What could cause bowel leakage and bleeding from rectum? have frequent ibs, age 55 female.

Hello. : Hello. I can't diagnose the cause of your symptoms. However, one possibility is an anal fistula. An anal fistulae can present with many different symptoms: pain, bloody or purlent drainage, seepage of feces, itching of the anus. Similar symptoms might occur with a hemorrhoid. I recommend this be evaluated by a general surgeon. Take care.

Multifactorial cause: Irritable bowel syndrome is the multifactorial consequence of hormonal, immune system and nervous system dysfunction resulting from genetic predispositions and dietary and environmental insults. The predominant symptoms like diarrhea cramps constipation are the result of autonomic nervous system instability. Pts like you may benefit from a metabolically directed approach.