Bleeding from Behind … Could it be Hemorrhoids?

Good day po, ako po si R. 35 years old. Gusto ko lang pong malaman, bakit po kaya kada mag bowel ako may lumalabas ding dugo? tumutulo habang umiiri ako? marami rin pong lumalabas, need ko pong malaman kung anong kailangan kong gawin, maraming salamat po and God bless!

Dear R.,

Mukhang meron kang hemorrhoids or almuranas. This one of the most common causes of bleeding from the anus.

Hemorrhoids are due to dilated or inflamed blood vessels in the rectum.

Very often, patients will consult their doctor because of painless bleeding during defecation. Bright red blood typically covers the stool or blood will drip on the toilet bowl or stain the toilet paper. This type of bleeding from hemorrhoids is almost always painless.

If you experience pain with the bleeding it might be due to another reason like anal fissures or a crack in the skin of the rectum due to constipation or passage of hard stools.

Another common symptom of hemorrhoids is itchiness of the anal skin and wetness in the area due to incontinence. Sometimes the mere act of passing gas or pag-utot, causes leakage of fecal material. This wetness causes further irritation in the area.

Pain associated with hemorrhoids is a sign of thrombosis or a blood clot in the rectal vessel. The patient may feel a painful lump in the anus. If this lump cannot be pushed back inside the canal, then the hemorrhoid is strangulated and may cause gangrene or pagkabulok.

Hemorrhoids are associated with advanced age. It is very rare in children and adults less than 20 years old.

There may be a history of frequent sitting in the toilet as in during bouts of diarrhea.

It can be brought about by compression from the enlarging abdomen of pregnant women.

On rare occasions, it is a sign of a pelvic tumors.

It is most often seen in people with jobs that require prolonged sitting, jobs that require straining or pag-iri. Maybe from lifting heavy objects or climbing up and down steps or shelves, and chronic constipation.

Eating spicy foods, DOES NOT cause hemorrhoids.

For you R., I suggest you see a general surgeon so that he can do a rectal examination. The doctor will place a gloved examining finger into your butt to feel for any enlarged blood vessels.

Usually they will first attempt to prescribe medications. One example is Faktu (Php 46.52/suppository based on MIMS) which is a rectal suppository to decrease the inflammation of the blood vessel. You may insert the suppository twice a day for 1 week. It would help to maintain a high fiber diet and drink plenty of fluids to allow stools to pass easily. If on repeat rectal examination, the vessel is still enlarged and still with episodes of bleeding, then surgery might be necessary.

Please see my blog on “List of Recommended Doctors” for the names and schedules of surgeons whom you may visit.

The most important thing is for the doctor to rule out other more serious reasons for bleeding from the butt like anal cancer or an autoimmune disease like Crohn’s Disease.

I hope this helps you R.


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