Why is there intermittent rectal bleeding with bloody mucus?

Q. I have intermittent rectal bleeding with bloody mucus. Please suggest some remedies.

Answered by
Dr. Ajeet Kumar
and medically reviewed by Dr. Preetha J
This is a premium question & answer published on Sep 30, 2020 and last reviewed on: Oct 07, 2020

Hi doctor,

I currently have intermittent rectal bleeding. It has been happening on and off for about two months, typically once or twice a month, but it happened three times yesterday and three times today. What happens is I will have a regular bowel movement, then about 30 minutes later, feel like I have to go again, and what comes out is just bloody mucus that kind of looks like a blood clot. I do not want to have anything invasive done.



Welcome to icliniq.com.

  • Have you lost any weight in the last two months?
  • Do you have a reduced appetite?
  • Do you have any family history of colon (large bowel) polyps or cancers?

The picture you uploaded (attachment removed to protect patient identity) seems that blood is coming out of the rectum (a part of the large bowel, also called stool reservoir). Possible causes are ulcerative proctitis or ulcerative colitis, which means inflammation of the rectum and colon. Ulcerative colitis is an autoimmune disease whereby the human immune cells work against the large bowel lining. Two other possible causes for such per rectal bleeding are infections and polyps. The polyps are finger-like projections that arise from the bowel wall's lining and protrudes in the large bowel's lumen. They can turn to cancers in some instances. But do not be frightened since there is an equal possibility that this is infections or ulcerative colitis. The next best investigation is a colonoscopy. A scope with a camera fitted over one end is passed in the large bowel and sees what is inside and discusses this with your area physician and sees how he or she feels. I highly recommend you to go for it. You can do the digital scanning of your anal canal and rectum and get valuable information from that. There are other blood tests and stools tests, which I suggest you as well, but they are not gold standard and not very much helpful in establishing the diagnosis. You can take capsule Tranxemic Acid 500 mg three times daily till bleeding resolve. You can also do investigations like CBC (complete blood count), stool detail report, stool for ova and parasite, and stool for calprotectin. Let me know how you understand this.

The Probable causes:

Ulcerative proctitis or colitis.
Infections like parasitic infections, namely,
schistosomiasis, whipworm infections, and hookworm infection.
Colon polyps.
Colon cancer.

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