Blood on the anus, visible on the toilet paper after defecation, spontaneously causes some concern. Especially when there is pain. After bleeding is a symptom that can have a variety of causes. You can find out more about this in the following lines.
Blood on the anus does not necessarily mean something "bad". A wide variety of causes, such as hemorrhoids, anal fissures, fistulas, intestinal polyps, inflammatory bowel diseases and much more can be responsible.
Everyone has hemorrhoids. These are so-called erectile tissue, which are located in the rectum to seal the anus. Only if these erectile tissue enlarge, can complaints such as blood on the anus occur. In this context, we speak of hemorrhoids, but this should really be called hemorrhoidal disease. Those affected suffer from itching, oozing, burning in the anus, anus pain or possibly bloody stools.
The physiological hemorrhoids can widen, for example through improper nutrition, prolonged constipation and too much pressure during bowel movements. These symptoms also occur frequently in connection with pregnancy. Hemorrhoidal disease is still a taboo subject. The patients affected do not like to talk about it and usually only see the doctor when the complaints are really massive. Recurring blood on the anus must be taken seriously.
The term "fissure" means "gap". An anal fissure is thus a gap, a crack in the anal canal skin. Possible causes of this rather unpleasant illness are hemorrhoids, chronic constipation, chronic diarrhea, inflammatory bowel diseases, laxative abuse and anal intercourse.
Those affected suffer from painful bowel movements followed by burning, light blood on the anus, itching and spasm of the sphincter. Every bowel movement becomes a challenge. For fear of it, the sphincter tightens more and more, the stool is held back. A vicious cycle begins. An anal fissure is very uncomfortable and painful, but usually means nothing "bad". However, the symptoms mentioned should be clarified to rule out a serious illness. In the case of an anal fissure, regular and soft bowel movements are essential. The doctor prescribed ointments that numb the skin. In the chronic form, drugs are used to relax the sphincter.
Gut polyps consist of mucous membrane that bulges into the intestinal lumen. They are either only a few millimeters in size, have a style, are larger or take a shaggy shape. These structures are mainly found in the large intestine and rectum. They usually consist of glandular tissue, which is benign but can also degenerate. Therefore intestinal polyps should always be removed. Due to their symptom-free course, these are often only discovered during a colonoscopy. Possible complaints are slimy stool, blood on the anus (small amounts of blood in the stool), diarrhea and cramp-like abdominal pain. Bowel polyps primarily affect older patients. Heavy, fat or high-sugar and low-fiber meals, increased alcohol consumption, lack of exercise, obesity, nicotine and a genetic disposition favor the development of intestinal polyps.
Inflammation of the intestine affects the large or small intestine. The Latin terms for this are enteritis (inflammation of the small intestine) and colitis (inflammation of the colon). The causes of both variants are viruses (e.g. noroviruses, rotaviruses, adenoviruses) or bacteria (e.g. salmonella). Another cause is a food allergy or taking antibiotics. The symptoms associated with intestinal inflammation are vomiting, fever, diarrhea, abdominal pain, mucus or blood in the stool.
Inflammatory bowel disease
Also inflammatory bowel diseases such as ulcerative colitis and Crohn's disease. can be accompanied by blood on the anus, although the source of bleeding here is usually in the area of the intestine.
Ulcerative colitis is a chronic inflammation of the intestine that only affects the colon. The real causes of ulcerative colitis are still unclear. A genetic disposition is assumed. Those affected suffer from seizure-like diarrhea to which mucus and blood have been added. There are also abdominal cramps, weight loss and exhaustion. This disease is still not curable. The therapy aims to alleviate the symptoms and reduce the frequency of attacks.
In contrast to ulcerative colitis, Crohn's disease begins in the rectum and, in the worst case, can spread to the mouth. The causes of this disease are still unknown. A family cluster and genetic disposition are discussed. It has been found that smoking can promote the development of this intestinal inflammation. Those affected suffer from diarrhea, gas, abdominal pain, nausea and fever. Blood may be added to the stool. This disease is also not curable and the therapy also aims to alleviate the symptoms of those affected and to minimize the inflammation.
Anal vein thrombosis
Anal vein thrombosis is a thrombosis in the area of the venous plexus, which is located around the anus. This has nothing to do with hemorrhoids. The knot that forms can be as small as a grain of rice, but can also be as big as a pigeon egg. Sudden pain and a massive feeling of foreign bodies and pressure are among the associated complaints. The knot can burst, causing blood to appear on the anus and the blood clot to come out.
The causes of anal vein thrombosis include prolonged sitting, constipation, diarrhea, unhealthy diet (low in fiber, high in sugar, too much animal food, etc.), massive pressing or constant coughing and anal sex. Sitting for long periods on a damp, cold surface, massive alcohol consumption and hot spices are also among the causes. This unpleasant illness can not least occur due to the pressure in the abdominal cavity during pregnancy, but also during childbirth, due to strong pressing. Anal vein thrombosis is usually a harmless affair. In the case of severe pain and larger nodes, these are opened surgically and the thrombus is removed. Pain relievers and ointments that have anesthetic are soothing.
Anal fistula and anal abscess
An anal fistula is an artificially created or disease-related passage between two hollow organs or between an organ and the surface of the body. In an anal fistula, the anus is connected to the skin surface by a duct. An anal abscess is a pus-filled cavity in the anal area. As a rule, the disease process is preceded by inflammation. If this spreads further, an abscess develops. If this bursts spontaneously, a fistula can develop. If the disease has been around for a long time, a duct system made up of fistulas can form.
