Cause of your symptoms

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


Try the treatments outlined below for two weeks.


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. Try careful cleaning around your bottom for your pile symptoms and if necessary use creams and suppositories. A pharmacist can advise on suitable treatments

What now?

If you get better nothing further needs to be done. However, if the bleeding and abdominal pain persist for two 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 no change in bowel habit and abdominal pain with a normal appetite.

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 a 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.

If you see your GP it might be helpful to take or email a copy of this page:
To obtain a digital copy of this page, please enter your email address.