Rectal Bleeding During Pregnancy
11.03.2017 Andrew Johns 0 Popular
Pregnancy and Rectal Bleeding
Bleeding from the upper gastrointestinal divisions (esophagus, stomach and small intestine) can manifest itself through the rectum with the loss of blood of dark red color due to its quick passage, but usually melena is observed. Bleeding from the rectum is accompanied by severe/sudden blood loss. Patients with chronic blood loss are admitted with anemia of iron deficiency.
Causes of Rectal Bleeding During Pregnancy
- Anal fissure;
- Rectal solitary ulcer syndrome (mucosal prolapse).
- Inflammatory bowel disease;
- Adenomatous polyps;
- Arteriovenous malformations of Meckel Diverticulum.
Medical History and Examination of Rectal Bleeding During Pregnancy
A detailed medical history may give a clue to the root cause of colorectal bleeding. Discharge of bright red blood apart from the faeces may suspect an anorectal cause. Diarrhea and mucus, with dark blood, lead to suspect colitis or swelling. Changes in bowel function in the disease – constipation and diarrhea with intestinal discomfort — may suspect a cancer. Defecation urgency, acute bleeding and abdominal pain are more common for colitis. Examination of rectum and proctosigmoidoscopy help in the diagnosis of anorectal disease.
Colonoscopy, though hardly feasible in case of bleeding, at least, identifies the affected segment. Angiography of mesentery, if it is possible to perform, helps to determine the diagnosis. The examination of the surgeon is required when a women is admitted with acute rectal bleeding and hemodynamic disorders during emergency therapy. If the cause is not found in the lower divisions, endoscopic examination of the upper gastrointestinal divisions is recommended.
Hemorrhoids and anorectal fissures are the most common anorectal disorders during pregnancy, they cause considerable inconvenience. The real incidence of these diseases is unknown. During pregnancy, they are not diagnosed and not treated until delivery.
Hemorrhoids during pregnancy occurs due to the increase in the volume of circulating blood, increasing venous stagnation caused by squeezing the upper rectal veins of the pregnant by the uterus, as well as the relaxing effect of progesterone on the smooth muscles of the walls of veins. Clinical symptoms of hemorrhoids are bleeding, loss of nodes, mucous discharge, itching and discomfort in the rectum. The diagnosis is set by simply inspecting the anus. During pregnancy sigmoidoscopy and colonoscopy are safe.
Treatment during pregnancy is mainly aimed at relieving the symptoms, especially the pain. Conservative treatment is a diet change, increase of fluid intake, medications, softening the feces, and analgesics. Most women have symptoms disappeared shortly after delivery. Therefore the final treatment is postponed until the postpartum period.
The ligation of hemorrhoids with rubber rings can be safely performed at pregnant women with internal hemorrhoids. The hemorrhoidectomy is performed with a significant loss of nodes or accompanying ulceration, strong bleeding, fissure, anal fistula and the absence of the effect of conservative treatment.
Anal fissure is a painful condition that occurs at a large part of the population. It usually occurs when solid faeces are passing through which damage and violate the integrity of the epithelium of the anus. Clinical symptoms are pain during defecation with blood or wiping the anus. At pregnant women the disease is especially prevalent due to frequent constipation. The increased production of progesterone during pregnancy leads to relaxation of smooth muscles and slowing of intestinal passage. Contributing factor is preventive and curative use of iron supplementation during pregnancy with constipating effect.
The choice of treatment method for optimal clinical results and causing the patient the least pain and inconvenience is always a difficult task for surgeons. Acute fissures are healed exceptionally by conservative methods, but for chronic fissures to reduce spasm of sphincter certain manipulations or surgical intervention are required.
Inflammatory Bowel Disease
Sometimes inflammatory bowel disease first manifests itself during pregnancy. Recurrence of Crohn's disease during pregnancy is usually manifested in the first trimester. A large part of patients regularly take some drugs.
Many patients with ulcerative colitis and surgical treatment with the anastomosis between the ileum and rectum in medical history are pregnant. Long-term outcomes of pregnancy and natural childbirth at such patients are good.
