Causes of blood clots from the anus, complications and treatment of pathology


Causes of bleeding from the anus

If you notice blood on toilet paper after bowel movements, even if the process of bowel movement occurs without pain, you should definitely consult a proctologist for advice in order to establish the cause of the bleeding, start treatment in a timely manner and avoid possible complications.

Why does blood appear from the anus after stool in both men and women:

  • A fairly common factor is hemorrhoids (enlargement of the veins of the rectum). Scarlet blood appears from the anus during defecation.
  • Anal fissure is the second most common cause of rectal bleeding. The disease is characterized by a burning sensation during bowel movements, sometimes accompanied by acute pain (patients describe it as cutting and then squeezing). Bloody discharge appears in both small and copious portions.
  • Inflammatory diseases of the colon.
  • The presence of benign formations (polyps). A characteristic symptom is the discharge of blood from the rectum after defecation. The blood is darker, often with mucus.
  • The presence of a malignant tumor of the rectum. Blood of different colors may be released. Quite often, the blood released does not differ in any way from the blood that is released, for example, from hemorrhoidal tissue. And if the presence of hemorrhoidal disease only worsens the quality of life (hemorrhoidal tissue never degenerates into a malignant tumor), then the presence of a benign formation or a malignant tumor can be harmful to health and life-threatening, which is why you should not try to independently determine the source.

Only a coloproctologist can determine the true cause of bleeding from the anus and select the appropriate treatment. Timely diagnosis allows for effective conservative and minimally invasive treatment.

Complications of thrombosis

Another root cause of blood clots from the anus is thrombosis of hemorrhoids. This is a rather dangerous complication that can occur as a result of nodes falling out of the anus and being pinched by the sphincter. As a result of such an injury, blood, acute pain and swelling appear in the perineum. All symptoms develop quite quickly, along with them an increase in body temperature may be observed. More detailed symptoms of this problem:

  • the formation of a rounded lump in the anus, which has a characteristic blue color;
  • pain while sitting on hard surfaces and while moving;
  • the appearance of a sensation of a foreign body in the perineum, which is caused by increased pressure from a blood clot on the walls of the anus;
  • throbbing pain.

In such situations, you need to urgently seek help from a proctologist, who must remove the clot from the blocked vessel as soon as possible. This is done to eliminate blood stagnation. After surgery, a rehabilitation period follows - venotonics and anti-inflammatory drugs are prescribed.

Experts emphasize that when blood clots form, it is necessary to take a blood test for hemoglobin more often, since as a result of its sharp drop, oxygen starvation, a feeling of fatigue, headaches and insomnia cannot be ruled out.

Discharge color and disease

  • bright red, scarlet blood from the anus on toilet paper or underwear, drops at the end of a bowel movement (stool) - hemorrhoids or anal fissure;
  • red color of blood during anal bleeding - cancerous tumor, intestinal polyp;
  • dark blood clots - tumors of the distal colon, diverticulosis;
  • cherry-colored blood from the anus - pathology of the colon;
  • black, tarry stools - diseases of the stomach, duodenum and small intestine.

IMPORTANT!

Bleeding is a serious symptom, after the appearance of which you cannot postpone a visit to the doctor. Unfortunately, blood from the anus can cause diseases such as a tumor of the rectum or colon. And in the worst case, this tumor may turn out to be malignant. Blood can also occur as a result of injury to a polyp - a benign tumor. Long-term polyposis can be a sign of colon cancer.

Bleeding in hemorrhoids: symptoms of the disease


Proctologists say that the formation and diagnosis of hemorrhoids is often observed in middle-aged people.
This is due to an unhealthy lifestyle and certain professions that require prolonged sitting on a chair. Lack of physical activity leads to a loss of vascular tone, as a result of which lymph is pumped with less intensity, and the pelvic area and rectum are supplied with fewer nutrients. This kind of physical inactivity contributes to the formation and development of inflammatory processes and the accumulation of excess fluid in certain areas of the body. Over time, this causes painful plexuses called “hemorrhoidal bumps” to form.

