Toowoomba & Darling Downs
Call: (07) 4688 5474
P.R. (peri-rectal) bleeding is a distressing symptom often catching a person (usually adult) off-guard and, often is out-of-medical office hours.
It may be painful or painless and of variable amount, both on the paper or in the toilet bowl or occasionally, clothes. It may be bright red or dark or even black with clots.
The concern may be more if there is a past or family history or association with someone with bowel cancer.
Fortunately, the bleeding is mostly not life-threatening in the vast majority of cases, although occasionally emergency medical services are necessary.
Haemorrhoids account for the large majority and most respond to several simple bands as an office procedure. Occasionally, if large, an operation may be needed particularly if associated with prolapse symptoms. If pain is prominent, a fissure of other pathology is suspected.
Ideally, the whole large bowel should be visualized by Colonoscopy, particularly if the patient is over 40 years or with a past or family history of both polyps and cancer as well as Inflammatory Bowel Disease. Colonoscopy is the preferred means of this inspection and, is advocated on this website. Treatment at the time can be fully completed or initiated.