Pocket Guide to IBD, Second Edition

Marla Dubinsky, MD; Sonia Friedman, MD

Chapter 9: Rectal Bleeding (continued)

Sunanda V. Kane, MD, MSPH, FACG, FACP, AGAF

Rectal bleeding is one of the key symptoms that signals possible disease activity. However, bleeding as an individual symptom runs a full spectrum from simple hemorrhoids to life-threatening hemorrhage. It is the careful consideration of the accompanying symptoms that helps appropriately triage the patient. • Active IBD • Fistula bleeding • Hemorrhoids/fissure • Gynecologic bleeding • Concurrent colitis • Malignancy • Infections • Polyps What is the nature of the bleeding? • Drops of fresh blood on the toilet paper or in