Causes of Bloody Defecation and Treatment

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Causes of Bloody Defecation and Treatment
Causes of Bloody Defecation and Treatment

There are many diseases that can cause bloody bowel movements, ranging from mild to severe and dangerous. As an anticipatory measure, you need to identify the causes of bloody bowel movements and the steps to deal with them

Gastrointestinal bleeding is the most common cause of bloody bowel movements. However, bleeding can occur in different parts of the gastrointestinal tract, causing different symptoms. The severity can also vary, ranging from light to heavy bleeding.

Causes of Bloody Defecation and Treatment - Alodokter

The Cause of Bloody Defecation According to the Color of the Blood

Bloody bowel movements or bowel movements can be caused by bleeding located in the upper or lower gastrointestinal tract, it's just that the appearance and color of the blood are usually different.

Based on the color of blood in the stool, the cause of bloody bowel movements is thought to be due to certain conditions or diseases, such as:

Dark red

Chapter bloody with dark red blood is often called melena. Melena usually occurs due to bleeding in the upper gastrointestinal tract, starting from the esophagus, stomach, to the duodenum. Some of the conditions that can cause melena include:

  • esophageal varicose veins
  • Gastritis
  • stomach ulcer
  • stomach cancer
  • Mallory-Weiss Syndrome

Apart from the color, the blood is also completely mixed with the feces and smells bad. This is because bleeding occurs in the upper gastrointestinal tract, so the blood is mixed with stomach acid, digestive enzymes, bacteria in the large intestine, and the stool itself.

Bright red

Meanwhile, bloody stools with bright red blood are also known as hematochezia. This condition usually occurs due to bleeding in the lower gastrointestinal tract, especially in the large intestine. There are several conditions that can cause hematochezia, namely:

  • Hemorrhoids
  • Diverticulitis
  • Anal fissure
  • Inflammation of the intestines
  • Ischemic colitis
  • Polyps and benign tumors
  • Colon cancer

CHAPTER that is accompanied by bright red blood occurs because of bleeding in an area not far from the rectum, so the blood that comes out during bowel movements is still fresh. Blood may mix or separate with feces.

Even though it is generally like that, the appearance of blood in the stool still depends on how long the blood lasts in the digestive tract. Therefore, it is not impossible for bleeding in the lower digestive tract to be black in color as in melena.

How to Overcome the Cause of Bloody Defecation

Before dealing with bloody bowel movements, the cause needs to be explored first and then bloody stools can be handled appropriately. Treatment steps generally aim to stop bleeding and prevent bleeding from recurring.

Doctors usually use an endoscope to determine the cause and location of bleeding. If possible, bleeding can also be managed through an endoscope in the following ways:

  • Inject drugs to stop bleeding directly to the bleeding site
  • Stop bleeding with electric current or laser
  • Using clips on blood vessels to block bleeding

If the endoscope is unable to determine the cause of bloody bowel movements or the source of the bleeding, the doctor can use angiography to look for the cause of the disorder and the extent of the damage to the blood vessels.

However, if through these two methods the source of bleeding cannot be found or treated, a laparotomy is necessary, especially if the bleeding is profuse and the patient must be helped immediately.

In addition to dealing with bleeding that has already occurred, the doctor will also perform therapy to treat the cause of bloody bowel movements so that bleeding does not happen again. Here are some therapies that can be done:

  • Antibiotic therapy, to treat pylori infection that causes chronic gastritis or peptic ulcers
  • Antihemorrhoidal drug therapy through the anus, to treat hemorrhoids
  • Anti-inflammatory drug therapy, to treat colitis
  • Surgery therapy, to remove polyps or parts of the colon damaged by colon cancer, diverticulitis, or inflammatory bowel disease
  • Chemotherapy or radiation, for cancer that cannot be treated with surgery

The causes of bloody stools vary widely. Diagnosis and treatment also require the expertise of a doctor.

Because it can be caused by a dangerous disease, the cause of bloody bowel movements cannot be underestimated. Immediately consult a doctor if you find blood during bowel movements, especially if accompanied by other complaints, such as abdominal pain, vomiting, or fever.

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