Anal abscesses are very painful. They are associated with swelling, redness and possibly also fever. If a fistula has formed, the secretion can drain and the pain will disappear. This is noticeable through dirty underwear. As a rule, abscesses are opened surgically and the fistula ducts are removed.
Diverticulum in the intestine
Diverticula are protuberances in the wall of a hollow organ. Here we are talking about intestinal diverticula. These mainly occur in the large intestine. If they occur frequently, the term diverticulosis is used. These protuberances do not necessarily have to cause complaints. If this is the case, however, those affected suffer from stool irregularities, abdominal pain and feelings of fullness. If the diverticula become inflamed, blood can appear on the anus. There are also symptoms such as fever, severe pain and constipation. These complaints must be taken seriously and a doctor should be consulted promptly.
To protect yourself from diverticulitis, make sure you eat a healthy diet that is low in animals and high in fiber. Adequate hydration and regular, smooth bowel movements are important. To counteract a hard stool, it is often recommended to take psyllium.
Colon and rectal cancer (colon and rectal cancer)
In the worst case, blood on the anus can indicate colon or rectal cancer. Genetic disposition and a diet low in fiber are among the possible causes of both types of cancer. The symptoms of colon and rectal carcinomas are usually not noticed until late. A constant change of diarrhea and constipation should be taken and examined first. But mostly these symptoms are ignored. In the further course there is also blood admixture in the stool, abdominal cramps and later weight loss, reduced general condition and bleeding anemia. Diffuse low back pain may indicate metastasis.
Anal carcinoma is a rare carcinoma that occurs in the anal canal or on the anal rim. The symptoms include the following symptoms: foreign body sensation, pain, changes in bowel habits, itching, disorders of continence and blood on the anus (blood in the stool). This carcinoma can infiltrate adjacent organs.
Help from naturopathy
Accompanying the conventional medical treatment or instead of it, naturopathy can serve well.
As a plant that is extremely hemostatic, as the name suggests, the bloodroot. It gets this effect from its high tannin content. The bloodroot is a rose family that has a filling, wound healing, anti-inflammatory, antibacterial, antiviral and hemostatic effect. With bleeding hemorrhoids, with anal fissures, which are accompanied by blood on the anus, with intestinal flu or massive diarrhea, as they occur with ulcerative colitis - the bloodroot can help here. It is available as a tincture, mother tincture, powder or in capsule form. Beware of a nervous stomach: Here you should only take it in small doses.
The peony with the Latin term Paeonia officinalis is a helpful plant for hemorrhoids and anal fissures. It has an anti-inflammatory, decongestant and healing effect. It relieves the pain, especially in the extremely unpleasant and bleeding anal fissures. The peony is available as a mother tincture, in homeopathic form or as an ointment. Regular intake or use is essential for effective treatment.
Sitz baths are soothing and relaxing, especially for diseases in the anal area. Depending on the plant, they have anti-inflammatory, astringent and healing properties. The following composition helps with hemorrhoids, anal fissures, itching and burning in the area of the anus and also with blood on the anus: oak bark (30g), witch hazel leaves (30g), peony flowers (20g), marigold flowers (10g) and walnut leaves (20g).
A handful of this mixture is poured over with two liters of boiling water, the whole is stripped after about half an hour and then added to the hip bath. The hip bath should not exceed ten minutes. Then rubbing in with an ointment containing oak bark and / or peony supports the effect.
If you don't want to use so many ingredients, you can only prepare the hip bath with chamomile flowers and oak bark. These are mixed in equal parts. The preparation and application corresponds to the hip bath mentioned above.
If you don't like a hip bath, dab the affected area several times a day with a chamomile decoction. For this, two tablespoons of chamomile flowers are scalded with a liter of water. The whole thing should take a quarter of an hour. A fresh cloth or a fresh compress is used for dabbing each time.
Schüssler salts can be used to help with thrombosis, hemorrhoids or even diverticula. People who suffer from hemorrhoids and / or diverticula usually have weak connective tissue. This is where the Schüssler salts No. 1 Calcium fluoratum and No. 11 Silicea help. Both salts do not work immediately and should be taken over a long period of time. The corresponding ointments (No. 1 and No. 11) are intended for external use. These are best mixed in equal parts in the palm of your hand and then applied at least twice a day. In the case of anal vein thrombosis, naturopathy No. 4 prescribes potassium chloratum, No. 7 magnesium phosphoricum and No. 9 sodium phosphoricum.
In summary, it can be said that the appearance of blood on the anus should always be taken seriously. It is in no case appropriate to do it yourself. The cause of the bleeding must always be clarified.
In order to keep the stool soft, which is particularly important for diseases such as hemorrhoids, anal fissures and diverticula, a high-fiber diet should be sought. Whole grains, fruits, vegetables - all this is important to increase the fiber content of the food. Adequate hydration in the form of still water and herbal tea should also be considered. Here regular intake of psyllium can serve well. Psyllium husk helps with diarrhea and constipation, relieves the symptoms of irritable bowel syndrome, has a positive effect on the blood sugar level and somewhat lowers the cholesterol level. (sw)
Author and source information
This text corresponds to the requirements of the medical literature, medical guidelines and current studies and has been checked by medical doctors.
Susanne Waschke, Barbara Schindewolf-Lensch
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