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MGDr Manoj GuptaLiver Transplant & GI Surgeon · Noida

Blood in the stool: piles, fissure or something serious?

By Dr Manoj Gupta ·

Most rectal bleeding is harmless, but Dr Manoj Gupta explains the signs that should send you for a colonoscopy rather than a tube of cream.

piles-fissure-fistula

In this article

  • Bright red on the paper
  • When to look deeper
  • Why a GI surgeon should examine you

Bright red on the paper

Fresh blood after passing stool, especially with pain, usually means a fissure (small tear) or piles. These respond to fibre, fluids, sitz baths and medicine, and only occasionally need laser or surgery.

When to look deeper

Blood mixed with stool, dark or maroon blood, bleeding after 45 years of age, a change in bowel habit, weight loss, anaemia, or a family history of colon cancer — any of these calls for a colonoscopy before treating 'piles'.

Why a GI surgeon should examine you

A quick proctoscopy in clinic differentiates piles from a rectal growth in minutes. Dr Gupta sees these patients in the evening clinic in Indirapuram and arranges colonoscopy the same week if needed.

Dr Manoj Gupta

Dr Manoj Gupta

MBBS, MS, DNB (GI Surgery). Senior Director & Head, Robotic & Laparoscopic GI Surgery, GI Oncology and Liver Transplant, Yatharth Super Speciality Hospital. 20+ years, 500+ liver transplants.

This article is general medical education and does not replace a consultation. Figures quoted are from the sources listed and from typical outcomes at experienced centres; your own numbers depend on your condition.

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