Symptoms A-Z

Painful Rectal Bleeding Symptoms, Causes & Common Questions

Understand your painful rectal bleeding symptoms, including 4 causes and common questions.

This symptom can also be referred to as: painful anal bleeding

An image depicting a person suffering from painful rectal bleeding symptoms

Painful Rectal Bleeding Symptom Checker

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Contents

  1. 4 Possible Painful Rectal Bleeding Causes
  2. Questions Your Doctor May Ask
  3. Statistics

4 Possible Painful Rectal Bleeding Causes

The list below shows results from the use of our quiz by Buoy users who experienced painful rectal bleeding. This list does not constitute medical advice and may not accurately represent what you have.

Hemorrhoids

Hemorrhoids, also known as piles, are swollen veins in your anus and lower rectum that can cause pain, itching, and rectal bleeding. Hemorrhoids may be seen or felt on the outside of the anus (external) or may be hidden from view inside of the rectum.

Hemorrhoids are common occurring in 10 million Americans per year, or about 4.4 percent of the population.

Hemorrhoids are bothersome but they do not usually cause serious health problems. Hemorrhoids may go away on their own, or may be treated with lifestyle changes, medications, or surgery depending on personal preference and severity.

Rarity: Common

Top Symptoms: constipation, rectal pain, rectal bleeding, pain when passing stools, anal itching

Symptoms that never occur with hemorrhoids: unintentional weight loss

Urgency: Self-treatment

Lower gastrointestinal bleeding

The digestive, or gastrointestinal (GI), tract includes the esophagus, stomach, small intestine, large intestine, rectum, and anus. Lower gastrointestinal bleeding refers to internal bleeding from the large intestine, rectum, or anus, usually caused by hemorrhoids, ischemic bowel disease, or inflammatory bowel disease.

Rarity: Rare

Top Symptoms: rectal bleeding, severe rectal bleeding, moderate rectal bleeding

Urgency: Emergency medical service

Painful Rectal Bleeding Symptom Checker

Take a quiz to find out why you're having painful rectal bleeding

Anal fissure

An anal fissure is a break, or tear, in the mucous membrane lining of the anus. The anus is the opening at the end of the digestive tract where stool leaves the body. A fissure is caused primarily by constipation, which leads to straining to pass large hard stools; trauma caused by insertion of objects or by anal sex; and illnesses such as any type of inflammatory bowel disease or sexually transmitted disease.

Symptoms include pain and bleeding during and after a bowel movement, discomfort and difficulty with urination, and a visible tear resembling a crack in the anal tissue that may have a foul-smelling discharge.

Treatment primarily involves limiting constipation and thus straining by consuming more fiber and fluids, as well as easing anal irritation by soaking in a warm bath and gently cleansing the tissues of the anus. In some cases, medicated creams or suppositories may be prescribed.

Rarity: Common

Top Symptoms: rectal pain, pain when passing stools, painful rectal bleeding, hard stools, mild rectal bleeding

Symptoms that never occur with anal fissure: unintentional weight loss

Urgency: Self-treatment

Chronic anal fissure

Anal fissures are splits or tears in the part of the anus closest outside of the body. They're very common and typically affect the young and middle-aged and both genders, equally. 11% of people will have an anal fissure in their lifetime.

Rarity: Uncommon

Top Symptoms: rectal pain, pain when passing stools, painful rectal bleeding, hard stools, mild rectal bleeding

Symptoms that never occur with chronic anal fissure: unintentional weight loss

Urgency: Primary care doctor

Questions Your Doctor May Ask About Painful Rectal Bleeding

To diagnose this condition, your doctor would likely ask the following questions:

  • Have you had any changes in your weight?
  • Do you have a history of constipation?
  • Have you ever been diagnosed with cancer?
  • Do your symptoms worsen when sitting?

The above questions are also covered by our A.I. Health Assistant.

If you've answered yes to one or more of these questions

Take a quiz to find out why you're having painful rectal bleeding

Painful Rectal Bleeding Symptom Checker Statistics

People who have experienced painful rectal bleeding have also experienced:

  • 6% Abdominal Pain (Stomach Ache)
  • 5% Rectal Pain
  • 5% Constipation

People who have experienced painful rectal bleeding were most often matched with:

  • 77% Lower Gastrointestinal Bleeding
  • 11% Hemorrhoids
  • 11% Anal Fissure

People who have experienced painful rectal bleeding had symptoms persist for:

  • 33% Less than a day
  • 29% Over a month
  • 23% Less than a week

Source: Aggregated and anonymized results from visits to the Buoy AI health assistant (check it out by clicking on “Take Quiz”).

Painful Rectal Bleeding Symptom Checker

Take a quiz to find out why you're having painful rectal bleeding