🚽 Rectal Bleeding

Easy Questions & Answers for Patients

❓ What is rectal bleeding?

🩸 Rectal bleeding means seeing blood when you poop.

You may see blood:

• On toilet paper 🧻

• In the toilet 🚽

• On the stool 💩

❓ What does the blood color mean?

🎨 The color can give clues:

• 🔴 Bright red blood – often from hemorrhoids or fissures

• 🔴 Dark red blood – may be from higher in the colon

• ⚫ Black or tar-like stool – may be from the stomach or upper bowel

❓ Is rectal bleeding common?

👍 Yes. Rectal bleeding is common and often caused by minor problems.

🌼 Rectal Bleeding and Hemorrhoids

❓ What are hemorrhoids?

🧠 Hemorrhoids are swollen veins near the anus.

❓ How do hemorrhoids cause bleeding?

💪 Straining or hard stools can irritate the veins, causing:

• 🔴 Bright red bleeding

• 😣 Pain or pressure

• 🤏 Itching

🌸 Rectal Bleeding and Anal Fissures

❓ What is an anal fissure?

✂️ An anal fissure is a small cut in the skin around the anus.

❓ How does a fissure cause bleeding?

💩 Hard stool can tear the skin, causing:

• 🔴 Bright red blood on toilet paper

• 😖 Sharp pain during or after pooping

🌿 Rectal Bleeding and Colon Cancer

❓ Does rectal bleeding mean I have colon cancer?

❌ No. Most rectal bleeding is not cancer.

❓ When should colon cancer be considered?

⚠️ Colon cancer may be a concern if bleeding happens with:

• ⚖️ Weight loss

• 😴 Feeling very tired

• 💩 Changes in bowel habits

• 🩸 Ongoing bleeding

👉 This is why testing is important.

❓ When should I see a doctor?

⚠️ See a doctor if bleeding:

• Happens often

• Is a lot

• Comes with pain, fever, or dizziness

• Comes with black stools

• Starts after age 45

❓ What tests might a doctor do?

🩺 Your doctor may:

• Ask questions

• Do a simple exam

• Order tests like a colonoscopy if needed

❓ How is rectal bleeding treated?

Treatment depends on the cause and may include:

• 💧 Drinking more water

• 🥦 Eating more fiber

• 🧴 Creams or ointments

• 🚽 Treating constipation

• 🔍 Further testing if needed

❓ What can I do at home to help?

🏠 Simple steps:

• 💧 Drink plenty of water

• 🥗 Eat fruits, vegetables, and whole grains

• 🚽 Do not strain

• ⏱️ Do not sit too long on the toilet

🩺 Key Messages

✅ Rectal bleeding is common
✅ Many causes are treatable
⚠️ Ongoing bleeding should always be checked