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What Are the Barriers in Care of Patients Suffering With Rectal Bleeding?

Rectal bleeding

Rectal bleeding can occur for various reasons. Whatever the cause, it is always good to see your doctor if you notice blood or changes in the color of the stool. You should not depend on self-diagnosis, especially if the symptom persists for a long time. This can help to avoid the barriers to a good care that is needed by a patient.

Recent studies to evaluate and study the barriers and limitations to care for patients with rectal bleeding

A recently completed clinical study titled “Barriers to Care in Patients with Rectal Bleeding in Nigeria” studies health care behaviors and barriers to care in patients suffering from rectal bleeding in Nigeria. behavior of patients suffering from rectal bleeding and their risk of developing colorectal cancer and also to evaluate the GP’s perceived barriers to colonoscopy for patients suffering from bleeding.

Patients who had hematochezia were invited to electronic media and print media for free medical consultation. Consenting patients completed a purposeful design questionnaire for the study to assess the knowledge, attitude and practice of patients with rectal bleeding regarding the possibility of colorectal cancer prevention. The results of the study have not yet been posted. It is hoped that the study will provide information about patients’ knowledge about the causes of rectal bleeding and their attitudes towards seeking expert opinion for possible diagnostic tests for colorectal cancer (CRC).

Rectal bleeding is a very common clinical sign. It is also often caused by hemorrhoids. In fact, one of the ways that hemorrhoids are identified is blood in the stool. But, there are little data elements about patients with hemorrhoids and who suffer from rectal bleeding.

In a recent study, all consecutive patients with hemorrhoids and rectal bleeding, seen over a period of 5 years at the endoscopy department of the Zaans Medisch Centrum, the community hospital of the Zaanstreek in the Netherlands, were examined. It was seen that with increasing age more incidental pathology other than hemorrhoids was found. One of them was diverticuli of the colon. Irritable bowel disease (IBD) is more common in younger patients with hemorrhoids. Colorectal cancer was only found in patients >50 years.

The clinical trial shows that patients with hemorrhoids can also have other causes of bleeding. Hemorrhoids can be easily identified and thus blamed for rectal bleeding, and this can lead to a delay in seeing a doctor. This disrupts the care that patients need for chronic or life-threatening illnesses.

A total of 30k+ respondents over the age of 40 completed a questionnaire in a study. The proportion of individuals with no contact with the doctor varied between 69.8% and 79.8% for rectal bleeding and blood in the stool frequency, respectively. The most commonly reported barriers were concerns about wasting the doctor’s time and being too busy to make time to see the doctor. Men with rectal bleeding reported more often than not that they were worried about what the doctor could identify as the reason for the presence of blood in their stool. The proportion of individuals reporting barriers was, in general, higher among the youngest age group in this study.

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