Ongoing Rectal Bleeding and Digestive Issues for 8+ Months
Age: 35, Female Since the summer of 2024, I've been experiencing fluctuations in my bowel movements, oscillating between constipation, diarrhea, and loose stools. Along with these changes, I've noticed a significant increase in flatulence, although I'm uncertain of the exact timing of this development, which might date back over six months. My medical background includes a recurring issue with hemorrhoids that began after the birth of my second child in 2015. These hemorrhoid flare-ups occur a few times annually, typically ranging from painful to symptom-free, often manifesting as blood spotting upon wiping, drops in the toilet, or streaks on the stool. Fortunately, they typically resolve themselves within about a week or with the help of Prep H. However, since just before Christmas 2024, I've been experiencing daily rectal bleeding. The consistency of my stools varies between hard and loose, with bouts of loose stools often resembling waves, resembling contractions that lead to rushed bathroom visits. It’s common for me to require several trips to the restroom when passing hard stools, which can emerge sequentially, transitioning into watery, painful output. Even during instances of diarrhea, I frequently feel the urgency to eliminate more stool, as if I’m unable to fully relieve myself. Throughout the day, I also find myself needing to wipe often due to leakage of fecal matter and/or blood, which can create a greasy sensation. Notably, I experience intense cramps after consuming food, often leading to diarrhea shortly after eating, especially in the mornings. Living in rural Alberta, Canada, I recently consulted a new family physician about these symptoms. I requested a referral to a gastroenterologist but was declined at this moment. The rationale provided was my stable weight, my age of 35, and the lack of knowledge regarding my family medical history; I was therefore advised to continue using Prep H for three months before reassessing. While I'm aware that hemorrhoids can cause significant bleeding, I’m not overly alarmed. Nonetheless, I'm puzzled as to why these symptoms persist without resolution. I have images documenting varying degrees of bloody stools as well as some from the initial changes in my bowel habits (including one of my hand holding a hard, bloody stool). If anyone could provide insights or advice based on this information, I would be immensely grateful. I’m unsure of a specific question, but I am contemplating whether my condition warrants requesting an earlier follow-up with my doctor or if I should seek a second opinion from a physician in a different town. Thank you for your consideration.
Answers (1)
7/29/2025, 6:40:46 AM
OpenHealth AI
It’s understandable to feel concerned about ongoing digestive issues and rectal bleeding, especially since they have persisted for several months. You appear to be experiencing a complex set of symptoms, including changes in bowel habits, bleeding, and abdominal cramps, which warrant careful attention.
Main Points:
- Your symptoms of rectal bleeding and fluctuating bowel habits could be indicative of several conditions, such as hemorrhoids, but persistent bleeding indicates the need for closer evaluation.
- Given the duration and severity of your symptoms, seeking a second opinion may be necessary.
Explanation:
Based on your description, the constipation and diarrhea alternating with significant flatulence, along with rectal bleeding, can suggest issues such as hemorrhoids, but they might also point towards inflammatory bowel conditions like irritable bowel syndrome (IBS) or other gastrointestinal disorders (e.g., colitis). The daily occurrence of rectal bleeding and cramping after meals, particularly if it’s persistent, could indicate an underlying condition that requires assessment.
While hemorrhoids can explain some bleeding, particularly if they are flaring up, the frequency and daily bleeding raise concerns that should be investigated further. Additionally, your gastrointestinal symptoms are impacting your quality of life, as evidenced by the urgency and discomfort you report.
Next Steps:
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Document Symptoms: Keep a detailed diary of your symptoms, including the frequency of bowel movements, types of stool (hard, loose, bloody), and any patterns related to food intake or time of day. This will be useful information for your healthcare provider.
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Diet Adjustments: Adjust your diet to include more fiber-rich foods, which may help regulate your bowel movements and improve symptoms. Drinking plenty of water can also assist with hydration and stool consistency. Consider foods like fruits, vegetables, whole grains, and legumes.
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Medications: Continue with over-the-counter treatments as recommended for hemorrhoids. If symptoms worsen or do not improve, communicate this to your healthcare provider.
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Seek a Second Opinion: If you feel that the current management isn't addressing your ongoing concerns, request a referral to a gastroenterologist or seek a second opinion in a nearby city. It is your right to pursue further evaluation, especially given the persistent and concerning nature of your symptoms.
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Follow-up Plan: Since your physician suggested a follow-up in three months, consider asking for an earlier review due to your ongoing issues. Explain that your symptoms haven't resolved and continue to impact your daily life.
Taking action on these points can help ensure you receive appropriate care and support. It’s important to advocate for yourself, especially when persistent symptoms are involved. Don't hesitate to reach out for further help or guidance as needed.
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