There are a number of common gastrointestinal conditions, disorders and diseases that may cause problems. These include:

Rectal Bleeding

The passage of blood per rectum is a very common symptom. It is often attributed to 'piles' and indeed haemorrhoids or 'piles' are one of the common causes. However, there are other causes including diverticular disease, inflammatory bowel disease (Ulcerative Colitis and Crohn's disease), anal fissure or fistula, solitary rectal ulcer syndrome, neoplasia, arteriovenous malformation (angioectasias) and radiation proctitis.

It is important to know when and how to investigate this symptom further. The type and amount of the bleeding as well as the age of the patient are important in the assessment. Any rectal bleeding that is prolongued or frequent requires medical assessment. Investigations usually involve a PR (digital) examination, some blood tests and a proctoscopy, sigmoidoscopy or colonoscopy. 