The most common symptoms of the disease include:

  • the appearance of nagging pain and discomfort in the rectum and lower abdomen;
  • itching, burning and unpleasant tingling in the anus, which are especially evident during bowel movements and prolonged sitting;
  • the appearance of mucous discharge in the stool
  • with severe straining and prolonged constipation, you can see blood clots in the stool or on your underwear.

The last symptom is a clear sign of the internal form of hemorrhoids. Due to the pressing lumps inside the rectal canal, constipation appears, which in turn provokes vascular damage and bleeding. Blood clots are blood clots that block a wound and come out under strong pressure (sudden change of position, lifting heavy loads, strong physical activity, prolonged sitting on a chair or in the toilet, strong straining during bowel movements).

Bleeding pattern and disease

  • Regular heavy bleeding not associated with bowel movements - diverticulosis, polyposis, Crohn's disease, ulcerative colitis, rectal or colon cancer;
  • Blood mixed with feces - cancer of the rectum and colon;
  • Bleeding with diarrhea - dysbiosis, irritable bowel syndrome;
  • Discharge of blood with mucus or pus - internal hemorrhoids, rectal prolapse or polyp;
  • Severe bleeding with mucus - proctitis, colitis, rectal cancer.

Make an appointment

Treatment with rectal suppositories

One of the most effective remedies for the treatment of hemorrhoids and rectal bleeding are suppositories, which will help solve many problems:

  • heal damaged tissues;
  • relieve the main symptoms;
  • eliminate microcracks;
  • relieve itching and excessive burning;
  • reduce pain syndrome;
  • reduce the speed and activity of compaction development.

Suppositories should be prescribed by a doctor who will initially conduct an examination and make an accurate diagnosis. The most effective drugs in treating this problem include Aurobin, Relis, Anuzol and Anestezol.

During pregnancy, most local medications cannot be used, so gynecologists and proctologists in such cases prescribe pharmacological agents that include papaverine, ichthyol and glycerin.

Diagnosis and treatment

When faced with an intimate problem, especially such as bleeding from the anus during bowel movements, you can get confused, especially if you don’t know about the methods of diagnosing and treating such ailments or don’t understand which doctor to contact.

A proctologist or coloproctologist is a doctor who diagnoses and treats diseases of the colon, rectum and anus, as well as problems of the sacrum, coccyx and perineum. You should not postpone a visit to this specialist if there is blood from the anus after stool.

A proctologist will listen to complaints and the history of their occurrence, and to determine the cause of the appearance of blood from the rectum, he may perform the following procedures:

Digital examination of the rectum: a primary research method that makes it possible to assess the condition of the anus and identify possible pathologies in the form of neoplasms, anal fissures, uncharacteristic discharge, and bleeding.

After a digital examination, the coloproctologist, if necessary, prescribes further diagnostic methods using special equipment:

  • Anoscopy. This is an examination of the last 3-7 cm of the rectum; it is in this area that almost half of the sources of visible bleeding are located. There are several types of anoscopes (straight, conical, with and without a cutout, transparent and not transparent), each of them is used strictly according to indications, but any of these types allows you to perform a full examination of the anal canal and lower ampullary rectum. Anoscopy is used when performing minimally invasive methods of treating hemorrhoids (ligation, sclerotherapy), as well as performing a number of surgical interventions (bipolar coagulation). As a rule, no preparation is required to perform diagnostic anoscopy; preparation is required for anoscopy for therapeutic purposes.
  • Sigmoidoscopy or rectoscopy (RRS or RRS) is a diagnostic procedure using a special device with a camera. It makes it possible at the initial appointment to quickly and painlessly visually assess the condition of the rectal mucosa, identify the presence of mucosal formations and compression of the intestine. During rectoscopy, up to 20 cm of the intestine is examined (the entire rectum and the place of its transition to the sigmoid). Preparation is required for rectoscopy.
  • Colonoscopy is the most informative method of examining the large intestine compared to others. It is carried out using a flexible fiber colonoscope equipped with a high-resolution camera that will show even the smallest sources of bleeding. The procedure is also prescribed for the purpose of endoscopic removal of colon formations. A colonoscopy is performed by an endoscopist.

