack that occurs as a result of constipation, and bowel cancer. The most common causes of bloody impurities in the stool are the following:

  • hemorrhoids, proctitis, anal fissures;
  • oncology (in this case we are talking about damage to the intestines, stomach or rectum);
  • intestinal diverticula;
  • peptic ulcer;
  • cirrhosis of the liver (particularly varicose disease veins in the intestine, developing with cirrhosis);
  • other causes: Crohn's disease, infectious diseases, excess potassium in the body (for example, due to prolonged intake of potassium supplements), trauma and microtrauma (for example, with anal sex or trying to put an object in the anus).

Often there are also so-called false spotting, which in fact are not, and the stool becomes reddish or inclusions of clots, etc. red after eating certain foods: tomatoes, beets, currants, blood sausage. Therefore, when atypical inclusions in the stool are found, there is no need to panic. Immediately you need to analyze your diet lately. If it included specific foods, you can calm down, since it is likely that not blood was found in the stool at all. If after a day the situation has not changed, you need to pay due attention to it, since in the vast majority of cases blood impurities are a signal that there is a problem in some part of the gastrointestinal tract. Before rushing to the doctor, you can conduct a preliminary diagnosis yourself. However, this is by no means a reason to ignore a consultation with a proctologist.

Self-diagnosis of the problem

Of course, a person who does not have medical education will not be able to correctly diagnose himself. Yes, this is not required. Self-diagnosis is important not only to perhaps reassure yourself, but also to provide the doctor with as much information as possible to help him in making the correct diagnosis. So, when detecting blood impurities in the feces, you need to pay attention to the following nuances:

  • blood color;
  • its quantity;
  • the presence of clots, veins, drops of blood;
  • the location of the blood: in the feces itself or on top, as well as whether it remains on toilet paper, linen.

It is on the basis of these data that it is possible to make assumptions about the possible provisional diagnosis, which can even be confirmed by a doctor later. So what can the character signal? blood secretions in chair:

  • bleeding in the form of drops or streams is usually found with hemorrhoids. At the same time, the blood has a scarlet color, it is not mixed with feces, without mucus impurities. At advanced stage hemorrhoids in the stool appears not only blood, but also impurities of pus and mucus;
  • if the feces contain blood and mucus, this can be a symptom of polyps, colitis, and even a malignant tumor;
  • if the blood has a bright red color and looks like streaks mixed with feces, this indicates the presence of oncology of any part of the intestine, but such a clinical picture is also characteristic of diverticulum, colitis;
  • if the stool is of a liquid consistency (diarrhea) and single blotches of blood are visible in it, then this is a symptom of helminthiasis, and if the same signs are accompanied by very high temperature, then this is a clear signal of infection with dysentery;
  • the brighter the color of the blood, the closer to the anus is the cause that provoked the bleeding;
  • bright scarlet blood indicates a problem in the large intestine.

The color of the stool itself also matters:

  • feces acquire a rich black color when bleeding in the upper digestive tract. Black color is a sign that the blood for a long time was in the tract and had time to bake. It is extremely common for feces to become black in oncology;
  • the chestnut shade of feces indicates a pathological process in the small intestine, which is located in the middle of the tract.

A visit to the proctologist is not the most pleasant event, but it is simply necessary, since blood impurities in the stool are very serious. It is better not to postpone a consultation with a doctor, because in case of a serious illness, it is easier to cure it on early stages than when the form is running.

Diagnosis by a proctologist when detecting blood during defecation

A consultation with a proctologist usually includes several procedures, on the basis of which the doctor makes a final diagnosis and prescribes a course of treatment. The main procedures are as follows:

  1. Collection of anamnesis. That is why it is so important to pay attention at home to the nature of all atypical secretions found during bowel movements. In addition, the doctor will ask general well-being, complaints, etc.
  2. Finger examination of the rectum. The procedure is unpleasant, but not fatal. In addition, it is extremely necessary, since in most cases it allows you to make a reliable diagnosis.
  3. Additional studies If the examination did not give the doctor the opportunity to make a diagnosis, or the doctor doubts something, he may prescribe additional tests, analyzes and studies. These include methods such as endoscopy, coprogram (fecal analysis), X-ray. In this case, the entire colon. These studies allow you to make the correct diagnosis, on the basis of which the doctor then prescribes a course of treatment.

