Does anal bleeding should we care?
One of the most alarming symptoms present in our daily life is the appearance of blood when passing stools. The appearance of red blood from the anus, or coating the stool or mixed with these, you get the name “rectal.”
If any of you suffer, in principle, should know that is faced with a problem suffered by many others since, although the figures vary from one author to another, up to 20% of the population has ever had this problem. With these figures, the first logical conclusion is that most of the time usually caused by a trivial health problem.
Having said that and reassure the person that is a surprise with blood in the stool, also add that since in some cases it may be a more serious problem in a generic way, all anal bleeding should be discussed with your GP to decide according to the data collected, if required further study, or by contrast with the findings that do not justify the bleeding and should be extended to the study.
In some cases the symptoms suggest starting something serious, and should go directly to a hospital emergency department.
Situations that should make us think about going to hospital would be:
- Major bleeding and irresistible, especially if accompanied by paleness, cold sweats or dizziness.
- Bleeding from minor amount, but that it is continuing, and is not related to bowel movements.
- Appearance of major bleeding associated with severe abdominal pain, high fever and malaise important.
Fortunately, these cases are rare and usually the patient is scanty and in relation to defecation, which allows outpatient evaluation and through a formal way.
By far the most common causes of bleeding hemorrhoids and anal fistulas.
It may also be more relevant categories, such as polyps, diverticulitis, colorectal cancer and inflammatory bowel diseases.
Normally, your doctor will perform a general examination, including inspection of the perianal area to detect these lesions, and rectal examination, looking for masses or hemorrhoids inside the anal canal. Hemorrhoids can be external, and visible to the naked eye. When bleeding usually present feces covering something, or just staining the toilet paper in cleaning.
If they are not often seen, but if felt to do a rectal exam. If this exploration is a hemorrhoid or a fistula with data having bleeding, or what is haceindo at the time, and digital rectal examination is negative, is not usually required more testing, except that the patient has made history data that make us think about rule out colorectal cancer (which may coincide with some hemorrhoids).
These data would be that the patient has abdominal pain the previous months, there is a change in bowel habits (to become constipated or diarrhea, or as suggestive, is alternating constipation and diarrhea), or has a history of polyps or colorectal cancer in the family at an early age.
In fistulas, they typically just cause pain on defecation, and blood is always on the stool, never mixed with them. Typically, the patient has pre-anal itching, and visual scanning are easily diagnosed.
Call your cancer when the patient is older than 50 years, there has been in his family history of polyps or colorectal cancer at young ages (under 60 years), no change in the rate of deposition, and blood is mixed with feces.
In case of further testing that will study the route of the colon by performing A colonoscopy or colonoscopy, usually with mild sedation, which can be left feeling very uncomfortable as a test.
In some primary care family physicians can perform anoscopy introducing a small cylinder with vision, that looks about 7-10 inches of the rectum and SIREVA to diagnose with certainty those injuries in that area who may have missed the touch rectal (eg. haemorrhoids).
If the problems are finally some hemorrhoids, a series of tips can help improve, and therefore not often bleed:
- Maintain good hygiene and avoid scratching or anal hemorrhoids rub to help prevent infection.
- Correct constipation by adding fiber to your diet: fruits, vegetables, wholemeal bread, plenty of fluids. Also drink about two liters of water a day.
- Avoid highly seasoned foods and excessive alcohol consumption.
- Avoid straining at stool: reduce the time of defecation. Used to do this event every day at the same time, to generate a reflex (eg. After breakfast or dinner), not trying to defecate stay long if you feel a bowel movement, not to repress and wait for later …
- Use soft toilet paper that irritates us (there are special commercial wipes) or anal cleansing with warm bath.
- Apply ice or cold packs in the acute phase of the disorder. The cold will reduce swelling.
Visitors then warm baths, alternating with frescoes in the area two or three times a day. This sequence cold – heat is a form of temporary pain relief by external hemorrhoids.
- For the year, it’s good do it, not hard but if continuous (walking every day at least 30 min.), Because it improves constipation.
Tags: Anal Bleeding, anal hemorrhoids, blood, hemorrhoids
