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Liver Disease


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Liver Disease

Doctors who treat these Conditions

Dr Chandra Puli

(18 Years UK Experience)
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Design is Everything

Advanced Liver Disease causing fluid in the Stomach

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Design is Everything


Design is Everything

Design is Everything


Causes of Liver Disease

A wide range of health conditions and factors can cause or add to rectal bleeding. Some of the most common causes include:



Hemorrhoids are inflamed anal blood vessels, and they are extremely common. They can develop on the outside or inside of the anus, appearing as small bumps that occasionally bleed during bowel movements or when wiping.

Hemorrhoids, which are also referred to as piles, can impact anyone of any age but are associated with a few risk factors, including:

  • pregnancy
  • chronic constipation and straining
  • chronic diarrhea
  • straining during bowel movements or sitting on the toilet for too long
  • obesity
  • low fiber or unbalanced diet
  • aging

Hemorrhoids usually respond well to over-the-counter creams and suppositories that contain hydrocortisone. Taking warm baths frequently, eating a high-fiber diet, and using stool softeners can also help reduce the discomfort of hemorrhoids.

If initial treatments fail, a doctor may perform minor surgery to remove the hemorrhoids.

Viral Hepatitis

A fistula occurs when an abnormal opening or pocket develops between two neighboring organs. Fistulas that appear between the anus and rectum, or anus and skin, can cause a discharge of white fluid and blood.

Fistulas are sometimes treated with antibiotics, but they may require surgery if they progress.

Fatty Liver Disease

Fissures occur when tissues lining the anus, colon, or rectum are torn, resulting in pain and rectal bleeding.

Warm baths, a high-fiber diet, and stool softeners can all help reduce symptoms of fissures. In severe cases, fissures may require prescription creams or surgery.


Diverticulosis is when small pockets called diverticula develop on the walls of the colon around a weakness in the organ’s muscular layers.

These pockets or diverticula are extremely common. Sometimes diverticula can start bleeding, but this bleeding usually stops on its own.

Usually, these pockets do not cause symptoms or require treatment unless they become infected, which is when a condition called diverticulitis occurs.

Infected and inflamed diverticula are often painful and can cause rectal bleeding, usually a moderate rush of blood that flows for a few seconds.

Diverticulitis is treated with antibiotics and, if severe, surgery.

Autoimmune Hepatitis

Proctitis occurs when the tissues that make up the rectum become inflamed, often resulting in pain and bleeding.

Colitis occurs when the tissues lining the colon become inflamed. A type of colitis called ulcerative colitis can also cause ulcers, or open, progressive sores, that are prone to bleeding.

Treatments for proctitis and colitis vary, depending on the causes and range from antibiotics to surgery.

Common causes of proctitis and colitis include:

  • infection
  • some conditions that cause digestive problems, such as irritable bowel syndrome (IBS) and Crohn’s disease
  • some medications, such as blood thinners
  • radiation or chemotherapy
  • anal intercourse
  • reduced blood flow to the colon or rectum
  • a blockage in the colon or rectum

Primary Billiary Cirrhosis

Bacterial infections can cause inflammation of the colon and stomach, causing diarrhea that may contain mucus and spots of blood. Viral gastroenteritis does not typically cause bloody diarrhea.

Treatment for gastroenteritis usually involves fluids, rest, and antibiotics or antivirals, depending on the cause.

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Occasional minor to mild rectal bleeding is extremely common and some times these symptoms can be assosiated with life threatening conditions. 

Seek urgent Medical attention

Severe, chronic, or painful rectal bleeding may be a sign of a more serious underlying condition and should be assessed by a doctor.

People normally notice rectal bleeding when they see streaks or drips of blood in their stool, the toilet bowl, or when wiping. Some people might also find blood in their underwear, or the toilet water may appear reddish-pink after they go to the bathroom.

Some cases of rectal bleeding also cause very bad smelling, dark, tarry stool mixed with very dark red to black blood.

Reasons to see a doctor for rectal bleeding include:

  • Bleeding that lasts longer than 2 or 3 weeks
  • children with bloody stool or rectal bleeding
  • unexplained weight loss, fatigue, or weakness as well
  • painful, swollen, or tender abdomen
  • accompanying fever
  • simultaneous lumps in the abdomen
  • stool that is thinner, longer, or softer than normal for 3 weeks or more
  • accompanying nausea or vomiting
  • accompanying long-term constipation or changes in bowel habits
  • associated uncontrolled leakage from the anus

Reasons to seek emergency care for bleeding include:

  • Vomiting or coughing up blood
  • Blood running from the nose, eyes, or ears
  • Bleeding that is very dark red or black
  • The reason of bloody diarrhea is unclear, such as unrelated to an abdominal condition or medical treatment
  • Loss of consciousness or confusion
  • Extreme abdominal or lower back pain


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If the cause of rectal bleeding is unknown, a doctor will normally ask questions about symptoms and the person’s medical history.

Depending on the severity, frequency, and accompanying symptoms, the doctor will work out if further testing is required. 

Common tests associated with rectal bleeding include:

  • A physical examination of the anus and rectum
  • Analysis of a stool sample

Specialists may perform additional tests that might include:

  • Colonoscopy or flexible sigmoidoscopy where the colon is examined by the insertion of a tube with a camera
  • Anoscopy where a device is inserted into the anus to examine the tissue
  • Biopsy or removal of a small tissue sample for examination
  • Computed tomography or CT scan that provides a 3-D image
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Should you worry?

A few occasional drops or streaks of blood in the toilet, when wiping, or in the stool, is usually not a worry.

Some people may avoid talking with their doctor about rectal bleeding out of embarrassment and anxiety, even in moderate or severe cases. While rare, heavy or chronic rectal bleeding can cause serious blood loss or be a sign of an underlying condition that requires treatment.

People should see a doctor about rectal bleeding that is chronic or noticeable, abnormal growths around the anus. It is also a good idea to talk with a doctor about rectal bleeding that does not respond to home remedies.

People should seek emergency medical attention for rectal bleeding or stool that is very dark, especially if they are also vomiting or coughing up blood. It is also vital to seek immediate help for bleeding that lasts for more than a few minutes or is accompanied by other symptoms, such as severe pain, fever, or weakness.


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People may wish to talk to a doctor about gastrointestinal symptoms that may be a sign of underlying conditions, including infections, digestive conditions, or abnormal growths.

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Prevention Tips

Common prevention tips for rectal, colon, and anal bleeding include:

  • Eating a balanced diet that is high in fiber
  • Always staying hydrated
  • Not straining when going to the washroom
  • Wiping the anus gently
  • Treating chronic or prolonged constipation with over-the-counter remedies, such as stool softeners, which are available online
  • Treating chronic or prolonged diarrhea with over-the-counter remedies, such as bismuth subsalicylate, which is available online
  • Trying not to lift heavy objects unless required
  • Maintaining a healthy body weight
  • Taking long, warm baths frequently if experiencing symptoms following treatment plans set out by a doctor for related medical conditions
  • Trying to avoid spicy, rich, fatty, heavily processed, and refined foods
  • Seeing a doctor about abnormal growths in the area
  • Avoiding overuse of non-steroidal anti-inflammatory (nsaid) drugs