Treatment of colorectal cancer is performed with compliance with generally accepted principles. With indications, primary surgical treatment is always performed. In the later stages of pregnancy it is preferred to postpone the surgery until the fetal gestation and delivery. Most authors recommend to perform the primary surgical treatment of colon cancer in the first half of pregnancy because the deferral treatment before birth can lead to the spread of the tumor. Rectal cancer during pregnancy is treated somewhat differently than colon cancer. During the first 20 weeks of pregnancy, at patients wishing to carry the pregnancy, primary resection and chemotherapy are performed after delivery. If the patient chooses abortion, then after abortion she is treated as non-pregnant.
During pregnancy safe and timely surgical treatment of many diseases of the colon allows to save the life of the fetus and fertility of the woman. In benign diseases the possibility of conservative treatment is wider. For patients with malignant tumor the risk of delay of surgical treatment, chemotherapy or radiotherapy is unknown. It should be found out whether a woman plans to have more children. A multidisciplinary approach with the close interaction of obstetrician-gynecologist, surgeon, oncologist, pediatrician and neonatologist is recommended.
Prevention of Rectal Bleeding
As we have already said, the most common cause of the fissure and hemorrhoid is constipation, therefore tuning the digestive system is the first step to prevent the blood from the rectum during pregnancy.
Here are a couple of tips on how you can prevent or relieve constipation:
Is it Normal to Bleed When You Poop While Pregnant?
Why nose bleed occurs during Pregnancy? How to treat nose bleed?
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Period or Early Pregnancy Bleeding?
Last updated on Mar 15, 2018
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If you’re bleeding but think you could be pregnant, is it early pregnancy bleeding, implantation bleeding or the onset of your period?
How can you tell if you are getting your period, or if you are experiencing early pregnancy bleeding? Some women continue to have periods while they are pregnant, but how common is that? How can you tell if it is implantation bleeding or if your period is here? When is bleeding enough to warrant contacting your doctor? Those are all very important and valid questions, and today we are going to help you figure them all out. Claim Your 20 Free Pregnancy Tests – Click Here
Implantation bleeding occurs in about one third of pregnant women. It usually happens about a week after you ovulate, or three weeks from the date of your last menstrual period. Implantation bleeding is normally pinkish or brownish in color, and it will come before your period is due. Implantation bleeding can be differentiated from a period by the lack of accompanying symptoms. With implantation bleeding, there will be no cramps, no breast tenderness, and no irritability like with PMS. There are usually no other symptoms other than the blood, which is usually darker than normal menstrual blood. There is also usually less blood than with a normal period, and some women’s implantation bleeding is only spotting.
The only real way to know if it is implantation bleeding or your period, if you can not tell on your own, is to take a pregnancy test. You will have to wait until the date that your period should start to get an accurate result. However, if you can not wait, and take a pregnancy test before your period is due, you do have a risk of getting a false positive result even if you really are pregnant, since there probably will not be enough hCG in your body yet to be detected by a test.
If you are bleeding and think you may be pregnant, the first thing to do is take a test to be sure. If you get a negative result, it could be implantation bleeding and you are testing too early for the test to detect hCG in your system, or it could simply be your period.
If, however, the test is positive and you are bleeding, don’t automatically freak out. Bleeding during your first trimester is actually fairly common, affecting about 20 to 30 percent of women. Sometimes the changes to your uterus during early pregnancy, including the increased blood flow to the area, can cause some light spotting or bleeding for a day or so. Many pee-on-a-stick addicts take pregnancy tests daily for 1-2 weeks straight for the reassuring, darkening double line on that pregnancy test. You’re not alone if you’re doing that! And good thing for the ConceiveEasy TTC Kit offer above, as you can get 20 free pregnancy tests to help you cost-wise just for trying out the kit.
However, if the bleeding continues, gets heavier, or is accompanied by pain such as cramping or back pain, you need to see a doctor. Bleeding during early pregnancy is sometimes a sign of miscarriage. About half the time, bleeding during pregnancy is a sign of miscarriage, and the other half of the time it is not.
So, a good rule of thumb to remember is that if the bleeding is enough to be a cause of concern for you, you should see your doctor. Where your pregnancy is concerned, it is always better to be safe than sorry. Bleeding associated with a miscarriage is generally brighter red in color, more copious and is often associated with cramping and pain. Do keep this in mind. Whereas, with implantation bleeding is usually much lighter in amount, and pink or brownish in color.
