What Is PR Bleeding?

Bleeding from the anus or rectum, ranging from bright red blood to maroon stools.

Why Do I Need Evaluation?

To identify the source—hemorrhoids, fissures, IBD, polyps, or malignancy.

Workup & Treatment

  1. History & Exam: Visual inspection, digital rectal exam.
  2. Endoscopy: Anoscopy, sigmoidoscopy, or colonoscopy.
  3. Therapies:
    • Hemorrhoids: band ligation, sclerotherapy
    • Fissures: topical nitrates, Botox
    • IBD: medical therapy
    • Polyps/mass: polypectomy or biopsy