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

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.