In most cases, the diseases that caused bleeding are, although unpleasant, but not fatal. But in some cases, the situation can be diametrically opposite, because oncological diseases, metastases and other diseases pose a direct threat to human life. That is why it is so important to discard all the complexes associated with an examination by a proctologist and pay a visit to a specialist - in some cases this can save a life.

Hemorrhoids as the cause of blood in the stool

Hemorrhoids are one of common causes that there is blood in the stool. With this disease, swelling, inflammation, and subsequently prolapse of internal venous nodes occur. All this is accompanied by bleeding. The reason for all these pathological manifestations is varicose veins, in which the venous outflow of blood is disturbed. As a result, the blood fills the tissues of the rectum, coagulates there over time, as a result of which hemorrhoids are formed. Knots are nothing more than veins overflowing with blood. That is why in a relaxed state they decrease, and in a tense state (for example, when straining), on the contrary, they increase in size.

With hemorrhoids, blood is found on top of the feces, has the form of streams. Blood does not mix with feces. It can be found in the toilet and on toilet paper. If a person has constipation, then hemorrhoids can worsen and also cause bleeding.

There are 2 forms of hemorrhoids:

  1. Chronic. It is characterized by an undulating course of the disease. Improvement of the state is replaced by deterioration, and vice versa. If you do not pay due attention to the disease, then it progresses and eventually passes into an acute stage.
  2. Acute. This stage is manifested in severe pain, which seems to burst from the inside. In addition, the person feels foreign body in the anus. With the act of defecation, in a sitting position, these sensations are aggravated. disease in acute period may be accompanied by bleeding, sometimes heavy. In addition, paraproctitis, necrosis of the tissues of the hemorrhoid can develop, which, if not treated, can even lead to blood poisoning.

The causes of hemorrhoids can be different. The most common are the following:

  • passive lifestyle;
  • excessive physical activity;
  • frequent constipation;
  • abuse of spicy and spicy foods, alcohol;
  • inflammation and tumors of the pelvic organs.

That's why hemorrhoids are also called occupational disease accountants, loaders, drivers, athletes and representatives of other professions related to in a sedentary manner life and weight lifting.

Intestinal diverticula are another cause of blood in the stool.

Diverticulosis is a disease characterized by protrusion of the walls of tubular and hollow organs. The disease can affect any organ. The most common location for diverticulum is the gastrointestinal tract. So, diverticula are formed most often in the esophagus, duodenum, small and large intestines.

Symptoms of the disease are usually not expressed, so the disease is always ascertained by chance. Accumulations of feces or food can sometimes occur, these deposits then decompose, ferment and rot. If stagnant masses are in diverticula for a long time, this sooner or later causes inflammatory process, perforation. In addition, it can also cause the development of oncology. Diverticula in the acute stage are accompanied by chronic constipation. It is these constipations that cause the detection of blood impurities during defecation. At the same time, patients complain of an increase in body temperature and mild pain in the gastrointestinal tract.

The causes of diverticulosis can be very different. The most frequent of them are:

  • weak muscles of hollow organs;
  • increased pressure inside the body, which is regular;
  • constipation;
  • hernia;
  • omission, prolapse of an organ;
  • hemorrhoids and varicose veins of the legs;
  • injury, inflammation.

Usually, you can get rid of the symptoms that accompany the disease only with the help of perforation of the organ.

Blood during bowel movements with peptic ulcer

An ulcer is a disease characterized by the formation of one or more defects on the mucous membrane of the stomach or duodenum. Defects are in the form of ulcers. The disease usually affects people between the ages of 25 and 50. peptic ulcer, as a rule, proceeds very sharply and begins suddenly. It is characterized by the following symptoms: sharp pains in the stomach, vomiting, heartburn, nausea, belching, constipation. The latter can be so strong that even stomach pains bother the patient less than this violation of the act of defecation.

The causes of the disease are:

  • nervous tension, stress;
  • malnutrition;
  • increased acidity of the stomach;
  • abuse of spicy, fatty foods, alcohol, bad habits;
  • long-term use of hormones and non-steroidal anti-inflammatory drugs;
  • genetic predisposition.

The blood in the stool with a stomach ulcer looks different, depending on which section the ulcer itself formed. Usually the feces are black. However, it must be remembered that such symptoms are also characteristic of a cancerous tumor of the intestine. Therefore, a comprehensive examination is needed to make a diagnosis.

