What should I do if I bleed when going to the bathroom?

This question was asked in Arnold, Pennsylvania on 01/17/2012.
For the past three months I have been having abdominal pain. And I have been in an out of the hospital. They cannot find out what is wrong. And just recently I am bleeding when I go to the bathroom. The pain is very bad. I am not sure what else I can do. I know that I need to get and colonoscopy done.

Doctors Answers (2)

Shahram Javaheri, M.D.
Answered on: 1/21/2012

Rectal bleeding should always be investigated, especially if it continues to occur. There are many different causes of rectal bleeding, such as hemorrhoids, anal fissures, ulcers, colitis (infectious or inflammatory), diverticulosis, polyps, angioectasias, Crohns disease, and last but not least, cancer. The best way to identify the source would be by direct inspection using a colonoscope (and endoscope for upper GI sources of bleeding). If you have already undergone an endoscopy and a colonoscopy without any identifiable source, a small bowel capsule endoscopy would then be recommended. You should contact your gastroenterologist (or primary care physician to get a referral to a gastroenterologist) for a thorough evaluation.

David Myles Nolan
Answered on: 1/18/2012

For rectal bleeding you certainly need to see a gastroenterologist to schedule a colonoscopy if you have not already had one.? If you are having alot of bleeding, you should go to your nearest ER for evaluation more urgently.