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May18
Bleeding per rectum
Paasage of a few drops per rectum is a very common symptom. people do not get alarmed seeing blood in the toilet pan as much as they do when they see blood in the wash basin. But the problem is not that simple.

Majority of the times a few drops of blood in the toilet is not a grave thing to worry about. But this symptom shouldnt be ignored either.

The commonest cause of bleeding per rectum is piles(haemorrhoids) or fissure in ano. The difference between these two is quite obvious. If there is pain while passing motion it is quite often a fissure causing the trouble. Piles do not generally pain. A small skin tag which is felt at the anus is generally mistaken for piles . This tag is called the sentinel pile seen in pts with fissure in ano.
Rare causes of bleeding per rectum may be ulcerative colitis, non-specific colitis and rarely cancer of the rectum.
Most of the piles and fissures do not require any active treatment. If the problem is very persistent and troublesome surgery becomes necessary which is a fairly simple one. One should avoid getting theirs anal problems by quacks and self styled medical men.

Cancer of rectum should always be ruled out in every patient with bleeding per rectum and hence this symptom should not be ignored and allopathy is the ideal choice of treament


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