Masarat is created and supervised by Dr. Mohammed Hatem Alsubaih, Consultant Colorectal and General Surgeon.
Start with the symptom you notice, then understand possible explanations, useful evaluation and when faster assessment is appropriate.
Rectal bleeding
Bright blood may come from hemorrhoids or a fissure, but also inflammation, polyps or a tumour. Known hemorrhoids do not explain every episode. Pain, diarrhea, mucus and a changed bowel pattern help guide assessment.
Anal pain
A fissure often hurts during and after passing stool; a thrombosed external hemorrhoid can cause a sudden painful lump; an abscess can cause progressively worsening pain with swelling or fever.
Anal swelling
Distinguish a new painful swelling from tissue that protrudes with a bowel movement, and recognise when an abscess needs urgent assessment.
Mucus discharge
A small amount of jelly-like mucus can occur, but persistent or increased mucus with other symptoms warrants review. Fluid from an opening beside the anus is a different problem from mucus passed through the rectum.
Tenesmus
Tenesmus is a repeated or persistent urge to pass stool despite little output or after emptying. It differs from simply having hard stool and may include rectal pressure, mucus or blood.
Change in stool caliber
Stool diameter alone neither diagnoses nor excludes cancer. Shape can vary with consistency and evacuation. A new persistent change matters more than one isolated narrow stool.
Bowel habit change
Compare with your normal pattern: new diarrhea, constipation, frequency or persistent altered consistency. One unusual day after food or medication differs from a sustained new pattern.
Perianal itching
Moisture, minor leakage, friction and fragranced cleansers can irritate skin. A skin disorder or infection may require specific treatment. Itching alone does not establish hemorrhoids or worms.
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Dr. Mohammed Hatem Alsubaih