Um okay so this is gross but everytime I go to the bathroom (like, not peeing... you know.) it's like a lot of blood. & I don't know what it is. I have my period right now and I have real bad cramps but this was going on for about a week and my period just started today. It's really starting to worry me... please help? Do I need to go to the hospital?
Peeps answered Thursday June 26 2008, 7:14 pm: It sounds like you have some internal damage going on. It's probably best to see a doctor at this time before things get worse, and they usually do.
Rectal bleeding can be very serious, especially if you are also menstruating. The loss of blood may cause dizziness, fainting, weakness, low blood pressure, etc. People with signs and symptoms of a reduced volume of blood often require emergency hospitalization, and transfusion of blood. With there being much blood coming out of your rectum along with your normal amount of menstrual blood, I would probably be quite concerned for your health at this point.
Moderate to severe rectal bleeding, which I assume yours would be classified as since you say it's "a lot" of blood, is usually treated in the hospital. You may even need to stay a few days if it's severe while they check you and try to fix whatever has gone wrong.
Many diseases and conditions can cause rectal bleeding (varying in degree of severity, of course). Common causes include: anal fissures, hemorrhoids, cancers and polyps of the rectum and colon, diverticulosis, abnormal blood vessels (angiodysplasia), ulcerative colitis, ulcerative proctitis, Crohn's colitis, infectious colitis, ischemic colitis, and Meckel's diverticula.
Diagnosing rectal bleeding relies on the history and physical examination, anoscopy, flexible sigmoidoscopy, colonoscopy, radionuclide scans, angiograms, and blood tests.
Your age alone may offer an important clue to the cause of rectal bleeding. For example, moderate to severe rectal bleeding in teenagers and young adults is more likely to come from a Meckel's diverticulum. Moderate or severe rectal bleeding among older individuals is more likely to be due to diverticulosis or angiodysplasias. Mild rectal bleeding in an adult with prior abdominal radiation treatment may be due to radiation proctitis.
The absence of other symptoms also may provide important clues. Bleeding from diverticulosis, angiodysplasias, and Meckel's diverticula are usually not associated with abdominal or rectal pain. Rectal bleeding from ischemic colitis is often preceded by the sudden onset of lower abdominal, crampy pain. Fever, abdominal pain, and diarrhea often occur with colitis due to infection, ulcerative colitis, or Crohn's colitis. Mild bleeding accompanied by pain in the anal area during defecation (passing of stool) suggests bleeding from an anal fissure. A recent change in bowel habit such as increasing constipation or diarrhea suggests the possibility of cancer of the colon.
To actually treat rectal bleeding you must correct the low blood volume and anemia, diagnose the cause and the location of the bleeding, and stop active bleeding and prevent rebleeding. For this, a doctor is definately required.
Please make a hospital visit this evening if you can. This shouldn't wait any longer than it already has. You are not in a good state and things can become worse in no time. Please seek help now. [ Peeps's advice column | Ask Peeps A Question ]
Attention: NOTHING on this site may be reproduced in any fashion whatsoever without explicit consent (in writing) of the owner of said material, unless otherwise stated on the page where the content originated. Search engines are free to index and cache our content. Users who post their account names or personal information in their questions have no expectation of privacy beyond that point for anything they disclose. Questions are otherwise considered anonymous to the general public.