The Lower gastrointestinal bleeding and the Anorectal symptoms These are frequent reasons for consultation that can manifest as blood in the stools, pain during bowel movements, itching, stinging, or discomfort in the anal area. Although in many cases they are due to benign causes such as haemorrhoids or fissures, they can also be related to other pathologies requiring a more precise evaluation. Therefore, when these symptoms appear, it is important to carry out an adequate study that allows their origin to be identified and the treatment to be correctly guided.
Blood in stool
What is the patient feeling
The patient can Noticing blood when going to the toilet, whether on toilet paper, mixed with faeces, or in the toilet bowl. The colour can vary from bright red to darker, depending on the source of the bleeding.
In some cases, it is not visible to the naked eye and is detected in analysis. This symptom usually causes concern, especially when appears repeatedly or without a clear cause.
What pathology may be related
When you should consult
- If you see blood repeatedly. It appears in several depositions or over several days.
- If the bleeding has no clear cause. You do not associate it with constipation, fissures, or previous haemorrhoids.
- If the blood is heavy or very dark. It stains the water, appears mixed with faeces or the faeces are black.
- If there are associated digestive symptoms. Abdominal pain, persistent diarrhoea, new constipation or changes in bowel habit.
- If warning signs appear. Weight loss, intense tiredness, weakness, or dizziness.
How do we handle it at GASTEA?
Preguntas frecuentes
Yes, it can point to the origin of the bleeding.
Yes, it's a common cause, though not the only one.
Yes, the treatment depends on the cause, but in most cases, it is treatable.
Bleeding when wiping
What is the patient feeling
The patient usually noticing small amounts of blood when wiping with toilet paper After going to the toilet. It is usually bright red and appears as a one-off or repeated occurrence.
In many cases, this bleeding is accompanied by local discomfort such as stinging, itching or pain during bowel movements. Although it is usually mild, it can to cause concern if repeated frequently.
What pathology may be related
When you should consult
- If the bleeding recurs. It appears when you wipe for several days or in several bowel movements.
- If you don't link it to a clear cause. There is no constipation, straining at stool, or known haemorrhoids.
- If accompanied by severe pain or discomfort. Itching, stinging, pain when passing stool, or a sensation of a lump in the anus.
- If your bowel habits change. Persistent diarrhoea, new constipation or changes in stool consistency.
How do we handle it at GASTEA?
Preguntas frecuentes
Not always, but if it repeats, it's worth considering.
Yes, it's a very common cause, especially if there's pain during bowel movements.
Yes, in most cases it is resolved with appropriate treatment.
Black stools
What is the patient feeling
The patient usually notices that the stool is an intense black color, sometimes with a shiny or tarry appearance. This change is not usually dependent on diet and can appear strikingly.
In some cases, it may be accompanied by General malaise, feeling weak or dizzy, particularly if there is blood loss. It is a symptom that usually causes concern and requires medical assessment.
What pathology may be related
When you should consult
- If the stools are black or tarry. They have a deep black colour, a shiny or very sticky appearance.
- If the change isn't related to diet. You have not consumed food, iron or medication that could darken your stools.
- If it suddenly appears. The colour is clearly different from your usual stools.
- If there are associated symptoms. Abdominal pain, nausea, vomiting, or general malaise.
How do we handle it at GASTEA?
Preguntas frecuentes
It can be, especially if accompanied by weakness or dizziness.
Yes, but it's crucial to identify the cause first.
Mucus in stool
What is the patient feeling
The patient may notice the presence of a whitish or transparent substance mixed with their stool or when wiping. In some cases, it appears sporadically, but in others can occur frequently.
May be accompanied by Changes in bowel rhythm, A feeling of incomplete evacuation or abdominal discomfort. Although sometimes unnoticed, when persistent it often leads to doubts about its origin.
What pathology may be related
When you should consult
- If mucus appears repeatedly. You notice it in several stools or over several days.
- If accompanied by bowel changes. Persistent diarrhoea, new constipation, or alternating between the two.
- If you have abdominal discomfort. Pain, swelling, gas, or a feeling of incomplete evacuation.
- If it appears with blood. You pass blood mixed with your stools or when wiping.
- If there are warning signs. Weight loss, intense tiredness, fever, or progressive worsening.
How do we handle it at GASTEA?
Preguntas frecuentes
It can appear in some situations, but if it is frequent or accompanied by other symptoms, it is advisable to have it assessed.
Yes, it's one of the most common causes.
Yes, by identifying the cause, it can be effectively improved.
