Noticing blood in your stool or on the toilet paper can be alarming – but you’re not alone, and help is available. At The The Midlands Bowel Clinic, we see many patients with rectal bleeding, and we understand how worrying it can be. While it’s often caused by minor issues such as piles, it can also be a sign of something more serious. That’s why it’s important to get checked, especially if the bleeding continues or you have other symptoms.
What is rectal bleeding?
Rectal bleeding refers to any blood that comes from your bottom or appears in your stool. You might see bright red blood on the toilet paper, in the toilet bowl, or streaked along your poo. Sometimes the blood is darker or mixed in with your stool – this can suggest the bleeding is coming from higher up in the bowel.
Rectal bleeding can occur on its own or alongside symptoms like pain, changes in bowel habits, or fatigue. The amount of blood may vary – from just a few spots to heavier bleeding – and both should be taken seriously.
Common causes of rectal bleeding
- Haemorrhoids (piles) – swollen blood vessels in the back passage that can bleed, itch or cause discomfort
- Anal fissures – small tears in the skin of the anus, often caused by constipation or straining
- Diverticular disease – small pockets in the bowel wall that can become inflamed or bleed
- Inflammatory bowel disease (IBD) – including Crohn’s disease and ulcerative colitis
- Polyps – small growths on the bowel lining, some of which can become cancerous over time
- Bowel cancer – one of the more serious causes of rectal bleeding, particularly in people over 50
- Infections or inflammation – causing irritation and bleeding in the bowel lining
When to see a bowel specialist
Even a small amount of rectal bleeding should be discussed with a medical professional, especially if it keeps happening or you’re not sure of the cause. You should seek urgent assessment if you experience:
- Blood in your stool or on toilet paper more than once
- Blood mixed in with your poo
- A change in your usual bowel habits (e.g. diarrhoea or constipation)
- Unexplained weight loss
- Fatigue or signs of anaemia (such as dizziness or shortness of breath)
- A family history of bowel cancer or polyps
Early diagnosis can make a big difference – many causes of rectal bleeding are treatable, and prompt care can rule out or detect more serious conditions at an early stage.
How we investigate rectal bleeding
At The Midlands Bowel Clinic, we carry out a thorough assessment to find out what’s causing your bleeding. This may include:
- Physical examination – including a gentle rectal exam
- Blood tests – to check for anaemia, infection or inflammation
- Stool tests – to look for signs of blood or infection
- Flexible sigmoidoscopy – a quick test to look at the lower part of your bowel
- Colonoscopy – a full examination of the entire large bowel using a thin, flexible camera
- Imaging – such as CT or MRI scans if needed
We’ll guide you through every step and make sure you feel supported throughout your investigation and treatment.
Treatment options
Treatment will depend on the cause of your bleeding. Options may include:
- Simple measures – like creams or suppositories for piles or fissures
- Medication – for inflammation or infection
- Endoscopic treatment – to remove polyps or stop bleeding during a colonoscopy
- Surgery – if needed for more serious conditions such as diverticular bleeding or bowel cancer
- Monitoring and follow-up – for conditions that require ongoing care
Our consultants will explain everything clearly and recommend the best treatment for your needs.
Why choose The Midlands Bowel Clinic?
We’re a leading centre for bowel health in the Midlands, offering fast access to expert care and advanced diagnostics. Our experienced consultants work with you to find the cause of your symptoms and deliver safe, effective treatment in a comfortable setting.
Contact us
If you’ve noticed blood in your stool or any other bowel symptoms, don’t delay. Contact The Midlands Bowel Clinic today to book a consultation with one of our specialist consultants. Early investigation can provide peace of mind – and the best possible outcome.
