Cause of your symptoms

The bleeding is probably from normal veins just inside your back passage commonly called piles when they bleed and if your abdominal pain settles quickly it is probably due to bowel spasm.


Try the treatments outlined below for two weeks. However, if your abdominal pain is preventing any of your activities like working or sleeping see your GP.


Eat a simple diet and if necessary take antispasmodic tablets for your abdominal pain or discomfort. It is normal to strain a little when passing a motion but too much can cause bleeding. A pharmacist can advise on suitable treatments.

What now?

If you get completely better in the next two weeks nothing further needs to be done. However, if your symptoms do not improve or recur after stopping treatment see your GP.

Summary of your symptoms

Date checker completed: Monday 20th May 2024

You are over 50 yrs old and have abdominal pain associated with weight loss and or a reduction in appetite. You also have rectal bleeding without pile symptoms.

Additional information if you see your GP

People who persistently eat less to avoid their abdominal pain and or lose weight may have a partial bowel blockage and require prompt investigation in hospital.

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