The appropriate method of treating the disease is determined and prescribed by the doctor. You should not engage in self-treatment and neglect contacting a coloproctologist.

What are false bleedings?

The appearance of clots in feces may be a false manifestation, which is caused by the consumption of certain dishes and foods. Therefore, if you notice changes in the color of feces, you should not immediately start sounding the alarm. First, remember what foods you consumed, because it is possible that this was the main reason for the change in stool color.

If after a few days the clinical picture does not change, then you need to visit a doctor, since blood discharge in the feces is always an unfavorable sign. Before visiting a proctologist, you can conduct a self-diagnosis, but it should not replace a professional examination.

Self-diagnosis methods

Using self-diagnosis, of course, you won’t be able to find out about the possible cause, but it will help you collect information about your condition, which will simplify the diagnosis in the future.

If you detect blood clots in your stool, pay attention to the following factors:

  • the color of the blood and its amount;
  • the presence of clots and blood streaks;
  • the place of the greatest concentration of blood - inside or outside the feces;
  • presence of blood on underwear or on toilet paper.

These symptoms will allow you to make an accurate diagnosis.

Visit to the proctologist

To establish the exact root causes of blood formation during bowel movements, it is necessary to conduct a thorough diagnosis and visit a specialist - a proctologist. Typically, a complete examination consists of several stages. The most effective examination methods:

  • palpation of the rectum is a mandatory procedure for making a diagnosis;
  • general tests - blood, urine and feces;
  • taking anamnesis;
  • additional research, if necessary.

Sometimes a procedure such as an ultrasound of the abdominal area and rectum may be prescribed. The latter is not a very pleasant procedure, but with its help you can exclude or, conversely, confirm the presence of tumors, oncological formations and other serious diagnoses.

How to prepare for the examination?

The own research of specialists from the proctology department of the Altermed clinic made it possible to make a visit to a proctologist as easy and comfortable as possible. There is no longer any need to fast the day before and plan the procedure for the morning. In the proctology departments of Altermed, a way has been found to successfully cope with all these difficulties. This is Microlax bowel preparation.

The use of Microlax microenemas makes fasting unnecessary, does not require special equipment or premises, and saves a lot of time. The laxative effect occurs 5-15 minutes after administration of the drug. The quality of bowel cleansing is such that treatment can begin immediately after rectoscopy and anoscopy. If it is necessary to use during pregnancy and lactation, Microlax does not require special precautions.

The Proctology Clinic provides diagnostics using the most modern equipment. The best doctors in St. Petersburg - both men and women - and a delicate approach are at your service.

Other articles by the author

  • Blood from the anus
  • Prolapse of the rectum (rectal prolapse)
  • Pain in the anus
  • Anal fringes
  • Treatment of anal fissure

What measures to take in case of anal bleeding?

Bleeding during bowel movements in women and men without much pain can be accompanied by the following symptoms:

  • semi-fainting state;
  • weakness, fatigue;
  • discomfort in the intestines and anus.

In such cases, you need to visit a proctologist as soon as possible, undergo an examination, a medical examination and undergo a series of laboratory tests. If clots appear from the anus during pregnancy, you need to visit a gynecologist to find out all the possible causes and find out the drugs acceptable for treatment.

Measures that are recommended to be followed in case of anal bleeding:

  • state of rest;
  • in case of continuous bleeding, apply a cool bandage or compress to the rectal area - this will constrict the blood vessels and stop blood loss;
  • wash with cold water (this will help reduce pain);
  • the use of hemostatic drugs, for example, Etamzilat, Vikasol and the like;
  • the use of collagen tubes, which, when inserted into the anus, swell and prevent the development of bleeding in the future.

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