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What Causes Bleeding From Rectum And Rectal Pain When I Cough?

Posted on Tue, 22 Sep 2015

Question: Have had bleeding coming from the rectum and upon further examination, I have had no luck in discovering why this is happening. There appears to be no fissure. Pain is occurring when I cough. I also have have no luck in bowel movements in 2 days. I have taken a lot of fibre, had lots of water and even some laxative.

Answered by Dr. Dr. Muhammad Sareer Khalil (4 hours later)

Brief Answer:
Lower Gastrointestinal Bleed

Detailed Answer:
Hello and Welcome

I appreciate your concern

If there is fresh blood associated with the stool then its a lower G.I bleed as upper G.I bleed presents with black stool referred to as melena. Local erosions due to constipation / hard stool / straining , Hemorrhoids, gastroenteritis and parasitic infestation are the most likely causes in the young age group. However , colon cancer, anal fissure and inflammatory bowel disease can also present with lower G.I bleed in similar manner. Stool for ova and parasite , anoscopy, DRE ( Digital Rectal exam ) should be done and based on the findings treatment can be initiated or a Proctoscopy / colonoscopy can be advised if the cause of the bleeding is still not clear.

Wishing you best of health

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar