Rectal Diseases

About

Rectal Diseases

What are Rectal Diseases?

Rectal diseases refer to a group of conditions that affect the rectum — the final part of the large intestine that stores stool before it leaves the body. These conditions can cause discomfort, pain, bleeding, or changes in bowel habits.
Common rectal diseases include hemorrhoids, anal fissures, rectal prolapse, rectal abscesses, rectal cancer, and inflammatory conditions such as proctitis. While some of these conditions are mild and temporary, others may require medical or surgical intervention.

Are Rectal Diseases Common?

Yes, many rectal diseases are common, especially hemorrhoids and anal fissures, which affect millions of people each year. Rectal cancer and inflammatory disorders are less common but more serious and require prompt diagnosis and treatment.

Can Rectal Diseases be cured?

Many rectal conditions can be effectively treated or managed with medication, diet, and lifestyle changes. Early detection and proper care are essential to prevent complications. More serious conditions, such as rectal cancer or chronic inflammatory disease, may require surgical or long-term medical management, but outcomes are often positive when caught early.

Causes

What causes Rectal Diseases?

The causes vary depending on the specific condition, but common factors include:

  • Chronic constipation or diarrhea – straining or frequent bowel movements can damage rectal tissue.
  • Low-fiber diet – leading to hard stools and increased pressure on the rectum.
  • Prolonged sitting – especially on the toilet, which can increase pressure in the rectal veins.
  • Infections – bacterial, viral, or sexually transmitted infections (STIs) can cause inflammation or abscesses. 
  • Inflammatory bowel diseases (IBD) – such as ulcerative colitis or Crohn’s disease, which can inflame the rectal lining.
  • Trauma or injury – including childbirth, surgery, or anal intercourse without adequate protection or lubrication can increase risk of fissures or infection.
  • Tumors or polyps – benign or malignant growths that develop in the rectum.

What are the risk factors?

You may be more likely to develop rectal disease if you:

  • Have chronic constipation or diarrhea
  • Eat a low-fiber diet or are dehydrated
  • Lead a sedentary lifestyle
  • Are overweight or obese
  • Have inflammatory bowel disease (IBD)
  • Have a family history of colorectal or rectal cancer
  • Engage in receptive anal intercourse
  • Are over the age of 50

With Insurance

Gastroenterology

Your copay
Depending on insurance

Without Insurance

*Price Effective 12/1/2025
$169
Initial Visit
$109
Follow Up
Gastroenterology

$149

Initial Visit

$99

Follow Up

Symptoms

What are the symptoms of Rectal Diseases?

Symptoms depend on the specific condition but may include:

  • Rectal pain or pressure
  • Bleeding during or after bowel movements
  • Itching, burning, or irritation around the anus
  • Mucus discharge from the rectum
  • A feeling of incomplete bowel evacuation
  • Changes in stool shape, size, or frequency
  • Swelling or lumps near the anus (as in hemorrhoids or abscesses)
  • Protrusion of tissue (in rectal prolapse) most common in older adults and women after childbirth. 
  • Unintentional weight loss, fatigue, or anemia (in rectal cancer)

Rectal bleeding should never be ignored — while it is often caused by hemorrhoids or fissures, it can also be an early sign of cancer or other serious disease.

Diagnosis

How are Rectal Diseases diagnosed?

Diagnosis starts with a review of symptoms and a physical examination. Depending on your condition, your doctor may recommend:

  • Digital rectal exam (DRE) – to feel for lumps, swelling, or tenderness.
  • Anoscopy or sigmoidoscopy – to view the inside of the rectum and lower colon.
  • Colonoscopy – to examine the entire colon and rule out cancer or polyps.
  • Imaging tests – such as CT or MRI scans to detect abscesses, tumors, or prolapse.
  • Stool tests – to check for hidden blood or infection.
  • Biopsy – if abnormal tissue or growths are found.

Treatment

How are Rectal Diseases treated?

Treatment depends on the underlying cause but may include:

Lifestyle and dietary changes:

  • Eat a high-fiber diet (fruits, vegetables, whole grains)
  • Drink plenty of water
  • Avoid straining or sitting on the toilet for long periods
  • Exercise regularly to promote bowel movement
  • Use stool softeners if recommended by a provider

Medications:

  • Topical creams or suppositories to relieve pain, itching, or inflammation
  • Antibiotics for infections or abscesses
  • Anti-inflammatory medications for conditions like proctitis or IBD
  • Laxatives or stool softeners for constipation
  • Iron supplements if chronic bleeding leads to anemia

Procedures and surgery:

  • Rubber band ligation or sclerotherapy – for hemorrhoids
  • Drainage procedures – for abscesses
  • Surgical repair – for rectal prolapse or severe fissures
  • Polyp removal or cancer surgery – if tumors are found
  • Radiation or chemotherapy – for rectal cancer treatment

Early medical care and lifestyle adjustments can relieve discomfort, prevent recurrence, and reduce the risk of complications.

References

Mayo Foundation for Medical Education and Research. (2024, March 10). Rectal Diseases and Disorders. Mayo Clinic.https://www.mayoclinic.org
U.S. National Library of Medicine. (2024, February 12). Rectal Disorders. MedlinePlus. https://medlineplus.gov
American College of Gastroenterology. (2023). Rectal Conditions: Causes, Diagnosis, and Treatment. gi.org

Medically reviewed by:

Dr. Javeed Siddiqui, MD, MPH

Dr. Siddiqui is the Chief Medical Officer at TeleMed2U responsible for clinical and technical program development as well as maintaining a thriving telemedicine practice in infectious diseases which includes specialized care of Hepatitis and HIV.

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Affordable – with or without insurance

With Insurance

Gastroenterology

Your copay
Depending on insurance

Without Insurance

*Price Effective 12/1/2025
$169
Initial Visit
$109
Follow Up
Gastroenterology

$149

Initial Visit

$99

Follow Up