Hemorrhoids or Colorectal Cancer?
Because both can cause rectal bleeding, patients frequently worry about this distinction. Symptoms overlap, and the two conditions can also coexist, which is why self-diagnosis is unreliable.
Findings more suggestive of hemorrhoids
- Bright red blood on the paper or dripping after defecation
- Itching, a sensation of swelling or a reducible lump
- Symptoms fluctuating with constipation or straining
Findings that require prompt investigation
- Blood mixed within the stool or dark, tarry stools
- Persistent change in bowel habit or pencil-thin stools
- Unintended weight loss, fatigue or anaemia
- New symptoms after the age of 45–50
- Family history of colorectal cancer or polyps
Why both can be present
Finding hemorrhoids on examination does not exclude a lesion higher in the colon. When risk factors or alarm features are present, colonoscopy is advised even if hemorrhoids are visible.
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