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Rectal Bleeding

I have seen a description of a condition which sounds like prolapsed
hemorrhoids, accompanied by profuse bleeding.

I am not a medical professional.

Can anyone confirm that such a condition can exist?

The woman was reported to have bled profusely from the rectum after
drinking (probably a considerable amount of) alcohol.

Can anyone confirm that such a condition is medically plausible?

- Whippersnapper

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posted by admin in Uncategorized and have Comments (2)

2 Responses to “Rectal Bleeding”

  1. admin says:

    In article <4aapdi$…@spectator.cris.com> Whippersnapper,

    whips…@cris.com writes:
    >I have seen a description of a condition which sounds like prolapsed
    >hemorrhoids, accompanied by profuse bleeding…

    >Can anyone confirm that such a condition can exist?

    Hemorrhoids can bleed, but the problem is that it is very difficult to
    assign rectal bleeding to hemorrhoids without a proper gastroenterologic
    workup, which usually includes fiberoptic endoscopy. Typically,
    hemorrhoids don’t bleed "profusely," (and by that I mean blood loss
    requiring transfusion), and in middle-aged or older individuals,
    diverticulosis or angiodysplasia come to mind as being more likely. But,
    you never really know where the blood is coming from until you look up
    there with a ‘scope.

    >The woman was reported to have bled profusely from the rectum after
    >drinking (probably a considerable amount of) alcohol.

    Hemorrhoids are a known complication of cirrhosis of the liver, as is
    failure of the blood to clot properly. And of course chronic alcoholism
    may cause cirrhosis. Other than that, an association between an alcoholic
    binge and hemorrhoids does not ring a bell with me. Someone please
    correct me if I’m wrong on this.

    Ed Uthman, MD
    Pathologist
    Houston/Richmond, TX, USA

  2. admin says:

    Ed Uthman <uth…@domi.net> wrote:
    >In article <4aapdi$…@spectator.cris.com> Whippersnapper,
    >whips…@cris.com writes:
    >>I have seen a description of a condition which sounds like prolapsed
    >>hemorrhoids, accompanied by profuse bleeding…
    >>Can anyone confirm that such a condition can exist?
    >Hemorrhoids can bleed, but the problem is that it is very difficult to
    >assign rectal bleeding to hemorrhoids without a proper gastroenterologic
    >workup, which usually includes fiberoptic endoscopy. Typically,
    >hemorrhoids don’t bleed "profusely," (and by that I mean blood loss
    >requiring transfusion), and in middle-aged or older individuals,
    >diverticulosis or angiodysplasia come to mind as being more likely. But,
    >you never really know where the blood is coming from until you look up
    >there with a ‘scope.

    It could have been the hemorrhoids themselves that bled, could it not?  
    And though they do not *typically* bleed profusely, is blood loss
    sufficient for transfusion and unheard-of thing?  Bear in mind, alcohol
    was a factor here.

    >>The woman was reported to have bled profusely from the rectum after
    >>drinking (probably a considerable amount of) alcohol.
    >Hemorrhoids are a known complication of cirrhosis of the liver, as is
    >failure of the blood to clot properly. And of course chronic alcoholism
    >may cause cirrhosis. Other than that, an association between an
    >alcoholic
    >binge and hemorrhoids does not ring a bell with me. Someone please
    >correct me if I’m wrong on this.

    The association I’m interested in isn’t whether alcoholism causes
    hemorrhoids, but whether the alcohol would have caused or exacerbated the
    excessive bleeding *of* the hemorrhoids (or other disorder).

    >Ed Uthman, MD
    >Pathologist
    >Houston/Richmond, TX, USA

    Thanks for your help so far, Ed.

    - Whippersnapper