Why examination matters
Rectal bleeding should not be assumed to be hemorrhoids. History, examination and—when indicated—additional testing help identify the source.
Contributing factors
Straining, constipation and pregnancy can contribute, but symptoms and risk factors differ between patients.
Treatment options
Management may include bowel-habit measures, medicines or office and surgical procedures. The appropriate choice depends on the type and severity.
Prompt assessment
Heavy bleeding, dizziness, black stools, severe pain, fever, weight loss or a change in bowel habit needs timely medical evaluation.
Questions patients often ask
Is painless bleeding always hemorrhoids?+
No. Several bowel conditions can cause bleeding, so assessment is important.
Can constipation make symptoms worse?+
Straining and hard stool can aggravate hemorrhoid symptoms.
Will I need colonoscopy?+
That decision depends on age, history, warning signs, examination and screening needs.