Rectal Bleeding During Pregnancy
11.03.2017 Andrew Johns 0 Popular
Pregnancy and Rectal Bleeding
Bleeding from the upper gastrointestinal divisions (esophagus, stomach and small intestine) can manifest itself through the rectum with the loss of blood of dark red color due to its quick passage, but usually melena is observed. Bleeding from the rectum is accompanied by severe/sudden blood loss. Patients with chronic blood loss are admitted with anemia of iron deficiency.
Causes of Rectal Bleeding During Pregnancy
- Anal fissure;
- Rectal solitary ulcer syndrome (mucosal prolapse).
- Inflammatory bowel disease;
- Adenomatous polyps;
- Arteriovenous malformations of Meckel Diverticulum.
Medical History and Examination of Rectal Bleeding During Pregnancy
A detailed medical history may give a clue to the root cause of colorectal bleeding. Discharge of bright red blood apart from the faeces may suspect an anorectal cause. Diarrhea and mucus, with dark blood, lead to suspect colitis or swelling. Changes in bowel function in the disease – constipation and diarrhea with intestinal discomfort — may suspect a cancer. Defecation urgency, acute bleeding and abdominal pain are more common for colitis. Examination of rectum and proctosigmoidoscopy help in the diagnosis of anorectal disease.
Colonoscopy, though hardly feasible in case of bleeding, at least, identifies the affected segment. Angiography of mesentery, if it is possible to perform, helps to determine the diagnosis. The examination of the surgeon is required when a women is admitted with acute rectal bleeding and hemodynamic disorders during emergency therapy. If the cause is not found in the lower divisions, endoscopic examination of the upper gastrointestinal divisions is recommended.
Hemorrhoids and anorectal fissures are the most common anorectal disorders during pregnancy, they cause considerable inconvenience. The real incidence of these diseases is unknown. During pregnancy, they are not diagnosed and not treated until delivery.
Hemorrhoids during pregnancy occurs due to the increase in the volume of circulating blood, increasing venous stagnation caused by squeezing the upper rectal veins of the pregnant by the uterus, as well as the relaxing effect of progesterone on the smooth muscles of the walls of veins. Clinical symptoms of hemorrhoids are bleeding, loss of nodes, mucous discharge, itching and discomfort in the rectum. The diagnosis is set by simply inspecting the anus. During pregnancy sigmoidoscopy and colonoscopy are safe.
Treatment during pregnancy is mainly aimed at relieving the symptoms, especially the pain. Conservative treatment is a diet change, increase of fluid intake, medications, softening the feces, and analgesics. Most women have symptoms disappeared shortly after delivery. Therefore the final treatment is postponed until the postpartum period.
The ligation of hemorrhoids with rubber rings can be safely performed at pregnant women with internal hemorrhoids. The hemorrhoidectomy is performed with a significant loss of nodes or accompanying ulceration, strong bleeding, fissure, anal fistula and the absence of the effect of conservative treatment.
Anal fissure is a painful condition that occurs at a large part of the population. It usually occurs when solid faeces are passing through which damage and violate the integrity of the epithelium of the anus. Clinical symptoms are pain during defecation with blood or wiping the anus. At pregnant women the disease is especially prevalent due to frequent constipation. The increased production of progesterone during pregnancy leads to relaxation of smooth muscles and slowing of intestinal passage. Contributing factor is preventive and curative use of iron supplementation during pregnancy with constipating effect.
The choice of treatment method for optimal clinical results and causing the patient the least pain and inconvenience is always a difficult task for surgeons. Acute fissures are healed exceptionally by conservative methods, but for chronic fissures to reduce spasm of sphincter certain manipulations or surgical intervention are required.
Inflammatory Bowel Disease
Sometimes inflammatory bowel disease first manifests itself during pregnancy. Recurrence of Crohn's disease during pregnancy is usually manifested in the first trimester. A large part of patients regularly take some drugs.
