How do you know if bleeding hemorroids or rectal bleeding?

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New Member

Date Joined Jul 2008
Total Posts : 15
   Posted 7/20/2009 11:35 AM (GMT -6)   
Is there a way to know if your bleeding is from hemorroids or something else?  I had some bleeding a year ago and was diagnosed with colitis from an infection.  They found inflammation in my sigmoid colon but the biopsies looked good.  They then said I had post-infectious ibs when my other symptoms didn't go away.  The last month or two my symptoms have gradually been getting worse.  I was in the bathroom many, many times yesterday and there was some blood - nothing like before - just a little.
I am wondering whether I should ride this out and see what happens or go to my PCP again.  The last GI doc made me feel bad for taking up her time and said I just have IBS.  I have been hesitant to see anyone, because I feel like they thought I was just complaining last year.  Is there a way I can figure out on my own whether this is just hemorroids or should I get this checked out?

Veteran Member

Date Joined Feb 2009
Total Posts : 7150
   Posted 7/20/2009 11:42 AM (GMT -6)   
If they are internal hemmies, you probably wouldn't be able to diagnose them yourself. Your PCP could, though, quite easily (finger up the butt!). If it is hemmies, you should be able to treat them with a suppository to heal them.
Status: Remission since late May 2009!
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Diagnosed with pancolitis on 1/30/09
Currently taking Apriso (4 pills ONCE!! daily), Rowasa twice weekly, Natural Factors Ultimate probiotic 12/12 Formula, and Zoloft (25 mg).

Regular Member

Date Joined Jul 2009
Total Posts : 32
   Posted 7/20/2009 2:43 PM (GMT -6)   
If your GI doctor made you feel bad for seeing him switch. It's your body - take care of it.

Elite Member

Date Joined May 2003
Total Posts : 30705
   Posted 7/20/2009 3:54 PM (GMT -6)   
Hi..welcome to the forum!

How many times in the bathroom were you? What kind of stool....diarrhea, loose soft, hard? Did you have urgency? lots of gas? granular poo with blood?

I would suggest you go back to the PCP and request a referral to another GI. Your PCP may do the finger up the butt and even if you do have a hemmie, it won't answer the reason why you're having multiple bms.

What you should also request is to have stool samples done to make sure the infection isn't back. Was it e.coli or c.diff that caused the initial infection?

I personally don't see the bleeding as the main problem as much as it is the change in your bowel habits. I don't know if IBS in itself causes extreme multiple bms....but that's not something I've experienced unless it's food-related or flare related.

Please keep us posted as to how you're doing.

*Heather* Status: flaring...Asacol 3 twice daily; Salofalk enemas nightly
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 @ 2x daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(RenewLife Ultimate Flora Critical Care + Primadophilus Reuteri). @ bedtime
~various digestive enzymes as needed
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My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!

New Member

Date Joined Jul 2008
Total Posts : 15
   Posted 7/20/2009 5:07 PM (GMT -6)   
I was in the bathroom over 10 times.  It was diarrhea, mucous, sometimes brown mucous.  Lots of gas, nausea. 
Today I have only had 2 bms, mucous a couple of times in addition to this.  I'm tired, woke up at 9am, napped for 2 and a half hours and I just woke up again. 
They have no idea what kind of infection.  They gave that diagnosis because the biopsies looked good.  Prior to the biopsy results, they put me on Colazal because they weren't sure of the diagnosis.

Regular Member

Date Joined Sep 2008
Total Posts : 202
   Posted 7/20/2009 5:47 PM (GMT -6)   
I don't know either. For a year the docs told me my blood was from internal hemmies, until I got a sig scope and they discovered otherwise. Even now when I have blood my doctor says it could be from internal hemmies. Good question.

Elite Member

Date Joined Apr 2004
Total Posts : 23551
   Posted 7/21/2009 7:17 AM (GMT -6)   
With IBS, a person can produce large amounts of mucous. And if you have IBS-D then yes it can produce a lot of changes in your bowel habits ranging from D to C. When the docs took a looksie up there, did they mention seeing hemmeroids? Did they do a stool culture to rule out Cdiff?
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New Member

Date Joined Jul 2008
Total Posts : 15
   Posted 7/21/2009 8:35 AM (GMT -6)   
They said it was not from hemorrhoids - that was ruled out.  They did check my stool, but not until 3 months after the symptoms started and two months after I was bleeding.  They said it was too much blood for hemorroids.  There was inflammation and ulcers when they did the first colonoscopy and nothing on the second.  When I say the biopsies looked good, I mean they didn't show positive for UC or Chron's.

Forum Moderator

Date Joined Dec 2008
Total Posts : 16449
   Posted 7/21/2009 9:10 AM (GMT -6)   
My most recent biopsies looked free of UC and Chrons but my first biopsies showed UP/UC. If you had the biopsies when your UC is inactive, they can come back normal.
Did you try looking in the mirror? I thought I was flaring the other day because of a little blood and when I looked in the mirror, I was surprised to see a hemmroid.
Diagnosed with mild proctitis in March 2007: Treated with Canasa (as needed)
December 08: Began treating with Asacol 400mg (9/day) + Canasa 2x/day - Anemic
May 09: Off Canasa, taking Asacol (9/day)
Back on Canasa every other night + Asacol (9/day) + Probiotics + Iron
Reducing to 6 Asacol/day + Canasa + Probiotics + Iron - So far so good!!! -SPOKE TOO SOON! Back to 9/day...

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