What lifestyle and dietary advice can I provide to patients experienci

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Lifestyle and dietary advice for patients presenting with rectal bleeding includes:

Ensure stools are soft and easy to pass to reduce strain and irritation; if constipated, manage constipation appropriately .
Advise a gradual increase in dietary fibre intake by eating a balanced diet containing whole grains, fruits, and vegetables to aid stool softening and bowel regularity ,.
Encourage adequate fluid intake, especially when increasing fibre, to maintain soft, well-lubricated stools and prevent intestinal obstruction ,,.
Advise on correct anal hygiene: keep the anal area clean and dry, use careful perianal cleansing, and pat dry rather than rub to reduce irritation and itching .
Advise against stool withholding and undue straining during bowel movements, as these worsen symptoms .
Recommend lifestyle measures such as regular exercise and weight management, which may reduce risk factors associated with some causes of rectal bleeding like diverticular disease .
Offer simple analgesia such as paracetamol for pain relief if needed, avoiding opioids and NSAIDs if rectal bleeding is present .

What lifestyle and dietary advice can I provide to patients experiencing rectal bleeding?