Blood during bowel movements in men is a sign of oncology

Cancer can affect any part of the gastrointestinal tract. Usually the elderly are susceptible to the disease, but recently people over 40 years of age have also become more susceptible to it. Symptoms of cancer depend on which area is affected by the tumor. The rectum is most often affected. There are 2 groups of symptoms in oncology:

  • nonspecific: aversion to food, weakness, fatigue, pallor, complete absence appetite, weight loss, changes in smell and touch. These symptoms are also characteristic of other diseases, therefore, only on their basis, the diagnosis is not made;
  • specific, i.e. characteristic of oncological disease, which appear on more late stages: pain in the rectum and intestines, bloating, rumbling in the abdomen, and these symptoms do not go away even after eating. In addition, patients complain of a feeling of fullness in the stomach and intestines, and after emptying the person has the feeling that the intestines have not been completely cleansed; violations of the act of defecation (diarrhea or constipation), gas formation. When the tumor increases in size, it provokes a modification of the feces: they become ribbon-like. In addition, the urge to empty the intestines, which turn out to be false, becomes more frequent. Atypical impurities are found in the feces, such as blood, mucus, pus, pieces of a cancerous tumor. In the later stages of the development of the disease, obstruction is observed.

In lesions of the upper rectum, there are regular constipation, patients complain of a feeling of heaviness, bloating, dull pain in the abdomen. If the anus is affected, there is incontinence of feces and gases. Bleeding in oncology is insignificant, but is regular, which provokes the development of anemia and weakness. In this case, the blood mixes with the feces, as a result of which it becomes black. In most cases, this is a sign of the development of a cancerous tumor.

Cirrhosis of the liver as a cause of bleeding

Cirrhosis is a disease characterized by pathological disorder structures of the liver. This process occurs as a result of the growth of connective tissue. The result is liver dysfunction. The cause of blood impurities in the feces is not cirrhosis of the liver itself, but varicose veins veins of the intestine, which inevitably develops with cirrhosis.

Symptoms of cirrhosis of the liver are: weakness, vomiting, nausea, belching, bitterness in the mouth, intolerance fatty foods, alcohol, fatigue, a feeling of heaviness in the abdomen (especially on the right), asthenia, the formation of vascular "asterisks" in the upper body, itching, joint pain, sleep disorders. Internal bleeding appear at later stages, when cirrhosis begins to affect the condition of the veins and blood vessels. In this case, bleeding opens in the upper part of the digestive tract. The main symptom is the black color that the stool acquires as a result of this.

There are many reasons for the development of cirrhosis of the liver. Among them, the following are usually distinguished:

  • alcoholism;
  • hepatitis;
  • intoxication with industrial poisons, medicines some groups, etc.;
  • heart failure, which caused venous congestion in the organ;
  • damage to the biliary tract;
  • hereditary factor in the form of certain diseases (for example, glycogenosis, hemochromatosis, etc.).

If cirrhosis of the liver became the cause of bleeding, then, in addition to treating the effect, it is necessary to treat the cause, that is, cirrhosis itself. To do this, it is necessary to connect not only the proctologist, but also other narrow specialists.

As a rule, people keep silent about diseases that affect the genitals and anus. For some reason, most are ashamed of such ailments. They turn to doctors already in very difficult and neglected situations, or do not resort to their services at all. Was no exception and such a problem as blood from the anus during bowel movements.

At the same time, it is worth knowing that serious diseases of the gastrointestinal tract can manifest as anal bleeding, threatening for the health, and sometimes the life of the patient. Therefore, neither the patient nor the doctor can ignore such a formidable symptom, in order to prevent further development disease and its complications.

If we turn to statistics, then most often bleeding from the anus is observed in women and men with hemorrhoids. In this disease, blood is secreted from anus, as a rule, without pain, during or at the end of the act of defecation, more often drip, sometimes - in a stream, and in advanced cases - in the form of "splashes". The color is scarlet.

Causes of bleeding from the anus

Why there is blood from the anus, and what to do in this case? In adults, this symptom is primarily associated with damage to the mucous membrane of the rectum and colon.

