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Last update September 2024

Hemorrhoids vs Cancer

I’ve noticed symptoms that could either be hemorrhoids or something more serious like cancer. How can I tell the difference between these conditions?

Answered by

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Lisa Miller, Patient Advocate

Rectal bleeding and discomfort can be caused by hemorrhoids or more serious conditions like colorectal cancer. Understanding the key differences between these two conditions can help guide you on when to seek medical attention.

Key Differences:

  • Bleeding: Hemorrhoid bleeding is usually bright red and occurs during or after bowel movements. Colorectal cancer may cause dark or bright red bleeding, which is more sporadic.
  • Symptoms: Hemorrhoids often cause anal itching, pain, and swollen veins around the anus. Colorectal cancer typically doesn’t cause external lumps or itching but may involve abdominal discomfort, weight loss, and changes in bowel habits.
 

Additional Symptoms of Colorectal Cancer:

  • Persistent abdominal discomfort
  • Unexplained weight loss
  • Changes in bowel habits (diarrhea or constipation)
  • Weakness or fatigue
 

Hemorrhoids: Often managed with home remedies like warm sitz baths, herbal ointments, and a high-fiber diet. Severe cases may require procedures like rubber band ligation or surgery.

Colorectal Cancer: Treatment depends on the stage and may include surgery, radiation, chemotherapy, or targeted therapies. Complementary treatments, such as dietary changes and acupuncture, can support overall well-being alongside conventional treatment.

While hemorrhoids are a common cause of rectal bleeding, it's crucial to get a proper diagnosis to rule out colorectal cancer. Early detection and treatment can make a significant difference, and integrating alternative therapies may help support health during recovery.

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