What causes recurrent bright red bleeding with bowel movements?

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Bright red blood with normal-colored formed stools suggests a likely source around the anal verge or just above, such as the rectum (the last part of the large intestine). Your assessment of painless bleeding aligning with piles (hemorrhoids) is accurate. However, given the recurrent nature, it is advisable to undergo a physical examination to rule out other potential causes of bleeding.

For hemorrhoids, I suggest you continue taking psyllium husk and consider adding a laxative like polyethylene glycol sachet one to two times per day or Sodium picosulphate syrup at a dose of around 0.2 to 0.34 fluid ounces per day. Adjust the laxative dose to achieve the goal of passing soft stools two to three times per day without straining at the anal verge. Avoid prolonged sitting on the toilet and refrain from eating out for a couple of days.

While your symptoms may likely improve in a few days, I would suggest you visit a nearby gastroenterologist or general surgeon for a thorough examination of the anal verge and anal canal using a proctoscope. This step will help confirm the diagnosis and appropriately grade the severity of the piles.

I hope this helps you.

Thank you.

Kind regards.