Rectal bleeding can not be compared with a petty banality, which you can give up on. If it occurs during or after a bowel movement, with or without pain, it is necessary to without fail contact a proctologist so that, with timely diagnosis, adequate treatment can be carried out.

Common causes of blood from the anus in women and men:

  1. The leader of such a symptom is. Usually blood appears after a bowel movement. The color of blood is scarlet, blood is not mixed with feces.
  2. . With this disease, inflammation and ulceration occurs in any part of the gastrointestinal tract, most often in the large intestine.
  3. . Blood from the rectum comes in small portions, is observed after a stool, accompanied by pain burning sensations immediately after a bowel movement.
  4. Blood may appear with constipation. The human body is built in such a way that a network of blood vessels is quite densely developed inside the anus.
  5. Polyps. The amount of bleeding depends on the location and size of the polyp, and can be both weak and heavy.
  6. Proctitis. Ulceration of the rectal mucosa, followed by inflammation. Blood is accompanied by mucus, mixed with feces.
  7. . There is profuse bleeding. Chair decorated.
  8. and . Accompanied profuse bleeding simultaneously with the release of tar-like stools (the so-called meren). The first sign of such a disease is vomiting of blood.
  9. Diverticulosis - the formation of diverticula (pockets and protrusions on the intestinal mucosa). When they are injured during bowel movements, feces mixed with blood are released.
  10. Rectal cancer. Bleeding in this case is similar to bleeding from the rectum during the formation of polyps.
  11. Bleeding in people with The reason is not the disease itself, but reduced immunity, which contributes to the rapid progression of any of the diseases, including those with symptoms of bleeding from the anus.
  12. Other systemic diseases.

In some cases, a phenomenon such as scarlet blood from the anus may be the result ( side effect) taking some medical preparations(antibiotics, medicines containing potassium).

blood color

By the nature of the secreted blood, one can judge the possible diseases in women and men:

  1. The cherry color of the blood is characteristic of the pathologies of the colon.
  2. Red rectal bleeding indicates the development of cancer, as well as the presence of polyps. The appearance of a polyp in the rectum is not incurable disease because polyps are classified as benign tumors.
  3. Scarlet blood from the anus that you find on your underwear or when using toilet paper, can talk about an anal fissure or hemorrhoids.
  4. Dark blood clots from the anus indicate the presence of diseases such as diverticulosis and a tumor of the colon.
  5. Black discharge and tarry stools is evidence of the presence of diseases of the stomach, small intestine and duodenum.

Scarlet blood from the anus during bowel movements

anal bleeding different intensity may indicate serious problems in the digestive system. By the color of the liquid, you can determine the part of the intestine that has undergone damage.

So, the scarlet blood released from the anus without pain indicates a violation of the integrity of the tissues of the rectum, colon or diseases of the anus. Most often it is hemorrhoids or anal fissure.

Haemorrhoids

Hemorrhoids can be accompanied by the release of blood both after a bowel movement and during stool. Bleeding is manifested in the form of blood drops on paper or linen. In this case, the blood will be scarlet.

Discharge usually occurs after passing bulky or hard stools, sometimes occurs after heavy physical activity. With hemorrhoids, as well as with anal fissures, blood clots can remain in the stool. characteristic symptom hemorrhoids are red nodular formations falling out of the rectum, possibly with a bluish tint.

The main drugs for the treatment of hemorrhoids are anti-varicose drugs that normalize blood circulation and venous outflow from the pelvic organs. Representatives of this group of drugs are troxevasin, aescusan, reparil, tribenoside, anavenol, aspirin, detralex. However, the range of their use is limited by contraindications and side effects.

If conservative methods do not help, it is prescribed surgical treatment hemorrhoids:

  1. Latex ligation: a ring is put on the leg of the expanded hemorrhoid, as a result of which blood circulation is disturbed and the hemorrhoid tissues die;
  2. Sclerotherapy : in advanced hemorrhoid the doctor introduces a remedy that leads to the collapse of its walls, which allows you to eliminate hemorrhoids of I-III degrees;
  3. Hemorrhoidectomy: during the operation, the doctor removes the hemorrhoidal dilated vessels, after which the wound is usually sutured;
  4. Electrocoagulation: during anoscopy, the hemorrhoid is coagulated with an electrode, after which its tissues die and eventually fall off.

anal fissure

The delicate problem of anal fissures is found mainly in constipated people. Stool retention, hard stools, combined with irritation of the anorectal region with soap and hygiene products, is fraught with microtears in the skin and mucous membranes.

