Anal Varices Quiz
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Bleeding from anus
Rectal bleeding
Per rectal bleeding
Fresh blood from anus
Passing out blood from the anus
Hematochezia
Started bleeding from the backside
Not seeing your symptoms? No worries!
What is Anal Varices?
Also called anorectal or rectal varices. These are the dilation of submucosal veins, which occur as a complication of portal hypertension. This condition is caused by elevated pressure in the portal venous system, and the portal vein is a major vein leading to the liver. Acute bleeding is rare but can be massive and life-threatening.
Typical Symptoms of Anal Varices
- Blood in stool
- Bleeding from the anus
- Hemorrhoids or lumps around the anus
- Itching around the anus
- Anal pain
- Constipation with urge to go but unable to pass stool
- Constipation
- Swelling in the affected area
Diagnostic Questions for Anal Varices
Your doctor may ask these questions to check for this disease:
- Have you noticed any blood in your stool?
- Are you experiencing anal bleeding?
- Do you have hemorrhoids or lumps around your anus?
- Do you have anal itching?
- Are you experiencing anal pain?
Treatment of Anal Varices
Endoscopic or interventional radiology treatments are typically first-line for acutely bleeding anal varices. Surgery is mainly indicated when endoscopic management fails.
Reviewed By:
Samantha Nazareth, MD (Gastroenterology)
Board-certified gastroenterologist. Experience managing gastrointestinal conditions (GERD, IBS, ulcerative colitis, Crohn’s, celiac disease, NASH) within healthcare organizations (three ambulatory surgical centers, single-specialty practice, multi-specialty practice and solo practice).
Aiko Yoshioka, MD (Gastroenterology)
Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.
Content updated on Feb 19, 2025
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
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See full list
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Maslekar S, Toh EW, Adair R, Bate JP, Botterill I (Year). Systematic review of anorectal varices. Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.
https://pubmed.ncbi.nlm.nih.gov/24020839/Kovacs TOG, Jensen DM (Year). Varices: Esophageal, Gastric, and Rectal. Clinics in liver disease.
https://pubmed.ncbi.nlm.nih.gov/31563215/Goenka MK, Kochhar R, Nagi B, Mehta SK (Year). Rectosigmoid varices and other mucosal changes in patients with portal hypertension. The American journal of gastroenterology.
https://pubmed.ncbi.nlm.nih.gov/1882798/