Diagnosing your condition
Rectal bleeding is a common symptom. The majority of conditions that cause rectal bleeding are not serious, but in some cases, it may indicate more serious pathology. It is sensible to report such symptoms to your GP, who will probably recommend a referral. After being assessed in the surgical clinic, investigations can be organised (colonoscopy or CT colon) which will usually provide the diagnosis and then treatment can be advised.
Itching (pruritus ani) and soreness is a common problem. In some cases it may be related to skin conditions such as eczema or psoriasis, but can be caused by conditions such as haemorrhoids. The treatment relies on treating any underlying condition.
Abdominal pain can be caused by numerous conditions and may require further investigation. In some cases, patients find that their pain is worsened by eating. This can indicate gallstones or irritable bowel syndrome (IBS) which can be associated with other symptoms including bloating and constipation or diarrhoea. Abdominal pain associated with weight loss, a feeling of tiredness or breathlessness may indicate a more serious underlying condition.
The symptom of pain in going to the toilet is common and very variable. The pain can be associated with a lump and bleeding. Pain of this type is commonly caused by conditions such as a tear or piles. In addition, abscesses and fistulas (connections between the anal canal and the skin of the buttock) need to be excluded.
A sensation something coming out of your bottom (prolapse) can be from a pile. In some cases, the pile can be permanently on the outside and cannot be pushed back inside. Occasionally, the prolapse can be more serious. If you feel that you have something which comes out when you go to the toilet you should visit your GP, who can arrange a referral.
Piles are common and can result in a number of symptoms including bleeding, discomfort, leakage and lumps protruding from the anus. Many patients will use over the counter remedies, but in some cases these do not work. Surgery maybe an option in these circumstances.
An anal fissure is a tear in the anal canal, often caused by straining. Signs of a tear include a stinging or burning pain, and the appearance of a small amount of blood. Many fissures will heal on their own. If the symptoms persist, topical treatments are available to relieve the pain while the fissure repairs itself. However, some tears can last for a long time. The fissures can also reoccur, or fail to heal properly. In this case surgery maybe indicated.
Anal fistulae are a relatively common condition which arise as a result of an infection in the anus. A fistula appears as a small tunnel when drained. For many, this condition can be chronic and in the majority of cases, surgery is required to treat this condition. There are many surgical options depending on the complexity of the fistula.
A hernia forms when an internal part of the body protrudes through a weakened muscle or tissue wall. The most common area is in the abdomen or groin area. If you have noticed a lump when coughing or straining that can be pushed back in, it is likely to be a hernia.
What our patients say…
Leanne Wade, Swansea
"Mr Davies took time to listen and understand my problem"