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Small amounts of bleeding over a long time may cause iron-deficiency anemia resulting in feeling tired or heart-related chest pain. [1] Other symptoms may include abdominal pain, shortness of breath, pale skin, or passing out. [1] [9] Sometimes in those with small amounts of bleeding no symptoms may be present. [1] Bleeding is typically divided ...
Rectal bleeding refers to bleeding in the rectum, thus a form of lower gastrointestinal bleeding. There are many causes of rectal hemorrhage, including inflamed hemorrhoids (which are dilated vessels in the perianal fat pads), rectal varices , proctitis (of various causes), stercoral ulcers , and infections .
Symptoms: Acute: sudden severe pain [1] Chronic: abdominal pain after eating, unintentional weight loss, vomiting [2] [1] Usual onset > 60 years old [3] Types: Acute, chronic [1] Risk factors: Atrial fibrillation, heart failure, chronic kidney failure, being prone to forming blood clots, previous myocardial infarction [2] Diagnostic method
When present, symptoms usually relate to painless bleeding, with vomiting blood (hematemesis) and/or black stools . [3] Less often, Dieulafoy's lesions may cause rectal bleeding (hematochezia), or rarely, iron deficiency anemia. Usually, there are no gastrointestinal symptoms that precede the bleeding (abdominal pain, nausea, etc.).
Blood in stool looks different depending on how early it enters the digestive tract—and thus how much digestive action it has been exposed to—and how much there is. The term can refer either to melena, with a black appearance, typically originating from upper gastrointestinal bleeding; or to hematochezia, with a red color, typically originating from lower gastrointestinal bleeding. [6]
Diverticular disease can present with painless rectal bleeding as bright red blood per rectum. Diverticular bleeding is the most common cause of acute lower gastrointestinal bleeding. [9] However, it is estimated that 80% of these cases are self-limiting and require no specific therapy. [10]
Solitary rectal ulcer syndrome (SRUS or SRU) is a chronic disorder of the rectal mucosa (the lining of the rectum). [1] Symptoms are variable. There may be bleeding, obstructed defecation, or no symptoms at all. Very often but not always SRUS occurs in association with varying degrees of rectal prolapse.
In some occasions, severe abdominal cramps, fever, shock, and delirium can all be symptoms. [2] [14] [15] [16] In extreme cases, people may pass more than one liter of fluid per hour. More often, individuals will complain of diarrhea with blood, accompanied by extreme abdominal pain, rectal pain and a low-grade fever.
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