Rectal bleeding can result from a wide range of conditions, including hemorrhoids, anal fissures, diverticular disease, inflammatory bowel disease, or colorectal cancer. Any rectal bleeding should be evaluated by a physician, especially if it is accompanied by other symptoms such as pain or swelling. It should never be assumed to be harmless without a proper examination.

Rectal pain can be caused by a localized anal condition, such as an anal fissure, external hemorrhoid, or abscess. Persistent and worsening rectal pain warrants prompt evaluation. Dr. Patil will determine the underlying cause at your initial visit and develop a targeted treatment plan.

An anal fissure is a small tear in the lining of the anus, typically caused by passing hard stool or having significant diarrhea. It causes sharp pain during and after bowel movements, often with associated bright red bleeding. Most acute fissures heal with medical treatment including stool softeners, fiber, and prescription topical. Chronic fissures may require surgical repair.

A perianal abscess is a collection of infection near the anus caused by spontaneous infection of anal glands. It typically presents as a painful, swollen lump near the anus and can be accompanied by fever. Treatment requires surgical drainage, usually performed in the office, providing immediate relief. Untreated abscesses can progress to an anal fistula, a more complex condition requiring additional surgery.

An anal fistula is an abnormal tunnel that forms between the inside of the anal canal and the skin near the anus arising from the development of a prior abscess. About 30% of perianal abscesses can leave persistent fistulas, which is why it is important to have abscesses treated promptly. There is often persistent drainage and a sense of a non-healing wound. Anal fistulas should be evaluated and may require surgical treatment.