What causes heavy periods with a history of chronic constipation?

Question

Hello doctor,

I have heavy periods. However, as these periods are heavy at times I have noticed some bleeding from the rectum. I do have chronic constipation and at times I have had to strain. I had a colonoscopy last year and a CT scan of the pelvic area later everything was clear. I did have an MRI of the pelvic area done, I did on a complete of occasions appear to have stool coming out of the vagina and this was organized to rule this out and it came back clear. I have discussed this with my doctor and they do not seem to be worried as all the tests have been carried out recently and it could be due to hormonal imbalances. I am getting a coil in a couple of weeks. The bleeding only happens with periods. I do not have piles. I also had a FIT test done and was clear. Please guide me.

Answer 1

Hello,

Welcome to icliniq.com

I read your query and understand your concern. Bleeding from the rectum during heavy periods can be concerning, especially if you have a history of chronic constipation and straining. One possibility for that is the increased pressure during heavy periods and straining can cause small tears or fissures in the rectal area, leading to bleeding. This is known as rectal bleeding or rectal fissures. Hormonal imbalances can also affect the consistency of the menstrual flow, potentially contributing to heavier periods. It is positive that you have undergone various tests, including colonoscopy, CT (computed tomography) scan, and MRI (magnetic resonance imaging), which have ruled out significant structural abnormalities. The upcoming insertion of a coil, also known as an intrauterine device (IUD), may help regulate your menstrual flow and reduce the heaviness of your periods. Feel free to contact me for further queries.

Thank you.

What causes heavy periods with a history of chronic constipation?

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