[25F] Experiencing acute diarrhea and rectal bleeding

Patient Description

A 25-year-old female presented with acute onset of watery diarrhea followed by significant rectal bleeding that began this afternoon. The bleeding is described as heavy, similar to menstrual flow but from the rectum, and occurs predominantly during bowel movements. The patient reports that the blood is bright red and the condition started suddenly. There is no associated pain reported. The patient has not indicated any recent changes in diet, medication, or travel that could potentially explain these symptoms. No other symptoms or health conditions were mentioned.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. It causes diarrhea and can also cause bloody stools.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if it's caused by bacteria.
  • Hemorrhoids: These are swollen veins in the lowest part of your rectum and anus. Sometimes the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you poop. Hemorrhoids can be internal or external.

    • Treatment for hemorrhoids usually involves over-the-counter creams, ointments, suppositories or pads. In severe cases, surgery might be necessary.
  • Anal fissures: These are small tears in the thin, moist tissue that lines the anus. Anal fissures may cause painful bowel movements and bleeding.

    • Treatment for anal fissures usually involves over-the-counter creams and ointments, as well as increasing fiber intake to make bowel movements smoother.
  • Inflammatory bowel disease (IBD): This is an umbrella term used to describe disorders that involve chronic inflammation of your digestive tract, such as Crohn's disease and ulcerative colitis.

    • Treatment for IBD usually involves prescription medication to reduce inflammation and other symptoms.

Please note that these are potential conditions that could explain your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Given the severity of your symptoms, it's important to seek immediate medical attention. Rectal bleeding can be a sign of a serious condition and should not be ignored. In the meantime, try to stay hydrated and avoid any foods that could potentially irritate your digestive system.

What you should look out for

Seek immediate medical attention if you:

  • Notice a significant increase in the amount of blood
  • Experience severe abdominal pain
  • Develop a fever
  • Feel lightheaded or faint

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

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People Also Ask


What could cause sudden rectal bleeding with diarrhea?

Sudden rectal bleeding with diarrhea can be caused by conditions such as gastroenteritis, hemorrhoids, anal fissures, or inflammatory bowel disease (IBD). It's important to consult a healthcare provider for an accurate diagnosis.


How can I differentiate between hemorrhoids and more serious conditions like IBD?

Hemorrhoids typically cause bright red blood during bowel movements and may be accompanied by itching or discomfort. In contrast, IBD often involves chronic symptoms like abdominal pain, weight loss, and fatigue. A healthcare provider can perform tests to differentiate between these conditions.


What immediate steps should I take if I experience heavy rectal bleeding?

If you experience heavy rectal bleeding, seek immediate medical attention. In the meantime, stay hydrated and avoid foods that may irritate your digestive system. Monitor for symptoms like increased bleeding, severe pain, fever, or lightheadedness.


Are there any dietary changes that can help manage these symptoms?

Increasing fiber intake can help make bowel movements smoother and may alleviate symptoms. Avoiding spicy, fatty, or irritating foods can also be beneficial. However, it's best to consult with a healthcare provider for personalized dietary advice.


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