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Common causes of rectal bleeding include: Anal fissure (a small tear in the lining of the anal canal) Constipation Hard stools Hemorrhoids (swollen and inflamed veins in your anus or rectum) Less common causes of rectal bleeding include: Anal cancer Angiodysplasia Colon cancer Colon polyps Crohn's disease (a type of inflammatory bowel disease) Diarrhea Diverticulosis Inflammatory bowel disease (IBD) Ischemic colitis Proctitis (inflammation of the lining of the rectum) Pseudomembranous colitis (colon inflammation caused by an infection) Solitary rectal ulcer syndrome (a sore on the wall of the rectum) Ulcerative colitis When to see a doctor Seek emergency help if you have significant rectal bleeding and any signs of shock: Rapid, shallow breathing Dizziness or lightheadedness after standing up Blurred vision Fainting Confusion Nausea Cold, clammy, pale skin Low urine output Seek immediate medical attention Have someone drive you to an emergency room if rectal bleeding is: Continuous or heavy Accompanied by severe abdominal pain or cramping Make an appointment to see your doctor if you have rectal bleeding that lasts more than a day or two, or earlier if the bleeding worries you

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