Anal fissure
What is the patient feeling
The patient usually notices Itching or irritation in the anal area., which can appear occasionally or persist over time. In some cases, it is more intense at night or after going to the toilet.
May be accompanied by burning sensation, redness o localised discomfort. Although it sometimes seems like a mild symptom, when it is persistent it can be very uncomfortable and affect daily life.
What pathology may be related
- Irritable bowel syndrome.
- Inflammatory bowel disease.
- Haemorrhoids.
When you should consult
- If the itching is persistent. It lasts for several days or appears repeatedly.
- If it interferes with your day-to-day. It affects rest, sleep, or is very uncomfortable.
- If accompanied by local discomfort. Stinging, pain, redness, irritation or a feeling of dampness.
- If it appears with bleeding. You see blood when you wipe yourself or in your stools.
- If it does not improve with usual care. It persists despite good hygiene, avoiding irritants, or using basic measures.
How do we handle it at GASTEA?
Preguntas frecuentes
It can appear occasionally, but if it's frequent or persistent, it's worth getting it checked out.
Yes, haemorrhoids can cause itching and discomfort.
Yes, in most cases it improves with appropriate treatment.
Anal pain
What is the patient feeling
The patient usually notices Anal pain, which can appear when going to the toilet or remain after a bowel movement. It can be described as stinging, pricking or Tearing sensation.
In some cases, the pain is intense and dictates when to go to the toilet, generating a fear of passing stools. It can also be accompanied by persistent bleeding, itching or discomfort in the area.
What pathology may be related
When you should consult
- If the pain is intense or persistent. It doesn't improve in a few days or makes it difficult to go to the toilet.
- If it appears when evacuating. Stinging, pricking or tearing sensation during or afterwards.
- If accompanied by bleeding. You see blood when you wipe yourself, in your stool, or in the toilet.
- If there are local discomforts associated. Pain, swelling, lump, discharge or irritation in the anal area.
- If warning signs appear. Fever, weight loss, extreme tiredness, or changes in bowel habits.
How do we handle it at GASTEA?
Preguntas frecuentes
Yes, it is one of the most frequent causes, especially if the pain is intense.
No, although it can appear in some cases.
Yes, in most cases it improves with the right treatment.
Haemorrhoids
What is the patient feeling
The patient may notice Anal discomfort such as itching, stinging or a feeling of a lump. In some cases, haemorrhoids can become visible or palpable, especially after going to the toilet.
Mild bleeding, usually bright red when wiping, is also common. When inflamed, they can cause Pain or discomfort when sitting or during bowel movements.
What pathology may be related
- Chronic constipation.
- Irritable bowel syndrome.
- Anal pain.
When you should consult
- If the discomfort is persistent. Stinging, itching or pain that doesn't improve in a few days.
- If there is bleeding when you have a bowel movement. You pass bright red blood when you wipe, in your stools or in the toilet.
- If you notice a painful lump. You feel swelling, pressure or discomfort when sitting down.
- If it does not improve with usual care. Persists despite avoiding exertion, maintaining hygiene, or alleviating constipation.
- If warning signs appear. Heavy bleeding, changes in bowel habits, weakness or dizziness.
How do we handle it at GASTEA?
Preguntas frecuentes
Not always, although it is one of the most frequent symptoms.
In some cases they improve, but if the symptoms persist, it's advisable to have them assessed.
Yes, there are different options depending on each case.
Anal fissure
What is the patient feeling
The patient usually notices a Intense pain in the anal area., especially during or after using the toilet. It is often described as a cut or tear that can last for minutes or hours after evacuation.
In many cases, it is accompanied by small Amounts of blood when wiping and of A persistent stinging or itching sensation. Pain can lead to avoiding the toilet, making the problem worse.
What pathology may be related
- Anal fissure.
- Anal pain.
When you should consult
- If the pain is intense. Notes: Feeling of cutting, tearing, or burning when having a bowel movement.
- If the pain lasts after going to the toilet. It lasts for minutes or hours after defecation.
- If bleeding appears when you wipe. You see small spots of red blood on the toilet paper.
- If you avoid going to the toilet for fear of pain. Constipation can worsen the fissure.
- If it does not improve with usual care. It persists despite you hydrating, increasing fibre, or avoiding straining.
How do we handle it at GASTEA?
Preguntas frecuentes
In most cases yes, and it's usually intense.
Some acute fissures can improve, but if it persists, it's advisable to treat it.
Yes, and in most cases it responds well with proper handling.
Price
- Characteristics of pain. Intensity, duration and relation to evacuation.
- Exploration and treatment plan. Assessment of the anal area and definition of the most appropriate management.
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