Many patients with ulcerative colitis and surgical treatment with the anastomosis between the ileum and rectum in medical history are pregnant. Long-term outcomes of pregnancy and natural childbirth at such patients are good.
Treatment of colorectal cancer is performed with compliance with generally accepted principles. With indications, primary surgical treatment is always performed. In the later stages of pregnancy it is preferred to postpone the surgery until the fetal gestation and delivery. Most authors recommend to perform the primary surgical treatment of colon cancer in the first half of pregnancy because the deferral treatment before birth can lead to the spread of the tumor. Rectal cancer during pregnancy is treated somewhat differently than colon cancer. During the first 20 weeks of pregnancy, at patients wishing to carry the pregnancy, primary resection and chemotherapy are performed after delivery. If the patient chooses abortion, then after abortion she is treated as non-pregnant.
During pregnancy safe and timely surgical treatment of many diseases of the colon allows to save the life of the fetus and fertility of the woman. In benign diseases the possibility of conservative treatment is wider. For patients with malignant tumor the risk of delay of surgical treatment, chemotherapy or radiotherapy is unknown. It should be found out whether a woman plans to have more children. A multidisciplinary approach with the close interaction of obstetrician-gynecologist, surgeon, oncologist, pediatrician and neonatologist is recommended.
Prevention of Rectal Bleeding
As we have already said, the most common cause of the fissure and hemorrhoid is constipation, therefore tuning the digestive system is the first step to prevent the blood from the rectum during pregnancy.
Here are a couple of tips on how you can prevent or relieve constipation:
Rectal Bleeding During Pregnancy
What is rectal bleeding during pregnancy?
We consider this any blood that passes from your anus (sorry!). It might be dark or bright red, and you might notice it in your stool, on the toilet paper or in the toilet bowl. It can be a scary sign!
What causes rectal bleeding during pregnancy?
In pregnancy, rectal bleeding is typically caused by hemorrhoids — when a collection of blood vessels in the rectum becomes swollen, says Mary L. Rosser, MD, PhD, an assistant professor in the Department of Obstetrics & Gynecology and Women's Health at the Albert Einstein College of Medicine of Yeshiva University. When you strain to poop (like when you’re constipated — an annoying side effect of pregnancy) or wipe too aggressively, they can bleed.
When should I go to the doctor with rectal bleeding during pregnancy?
Don’t panic if you notice some blood when you wipe, but definitely tell your doc about any episodes of bleeding.
How do I treat rectal bleeding during pregnancy?
Cold compresses, warm sitz baths and witch hazel can all provide relief from rectal bleeding caused by hemorrhoids; your doctor may also suggest a safe topical anesthetic.
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stupid vegas cut the audio off at the end
sorry about the language!
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Bright red blood bleeding during pregnancy
Dark Red Bleeding Clots Early Pregnancy. Heavy Menstrual Bleeding Disorders In Women Ncbddd Cdc. Bleeding At 8 Weeks Pregnant Pregnancy What Does The Doctor Say.
Hi, I'm about 3 weeks pregnant and I have started bleeding red this morning.
Spotting or bleeding when 6 weeks pregnant is usually nothing serious. It does not mean you are going to have a miscarriage.
8 weeks pregnancy bleeding that is bright red in color indicates that the blood is fresh and in such a case you need to make an immediate appointment with your doctor. 8 weeks pregnant bleeding accompanied by cramps can be a symptom of a more serious underlying problem.
However the bleeding should be very light and pink or brown in color. (Spotting) Or it could be a the start of a miscarraige. You still need to do a follow up with your OB and make sure everything is ok. If it turns bright red like a period, then you need to go to the E.R. right away.
I am 6 weeks pregnant and bleeding bright red blood with small black clots not much pain but some is this another miscarriage?
i was bleeding light red kinda pink for 3 days then it turn brown on the 4th day then on the 5th day it
hi am 8 weeks pregnant, ive been bleeding for almost a week now associated with cramping, i had 2 ultrasounds and there was a heart beat but the dr couldn't see.
I am 8 1/2 weeks pregnant and started bleeding bright red today.