Lower gastrointestinal bleeding, this is the cause

Reducing gastrointestinal bleeding is a sign given by the body that there are certain diseases that we suffer from. This condition can be a sign of certain diseases that require immediate examination and treatment.

The digestive tract is the body's organs that digest, absorb and change nutrients in food and drinks to support life. In general, the digestive tract is divided into two parts, namely the upper and lower parts. The lower digestive tract includes parts of the small intestine, large intestine, rectum, to the anus.

If your stool is black or mixed with blood, there may be some gastrointestinal bleeding. Lower gastrointestinal bleeding refers to all types of bleeding that occur in certain intestines, colon, rectum and anus.

Reducing gastrointestinal bleeding is not a type of disease, but one of the signs or symptoms of the disease. Here are some diseases that can cause low digestive bleeding:

  • Hemorrhoids, which are swollen blood vessels in and around the anus. This disease is the most common cause of the emergence of bright red blood or fresh blood from the lower digestive tract. Hemorrhoids can rupture and cause itching around the anus, but can also heal by itself. If the size of hemorrhoids is important or inhibits activity, you should immediately consult a doctor.
  • Intestinal infections, for example due to diarrhea or gastroenteritis. These lower gastrointestinal infections are often caused by viruses, but may also be caused by bacteria or parasites, such as amoebas. In bacterial or amoebic infections, gastroenteritis may have symptoms such as bloody diarrhea and a foul odor, accompanied by fever such as dysentery.
  • Neoplasia or colorectal cancer, which is colon cancer and colon cancer (end of the large intestine, before the anus). Symptoms are often accompanied by anemia, abdominal pain, changes in stool structure, difficult stools, and the most common is rectal bleeding. If it continues, this malignancy can also cause enlargement of the liver, accumulation of fluid in the abdominal cavity (ascites), enlargement of the stomach, and significant weight loss. To detect cancer early, you can check for vague blood screening, stool DNA screening, colonoscopy and sigmoidoscopy. Colonoscopy is recommended every 10 years starting at the age of 50 years. Crohn's disease or ulcerative colitis, family history of colorectal cancer, diets rich in red meat and low in fiber, drinking habits, obesity, and smokers are risk factors for colorectal cancer.
  • Anal fissures are small tears on the anal skin that can be painful because the anal skin is very sensitive. Anal fissures often resolve on their own within a few weeks. If there are wounds in the anus, we may feel the need to defecate even in the digestive tract
  • Intestinal polyps, which are tissue growth in the large intestine or rectum, may be the beginning of cancer. Intestinal polyps occur frequently and often do not cause symptoms. There are two types of intestinal polyps, namely: hyperplastic type and adenoma type. Adenoma type intestinal polyps are types of polyps that can develop into colorectal cancer if not treated early.
  • Inflammatory bowel disease (IBD) is an inflammatory disease of the digestive tract consisting of ulcerative colitis and Crohn's disease. Ulcerative colitis is inflammation and bleeding in the rectum and small but growing large intestine. Crohn's disease is a long-term disease that causes inflammation of the duct wall, the symptoms may be similar: abdominal pain often disappears, bowel movements or diarrhea sometimes accompanied by blood, often nocturnal, malnutrition, weight loss. body, fever and pain or discomfort in the stool. 50% of people with Crohn's disease will complain of abnormal conditions such as fistulas or perianal abscesses. If left untreated, this disease can cause digestive cancer.
  • Diverticular disease, which is the appearance of bulges or small sacs on the walls of the large intestine. These bulges contain blood vessels that can burst suddenly and cause bleeding. In this disease, bleeding is usually not accompanied by pain, and when defecating fresh blood will appear. When the sac or bulge of the large intestine becomes inflamed, diverticulitis occurs, which is inflammation of the diverticulum due to infection or rupture of blood vessels. Symptoms may include sudden stomach pain, fever, and diarrhea.
  • Vascular abnormalities or angiodisplasia. As we get older, abnormalities can occur in the large intestinal blood vessels and cause recurrent bleeding without pain.
  • Ischemic colitis, inflammation of the large intestine (large intestine) due to insufficient blood flow in the area. This disorder often appears in the age group above 60 years. This disease is caused by a blood clot that blocks the blood vessels in the large intestine. This condition is more risky for patients with heart failure, arrhythmias, diabetes, low blood pressure, history of aortic surgery and the use of drugs that can cause constipation.
  • Radiation enteritis, a condition of intestinal mucosal injury due to radiotherapy to treat cancer, especially pelvic or stomach cancer, such as cervical cancer, pancreatic cancer, prostate cancer and colorectal cancer.
Because many diseases can cause lower gastrointestinal bleeding, a thorough examination is needed to determine the cause. You should carry out routine checks regularly, especially if there are complaints that should not be taken lightly. To explore the causes and symptoms, the doctor will conduct a general physical examination and rectal examination. Other tests may be needed, such as special x-rays called barium radiography, angiography, radionuclide CT, abdominal CT, and endoscopy.

Now, if you already know the cause of lower gastrointestinal bleeding, your doctor can immediately take appropriate and effective treatment measures. Medications to treat lower digestive disorders must be adjusted according to the cause. If you already have other complications such as anemia or dehydration, you may need to be hospitalized for proper treatment. Colon surgery is highly recommended for colorectal cancer. Endoscopy in addition to examination (diagnosis) can also be done to stop bleeding and take samples of the lower digestive tissue for examination (biopsy procedure). After the bleeding can be controlled, you may be asked to take medication so that the lower gastrointestinal bleeding does not recur.

Reduce gastrointestinal bleeding that you should be aware of, especially if there are other symptoms or factors, such as fever, severe abdominal pain, weakness or weakness, pale skin, weight loss without a known cause, history of sodomy and family history of cancer. Colorectal.

Don't wait for the disease to get worse. Be aware that if your stool is black or mixed with blood, if you suffer from lower gastrointestinal bleeding and other dangerous diseases, especially if the above symptoms occur, we recommend that you consult a doctor immediately to get the diagnosis and proper treatment.

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