Can An Ulcer Cause Blood In Your Stool – Hematochezia refers to the passage of fresh, bright red blood in the stool, particularly bleeding from the lower gastrointestinal (GI) tract. The lower GI tract is defined anatomically as the region distal to the ligament of Tretz, which is a thin tissue that connects and supports the end of the duodenum and the beginning of the jejunum. Hematochezia should not be confused with melena, which refers to dark, tarry stools coming from the upper GI tract near the vein of Tretz.
Common causes of hematochezia in adults include inflammatory bowel disease (IBD), ulcerative colitis; Hemorrhoids; and bleeding from a diverticulum in the colon. In addition, peptic ulcer disease and esophageal varices are the causes of upper gastrointestinal bleeding, which in severe cases can cause hematochezia.
Can An Ulcer Cause Blood In Your Stool
Ulcerative colitis is an inflammatory bowel disease that involves autoimmune inflammation of the large intestine (ie, the colon). Severe ulcerative colitis can cause hematochezia due to bleeding from the wounds.
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Warts are swollen veins in the lower anus and can be painful or painless, depending on whether they are internal or external. They are often caused by straining during bowel movements and are associated with obesity and pregnancy. When the walls of the blood vessels in hemorrhoids are stretched too thin due to increased pressure in the lower rectum, especially during stretching, hematochezia can occur.
Diverticulosis is a disease that occurs when small pouches (i.e. diverticulum) form and protrude through the colon wall, which can cause bleeding. Genetics as well as a high-fat, low-fiber diet make an individual more likely to develop diverticular pouches.
Peptic ulcer disease is caused by Helicobacter pylori (H. pylori) infection or long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) when the mucosal lining of the stomach and duodenum of the small intestine are eroded. If the wound is severe, rapid bleeding may occur, and immediate treatment is necessary due to the risk of hypovolemic shock.
Esophageal varices are dilated veins in the esophagus that block the flow through the portal vein, often caused by severe liver scarring. Blood backup can lead to rupture of the esophageal vein, which can result in massive blood loss and melena (ie, black, tarry stools) or hematochezia.
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In older people, aortic aneurysms (AVM) can cause frequent, often minor, bleeding. An AVM is an vascular lesion that can occur anywhere in the GI tract, most commonly in the colon, and is associated with aging. Chronic kidney disease And some types of heart disease, such as aortic stenosis. Common causes of colon bleeding in adults include cancer and ischemic colitis (inflammation of the colon).
Causes of hematochezia in newborns include necrotizing enterocolitis and midgut volvulus. Necrotizing enterocolitis refers to tissue death in the colon due to decreased blood flow, and midgut volvulus occurs when the intestine twists during fetal development.
Signs and symptoms of hematochezia include bright red blood in the stool that appears when passing urine or on the toilet paper, and pain or pressure in the anus. In most cases, a person with hematochezia may be unaware of hematochezia and may not report any symptoms. In other cases, individuals may experience abdominal pain, vomiting, diarrhea, weakness, difficulty breathing, palpitations, and even syncope (ie, fainting), depending on the cause and severity of the bleeding. Prolonged hematochezia leads to excessive blood loss that causes anemia, which in turn causes palpitations, shortness of breath, and syncope. Excessive and rapid bleeding can cause hypovolemia and shock. Additionally, bleeding associated with an underlying malignancy (ie, colorectal cancer) can cause unintended weight loss.
Hematochezia can be diagnosed in the patient history if the person is seeking guidance because of bleeding in the stool or if they have associated symptoms such as dizziness or headache. The medical professional may ask questions to confirm the presence of bleeding, to estimate the amount and speed of bleeding, to identify the source and possible causes, and to determine the severity of bleeding. The exam includes a full physical exam followed by a more focused digital exam, where a gloved, lubricated finger is inserted into the anus to feel for abnormalities such as growths, anal fissures, or hemorrhoids. The physician may order laboratory tests, including hemoglobin levels, to evaluate anemia. An upper endoscopy and colonoscopy may also be performed, in which the clinician inserts a small tube with a camera through the esophagus and rectum, respectively. The procedures are performed under anesthesia and allow the doctor to see where the bleeding is coming from. Computed tomography (CT) angiograms can visualize the source of bleeding, and if there is active bleeding, a nuclear red blood cell scan of the source of the gastrointestinal bleeding can be used. A nuclear red blood cell scan uses a small amount of radioactive material to label red blood cells (RBCs), so they can be seen and visualized in the body.
