It is not uncommon for the lining of the rectal tissue to bleed. Hemorrhoids can also cause bleeding, as well as many other conditions. It may often be confusing as to whether hemorrhoids or rectal prolapse is causing the bleeding, even for physicians who do not usually treat this condition. One test a physician may use is to ask a patient to strain while squatting on the toilet and observe what happens. This is embarrassing for the patient, but it can help towards making an accurate diagnosis. Treatment for rectal prolapsed is very different to treatment for hemorrhoids.

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