[26F] Experiencing recurrent rectal bleeding associated with NSAID use

What might be happening

Based on the information you've provided, the most likely causes of your rectal bleeding could be:

• Hemorrhoids: These are swollen veins in the lower part of the anus and rectum. When the walls of these vessels are stretched, they may become irritated and bleed. Bright red blood in the stool or on toilet paper after a bowel movement is a common symptom of hemorrhoids. The use of nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can exacerbate bleeding from hemorrhoids.

  • Treatment typically involves over-the-counter creams or suppositories, lifestyle changes (like eating a high-fiber diet and drinking plenty of water), or in more severe cases, medical procedures.

• Anal fissures: These are small tears in the lining of the anus, which can cause pain and bleeding during bowel movements. NSAIDs can also exacerbate bleeding from anal fissures.

  • Treatment typically involves topical creams to relax the muscle around the anus (sphincter), increasing fiber in the diet, and ensuring good hygiene in the anal area.

• Gastrointestinal bleeding: This is bleeding that occurs in any part of the gastrointestinal tract, which includes the esophagus, stomach, small intestine, large intestine, rectum, and anus. NSAIDs like ibuprofen can cause or worsen gastrointestinal bleeding.

  • Treatment depends on the cause and may include stopping the use of NSAIDs, endoscopy to stop the bleeding, or surgery in severe cases.

Please note that while these are possible causes, only a healthcare professional can provide a definitive diagnosis.

What you can do

1. Stop taking ibuprofen: Given the association between your use of ibuprofen and the onset of rectal bleeding, it would be advisable to stop taking ibuprofen and see if your symptoms improve. However, you should consult with a healthcare professional before stopping any medication.

2. Increase your fiber intake: Eating a diet high in fiber can help prevent constipation and reduce the strain during bowel movements, which can help prevent rectal bleeding.

3. Stay hydrated: Drinking plenty of water can also help prevent constipation and reduce strain during bowel movements.

4. Over-the-counter treatments: If you suspect your rectal bleeding is due to hemorrhoids, over-the-counter creams or suppositories may provide some relief. However, these should not be used as a substitute for seeking medical attention.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe abdominal pain
• Dizziness, lightheadedness, or fainting
• Rapid heart rate or shortness of breath
• Blood in your stool that is dark or mixed within the stool
• Unintentional weight loss

Remember, while I strive to provide accurate and helpful information, I am not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.