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Hematochezia mainly helps to restore the individual’s blood volume to prevent hypovolemia and shock, which are medical emergencies. The second stage of treatment involves finding the source of the bleeding. Then, depending on the location and the cause, the doctor can use pharmacological therapy, endoscopic cauterization (that is, a procedure that uses a heated probe to close the blood vessels) and surgery. In the case of hemorrhoids, topical treatment with hydrocortisone or suppositories can help reduce the pain. IBD can be treated with medications that control inflammation, such as aminosalicylates (ie, basalazide, mesalamine, olsalazine) or immunosuppressive medications (ie, azathioprine and mercaptopurine).
Diverticulosis is typically treated with supportive care, such as a high-fiber diet, and may resolve on its own. Ischemic colitis is similarly self-limiting and can be treated with supportive care such as rest and intravenous fluids. If severe, antibiotics (for example, metronidazole, ciprofloxacin) can be taken to reduce the risk of infection and necrosis.
AVMs and colon cancer may require the use of more invasive approaches such as endoscopic cauterization and surgery. Necrotizing enterocolitis is usually treated with diet and surgery depending on the severity. Finally, midgut volvulus can be reduced or reversed with surgical intervention.
Hematochezia refers to the passage of blood in the stool with an origin in the lower gastrointestinal tract. It is often caused by proliferative colon disease, hemorrhoids and diverticulosis in adults; Vascular disorders and colon cancer in older adults; and necrotizing enterocolitis and midgut volvulus in infants and children. Common symptoms of hematochezia include bright red blood in the stool or on the toilet paper after flushing. A person with hematochezia may experience fainting and fainting due to blood loss, as well as associated symptoms such as abdominal pain, vomiting, or diarrhea. The diagnosis is made after a thorough interview and physical examination by a trained physician, sometimes followed by a colonoscopy, CT scan, and nuclear red blood cell scan. Treatment depends on the cause, but usually involves restoring the amount of blood lost, finding the source of the bleeding, and stopping the bleeding. Medications and topical ointments can be used to treat the underlying causes of hematochezia, and in severe cases, surgery may be required.
Bleeding And Blood In The Stool
Diverticular disease. National Institute of Diabetes and Digestive and Kidney Diseases. Retrieved February 25, 2022, from https://www.niddk.nih.gov/health-information/digestive-diseases/diverticulosis-diverticulitis 20condition%20diverticular%20disease.
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Liu, J.J., and Saltzman, J.R. (2009). Endoscopic hemostasis treatment: how should you do it? Canadian Journal of Gastroenterology, 23(7): 484. DOI: 10.1155/2009/857125
Walker, H.K., Hall, W.D., & Hurst, J.W. (Eds.) (1990) Clinical Methods: History, Physical and Laboratory Tests (3rd ed.). Butterworths. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK411 Have you ever felt a burning sensation in your stomach that lasts for days or weeks? Do you often have stomach pains that you confuse with acid reflux or heartburn? Chances are you may suffer from stomach ulcers. Gastritis is a common digestive problem that causes discomfort and severe pain. But understanding the causes, symptoms and treatment options can help you manage this condition properly. In this blog post, we will take a closer look at stomach ulcers and what you can do to prevent them.
Possible Causes Of Bloody Stool
If a patient has uncontrollable abdominal pain, nausea, and/or vomiting that does not go away after a few days, it may be a sign of gastritis. It affects 4.5 million people a year in the United States. Most patients with stomach ulcers are elderly, as the risk increases with age.
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