When to consider endoscopy: Is this bleeding just from piles?

Written in association with: Mr Michail Klimovskij
Published: | Updated: 13/10/2024
Edited by: Conor Lynch

Rectal bleeding is a common symptom that many people associate with haemorrhoids (piles). While haemorrhoids can indeed cause bleeding, it is crucial not to assume that this is always the cause.

 

If you are experiencing rectal bleeding, especially if it's persistent or accompanied by other symptoms like abdominal pain or changes in bowel habits, it might be time to consider an endoscopy to rule out more serious underlying conditions.

What can rectal bleeding indicate?

Haemorrhoids occur when veins in the rectum or anus become swollen, often leading to discomfort, itching, and bleeding during bowel movements. While they are generally harmless, rectal bleeding can also indicate conditions such as colorectal polyps, diverticulosis, inflammatory bowel disease (IBD), or even colorectal cancer. This is why consulting a specialist for a thorough evaluation is important, especially if the bleeding is heavy or long-lasting.

 

What is an endoscopy?

An endoscopy is a minimally invasive procedure where a flexible tube with a camera is inserted into the digestive tract, allowing doctors to examine the colon and rectum. This procedure can help identify the source of bleeding, whether it is haemorrhoids or another condition like ulcers, polyps, or tumours.

 

If haemorrhoids are confirmed as the cause, treatment can often be carried out during the same procedure. For instance, endoscopic techniques such as banding, where a rubber band is placed around the base of the haemorrhoid, or sclerotherapy, where a solution is injected to shrink the haemorrhoid, can be performed.

 

In some cases, surgical removal may be necessary for larger or more painful haemorrhoids. By undergoing an endoscopy, not only can the exact cause of the bleeding be determined, but treatment can be efficiently handled in a single session, providing relief and peace of mind.

 

If you're unsure whether your bleeding is from haemorrhoids or something more serious, it's best to seek professional advice. Early diagnosis and treatment can prevent complications and ensure effective management of your condition.

By Mr Michail Klimovskij
Surgery

Mr Michail Klimovskij is a highly experienced consultant general and colorectal surgeon based in Sussex with over 10 years of experience. He currently practices at East Sussex Healthcare NHS Trust (ESHT) and sees private patients at Sussex Premier Health Hospital. He is recognised for his expertise in laparoscopic, major, colorectal, general, and emergency surgery.

Mr Klimovskij completed his medical education at Vilnius University, Lithuania in 2008, followed by his general surgery training in 2014. He became listed on the General Medical Council (GMC) Specialist Register in 2015. Continuing his professional growth at ESHT, he has developed advanced skills in general and colorectal surgery, with a strong focus on laparoscopic and minimally invasive techniques.

Mr Klimovskij has broad experience in gallbladder surgery. He was part of the ‘hot gallbladder’ team performing emergency cholecystectomies and has expertise in dealing with difficult gallbladder. 

Mr Klimovskij has accomplished laparoscopic hernia repair courses and has expertise performing laparoscopic hernia surgery. 

Mr Klimovskij is interested in complex abdominal hernia surgery and has participated in international training and performing complex abdominal wall reconstruction surgery for advanced incisional or ventral hernias.

Michail Klimovskij has expertise in undertaking major bowel surgery. He is performing laparoscopic and open surgery for colon and rectal cancer as well as inflammatory bowel disease as a part of a colorectal team in East Sussex Healthcare NHS Trust.

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