Cause of your symptoms

Your rectal bleeding is probably from piles and your abdominal pain settles quickly it is likely to be due to bowel spasm.


Try the treatments outlined below for four weeks.


Eat a simple diet and if necessary take antispasmodic tablets for your abdominal discomfort or pain. It is normal to strain a little when passing a motion but too much can cause bleeding. Try careful cleaning around your bottom for your pile symptoms and if necessary use creams and suppositories. A pharmacist can advise on which treatments you should try.

What now?

If you get better nothing further needs to be done. However, if the bleeding and abdominal pain persist for four more weeks or recur after stopping treatment see your GP.

Summary of your symptoms

Date checker completed: Monday 20th May 2024

You are under 50 yrs old and have rectal bleeding with pile symptoms, abdominal pain with a normal appetite and no weight loss and no change in bowel habit.

Additional information if you see your GP

Your GP will probably examine your tummy and back passage and do a blood test and if these are normal you are at low risk of having any serious bowel disease and it would be reasonable to advise a further period of treat, watch and wait. However, if your symptoms don’t settle completely or recur after stopping treatment your GP may refer you to a routine hospital clinic for investigations and local treatments to stop the bleeding.

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