Blood at the End of Stool: Causes and When to Seek Help

Rectal bleeding?

Hello, doctor! This morning, while having a bowel movement (I usually don't have issues with constipation), I noticed blood at the end of my stool, and there was also blood on the toilet paper when I wiped.
However, I don't feel any discomfort in my abdomen.
I would like to know what this could possibly be and if I need to go to the hospital for an examination.

Cao Tou Huang, 20~29 year old female. Ask Date: 2016/03/22

Dr. Ke Fangxu reply Surgery

This situation is likely indicative of a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Warm sitz baths may also help alleviate symptoms.
You can also purchase over-the-counter hemorrhoidal suppositories for use, and it is important to increase your intake of dietary fiber and fluids.
If bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2016/03/22

More Info

看到大便末端有血液，這種情況可能會讓人感到擔憂，但首先要了解這種情況的潛在原因。血便的原因可以有很多，從輕微的到較嚴重的都有可能。以下是一些常見的原因：
1. 痔瘡：這是最常見的原因之一。痔瘡是肛門周圍的血管腫脹，可能因為排便時用力過度、便秘或長時間坐著而引起。通常，痔瘡引起的出血是鮮紅色的，並且通常不伴隨其他症狀。
2. 肛裂：這是一種小的撕裂，通常發生在肛門的皮膚上，可能因為排便時過於用力或大便過硬而引起。肛裂也會導致鮮紅色的血液，並且可能伴隨疼痛。
3. 腸道疾病：如潰瘍性結腸炎或克隆病等炎症性腸病，這些疾病可能會導致腸道出血，通常伴隨其他症狀，如腹痛、腹瀉或體重減輕。
4. 腫瘤：雖然不常見，但腸道中的腫瘤（良性或惡性）也可能導致出血。這種情況通常伴隨其他症狀，如改變排便習慣、腹痛或體重減輕。
5. 感染：某些腸道感染也可能導致出血，通常伴隨腹瀉、發燒或其他全身症狀。
在您的情況中，因為您提到沒有任何腹部不適的感覺，這可能是輕微的問題，如痔瘡或肛裂。然而，無論出血的原因是什麼，建議您都應該去醫院進行檢查，尤其是如果出血持續或加重的話。醫生可能會進行直腸檢查或其他影像學檢查，以確定出血的具體原因。
在就醫之前，您可以注意以下幾點：
- 出血的顏色和量：鮮紅色的血液通常表示出血來自肛門或直腸，而暗紅色或黑色的血液則可能來自更高的腸道。
- 伴隨症狀：如腹痛、腹瀉、體重減輕等，這些都可能是需要進一步檢查的指標。
- 生活方式：如果您有便秘的問題，增加纖維攝入量和水分攝取可能有助於改善情況。
總之，雖然有些情況可能是輕微的，但出現血便的情況不應被忽視，特別是如果持續存在或伴隨其他症狀。及早就醫可以幫助確定問題的根本原因並獲得適當的治療。

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