If you do wind up miscarrying or experiencing a chemical pregnancy (otherwise known as an early miscarriage), don’t fret. Just let your body heal, wait for your cycles to renew themselves again, and try again. Women who try to conceive shortly after miscarriage are generally more successful, so have faith. If you bought the ConceiveEasy TTC Kit to use the pregnancy tests, now try out the Months 1 & 2 supplement, to really give your fertility the boost it needs.
Good luck to you!
Period or Early Pregnancy Bleeding? , 2.8 out of 5 based on 60 ratings
Lindsey Zaldivar | ConceiveEasy Correspondent Lindsey lives in Roselle, Illinois with her husband and son Harry. In between keeping up with a busy toddler, she enjoys blogging about parenting, cooking, crafting at The Accidental Wallflower.
Pregnancy time blood bleeding
Pregnancy is a glorious period for any women, but it could also be a time filled with worries and concerns for many pregnant women. Noticing bleeding during pregnancy can set off alarm bells for all the pregnant ladies. Is it a sign of danger? Is it the menses, which plenty of women swear they continue to experience all through their pregnancies? Or is it something entirely different? Bleeding during pregnancy could be cause for concern but it could also be quite physiological. So how does a pregnant woman know when to call her health care provider?
Vaginal bleeding can be defined as any blood coming from the vagina (the canal that leads from the uterus to the external genital organ). This generally refers to abnormal bleeding not associated with a regular menstrual cycle. Here is some of the common bleeding during pregnancy
- First trimester bleeding is any vaginal bleeding that occurs during the first three months of pregnancy and here, vaginal bleeding might differ from light spotting to severe bleeding having clots. Vaginal bleeding is a general problem in early pregnancy that complicates 20-30% of all the pregnancies.
- Any vaginal bleeding occurring in the second and third trimesters of pregnancy (the last six months of a nine-months pregnancy) includes concerns different from bleeding in the first three months of the pregnancy and bleeding during the 2 nd and 3 rd trimesters is considered to be abnormal.
- Bleeding from the vagina after the 28 th week of pregnancy is a genuine emergency and the bleeding might range from very mild to very brisk and might or might not be accompanied by abdominal pain. Hemorrhage (another term for bleeding) is the commonest cause of death of the mother in the US and also across the world. It will complicate about 4 per cent of all pregnancies.
A miscarriage is the termination of a pregnancy before the 20th week of pregnancy and about 20 per cent of all pregnancies result in miscarriage. There are several causes for miscarriage and the most common are a result of chromosomal anomalies, uterine abnormalities, infections, or improper placental circulation. Signs of miscarriage include spotting or bleeding and cramps during pregnancy. If the woman is concerned that she is miscarrying, she should call her doctor right away.
A doctor might perform an ultrasound and about half of the total woman who has spotting during pregnancy do not miscarry as if during the ultrasound a doctor notices a heartbeat, the chances of miscarriage are even lessened. If she has an ultrasound between 7 th and 11 th weeks of pregnancy and a heartbeat is noticed, the chances of miscarrying are lesser than 10 per cent.
Another bleeding during pregnancy could be an Implantation bleeding. This is w hen a fertilized ovum attaches to the uterine lining and results in light spotting and/or streaking (streaks of the blood). Generally, this will only last a day or two; nevertheless the woman should mention it to her healthcare provider for safe measure. Implantation bleeding is generally bright fresh blood such like what she would expect to see if her finger is cut; however, it can also be like a pink mucous stain.
Another pregnancy bleeding is Placental abruption. This is when the placenta gets separated from the uterus and sometimes a partial separation will occur and sometimes it separates completely. This is an emergency case and might result in the death of the unborn or the mother. Symptoms involve vaginal bleeding, abdominal cramps and soreness and continuous uterine contractions. Bleeding can also occur due to labor. If the woman is approaching her due date and notice a small amount of bleeding, this might be an indication that she is going into labor. Contact the doctor as soon as possible is the best solution. In some of the cases, the causes of the spotting remain a mystery, as there have been hundreds of thousands of cases where women have had bleedings or spotting in the pregnancy and have successfully full term and healthy infants.
The important thing is that the moment pregnant woman experiences any type of bleeding or spotting; she should inform her healthcare provider as soon as possible
Http://www. conceiveeasy. com/get-pregnant/period-or-early-pregnancy-bleeding/
Http://www. ayushveda. com/pregnancy/bleeding-during-pregnancy. htm