Bowel Movement Bleeding - 6 Possible Causes Sited In The Rectum

Published: 08th January 2010
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Bloody (not the expletive but the adjective) appropriately characterizes bowel movement bleeding. Bright red spots of blood drip into the toilet bowl or down the legs. Red blood oozes from the surface of stools. Toilet tissue may be stained by scarlet red blood. Our hearts may skip a beat in alarm. What gives?

There is no need to be unduly alarmed yet as the hemorrhaging (technical jargon for bleeding) may be the result of any one of 6 likely reasons. Irksome to our daily lives but life-threatening the 6 causes are not if they are treated correctly in a timely manner. However, complacency is ill-advised. Closely monitor. If bleeding persists more than a week, accompanied by pain, see a medical doctor right away.

A proper diagnosis will identify the exact cause so that correct treatment can be administered to solve the problem. More gravely, bowel movement bleeding may be a symptom of some type of cancer.

Hematochezia or Melena~Melena or Hematochezia

In medical circles, rectal bleeding is classified as hematochezia (maroon colored or bright red blood) or melena (black colored sticky or tarry stools). The 6 causes of the bleeding, described as rectal as the rectum is the exit, are proctitis, anorectal fistulae, anal fissures, rectal prolapse, internal hemorrhoids and external hemorrhoids.


Proctitis is medically listed in the IBD (inflammatory bowel disease) group which includes the small intestine and the colon or large intestine. Inflammation is a healthy reaction of the body when its tissues are injured. Like a tap that must be turned off, inflammation sets off remedying of weakened tissue but must discontinue thereafter or greater tissue injury may ensue. Proctitis in the rectum is caused by ulcers which are erosion of the mucous membrane lining.

Among other symptoms, bowel movement bleeding is a common encounter. Eliminating proctitis as the reason behind rectal bleeding is very important as they can become very serious when the rectum, respectively, is perforated.

Anorectal Fistulae

Between two or more unconnected internal organs, an anorectal fistula is a link-way that cuts right through. Often, it cuts all the way to the surface of nearby skin surface. An anorectal fissure has its opening at the anal surface. The discharge of urine and stools via this fistula is not unusual.

Anorectal fistulae are caused by of inflammatory bowel diseases like Crohn's disease, ulcerative colitis and ulcerative proctitis. Aside from infection pus, bowel movement bleeding is also one of the symptoms.

Fistulae must be properly diagnosed as it can be due to peritonitis (abdominal lining inflammation) which can be life-threatening. After the path of the fistula is traced, surgery with antibiotic therapy typically ensues.

Anal Fissures

A fissure is a mere tear. When that tear occurs around the circumference of the anus and its vicinity, it is an anal fissure. Disproportionate physical straining during constipation is a persistent factor. Bowel motion requires that the external and internal sphincter muscles that govern the action of the anus be relaxed. The internal sphincter muscles may go into spasms from pain caused by fissures, further worsening the fissure. A dangerous cycle follows resulting in more pain and bowel movement bleeding.

A change in diet to reduce constipation coupled with medication (lidocaine or hydrocortisone) may relieve the pain, inflammation and the harmful spasms.

Rectal Prolapse

An unbelievably antiquated sickness, earliest documents of rectal prolapse date back to 1500 B.C.! Affecting elderly females largely, the situation results in the rectum extending out the body via the anus. Weakened muscles, including external and internal sphincter muscles, and ligaments fail to hold the rectum in its place.

Among others, likely accompanying conditions include persistent constipation and incessant diarrhea, long drawn straining during bowel motion and pelvic floor descent involving the uterus and bladder. Quite often, the only treatment that works is surgery.

External & Internal Hemorrhoids

In spite of the above grim narration, it may be ironic relief that the most frequent reason for bowel movement bleeding is hemorrhoids, both internal and external. These are dealt with extensively at Dig through the many articles there if you suffer from hemorrhoids. In particular, have a look at the H Miracle, an alternative solution presented by an ex-sufferer that promises natural solutions that not only work but are permanently effective.

Bowel Movement Bleeding - Six Possible Causes Located In The Rectum

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