Pain worsens with bowel movements then stops in between bowel movements. In both hemorrhoids and rectal fissures, symptoms are generally improved with use of stool softeners and bulking agents, increasing fiber in the diet, pain control, and frequent warm water baths. Diverticula are outpouchings that project from the bowel wall. Their development is caused by decreased fiber in the diet. People with this condition are usually older than 40 years, and it generally increases with age.
Stools are dark red or maroon.
Pain is usually absent but, when present, typically occurs in the left abdomen. Persistent bleeding may mean hospitalization. Responsible organisms include Campylobacter jejuni , Salmonella, Shigella, Escherichia coli , and Clostridium difficile . Physical complaints include abdominal pain, fever, and bloody diarrhea. Antibiotics may be given for treatment.