As a result, every trip to the toilet turns into torture. Fear of defecation causes psychological constipation, vicious circle closes. The main symptoms of anal fissure are blood in the stool and pronounced pain during bowel movements. The doctor makes a diagnosis after finding a crack at the junction of the rectal mucosa into the skin.

Intestinal polyps

it benign neoplasms that grow on a stalk or are located on broad base. long time polyps do not manifest themselves in any way, less often patients experience constipation or diarrhea associated with a violation motor activity intestines.

The danger of the disease lies in the fact that polyps often degenerate into cancerous tumor. The surface of the polyps may bleed, and what larger size formation, the easier its surface is damaged.

Malignant tumors of the intestine

Polyps are counterweighted by malignant tumors. They can also bleed at any stage of their development. Most often, they initially make themselves felt either by the appearance of blood from the anus, or intestinal obstruction. It is much easier to diagnose them if they are localized in the rectum. Then any doctor, having spent it digital examination will be able to detect the problem in a timely manner and refer the patient for treatment.

The bleeding itself malignant tumors intestines can manifest themselves in different ways. Sometimes there is blood of a bright color or mixed with feces after a bowel movement. As for the intensity of bleeding, it can also be different. If a tumor bleeds, which disintegrates, then very strong bleeding is noted, since large vessels are involved in the process.

Crohn's disease and ulcerative colitis

Characterized by damage to the intestinal wall of an ulcerative nature due to autoimmune pathological processes in the body.

Emerging ulcerative defects intestinal wall lead to frequent bleeding, in addition, patients are concerned about intense pain in the abdomen, loss of appetite, fever body. The nature of the stool in these diseases varies from melena (black stools) to profuse bleeding.

Intestinal diverticulosis

This is a protrusion of the intestinal mucosa through its outer layer. The disease can be complicated by bleeding, germination of the intestine and peritonitis.

Signs of early diverticulitis:

  • pain in the abdomen, especially on the lower left;
  • bleeding from the anus;
  • sometimes - an increase in temperature.

The main thing in this case is to establish bowel movement in order to prevent the appearance of new diverticula. And treatment depends on the severity and neglect of the disease. It can only be carried out using medications or operating method with the removal of tissues affected by diverticula.

Acute intestinal infection

The disease is accompanied heavy bleeding from the anus, high fever, diarrhea, nausea, vomiting, severe pain in a stomach. An example of an acute intestinal infection are dysentery, salmonellosis, amoebiasis.

What to do if there is blood from the anus?

If you find yourself with blood from the anus, the treatment of such a problem should be started after establishing the cause, since this is just a symptom, and not an independent disease.

Accordingly, in order to accurately determine the cause of bleeding from the anus, and to reliably verify that it is not associated with cancer or other dangerous disease bowel should be referred to a proctologist for examination. He will tell you what to do, and what examinations should be done to clarify the diagnosis.

Diagnosis and treatment

used in proctology various methods to help determine what caused bleeding from the anus:

  1. Analysis of feces, which allows you to identify blood, even if it is not visible visually - is prescribed in cases where the doctor suspects a patient has a disease whose symptom is rectal bleeding.
  2. Irrigoscopy - for its implementation, a special substance is introduced into the intestine, which is necessary to obtain a clear picture on the x-ray.
  3. Gastroduodenoscopy- examination of the patient using an endoscope, which allows to assess the condition of the mucous membrane of the digestive organs. Sometimes with the help of this method, treatment is also carried out - cauterization - ulcers.
  4. Rectoscopy - with its help it is examined digestive system person, and more specifically, her lower divisions. Using this method, doctors can identify hemorrhoids, anal fissures, various formations in the sigmoid and / or rectum.
  5. Colonoscopy - is nothing more than a more detailed rectoscopy. Held endoscopic method and allows you to detect all the changes that have occurred in the structure of the colon.

There can be many reasons for the discharge of blood from the anus in men and women. Only a specialist can install and remove them. And if after some time the excretion of blood during a bowel movement stops, this does not mean that the cause of its occurrence has disappeared.

You need to take this problem very seriously, even if you assume what caused the disorder. There are a number of diseases that can cause blood to appear after a bowel movement.

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