Blood on Toilet Paper: Causes and Solutions for Teens

There is blood on the toilet paper after bowel movements?

Hello, I am currently a high school freshman.
During middle school, due to tutoring, my diet and sleep schedule were often irregular.
At that time, my bowel movements were sometimes very hard and long, and I noticed a bit of blood when wiping.
However, I didn't pay much attention to it.
Recently, I've noticed a bit more blood on the toilet paper after bowel movements, and I haven't been eating or drinking much.
Just now, my stool resembled large chicken nuggets, with yellow, brown, and black colors, and it was quite large.
I currently have my period, but even after wiping multiple times, I still see a little blood.
I'm a bit worried.
When I pressed on my abdomen near the pelvis while showering, I felt something on both sides that seemed like fecal matter.
Pressing on it gives me the urge to pass gas or have a bowel movement, and after pressing too much, I feel a bit of pain and discomfort.
I'm not sure if my constipation is affecting my appetite because recently I've been feeling nauseous and unable to eat much.
My bowel movement schedule has been irregular since middle school, although there was a brief period when I exercised daily and had regular bowel movements.
Does the doctor have any suggestions for improvement? I would prefer not to see a doctor again, as I have previously taken medication and had X-rays, and the doctor said I had too much stool.
A few days ago, I mentioned this to my mom, and I have been trying hard to drink more water and eat more vegetables.
Thank you, doctor.

Niming, 10~19 year old female. Ask Date: 2016/04/06

Dr. Xu Kaixi reply Surgery

Rectal bleeding is an abnormal symptom that can range from common conditions like hemorrhoids to more serious gastrointestinal diseases.
Based on your description, aside from slight bleeding, if there are intermittent accompanying gastrointestinal symptoms, it is more likely to be bleeding caused by hemorrhoids.
However, other possibilities cannot be ruled out.
It is recommended to visit a gastroenterology or surgical outpatient clinic for further evaluation and treatment, to assess the need for relevant examinations or medication.

Reply Date: 2016/04/06

More Info

Experiencing blood on toilet paper can be concerning, especially for teenagers who may not fully understand the implications of such symptoms. Based on the information provided, it seems that you have been dealing with some gastrointestinal issues, particularly related to bowel movements. Let's break down the potential causes and solutions for your situation.

Possible Causes
1. Hemorrhoids: One of the most common causes of blood on toilet paper is hemorrhoids, which are swollen veins in the rectal area. They can occur due to straining during bowel movements, especially if you are experiencing constipation or passing hard stools.

2. Anal Fissures: Another possibility is an anal fissure, which is a small tear in the lining of the anus. This can happen when passing large or hard stools, leading to pain and bleeding.

3. Constipation: Given your description of having infrequent and hard stools, constipation could be a significant factor. When stools are hard, they can cause strain and lead to bleeding.

4. Dietary Factors: Your mention of irregular eating habits and not drinking enough water can contribute to constipation. A diet low in fiber can also lead to harder stools.

5. Other Gastrointestinal Issues: While less common, other conditions such as diverticulosis, inflammatory bowel disease (IBD), or even infections could cause rectal bleeding. However, these are typically accompanied by other symptoms.

Recommendations
1. Increase Fiber Intake: Aim to incorporate more fiber-rich foods into your diet, such as fruits, vegetables, whole grains, and legumes. Fiber helps to soften stools and promote regular bowel movements.

2. Stay Hydrated: Drinking plenty of water is crucial. Aim for at least 8 glasses a day, as hydration can help prevent constipation and make bowel movements easier.

3. Regular Exercise: Physical activity can stimulate digestion and help maintain regular bowel movements. Even simple activities like walking can be beneficial.

4. Avoid Straining: When you feel the urge to go, try not to delay it. Straining can exacerbate issues like hemorrhoids and fissures.

5. Over-the-Counter Remedies: If you continue to experience constipation, consider using over-the-counter fiber supplements or stool softeners. However, consult with a healthcare provider before starting any new medication.

6. Monitor Symptoms: Keep track of your symptoms. If the bleeding persists, increases in volume, or is accompanied by severe pain, changes in bowel habits, or other concerning symptoms, it is essential to seek medical attention.

7. Consult a Healthcare Provider: While you may be hesitant to see a doctor, it is crucial to address ongoing symptoms, especially if they cause discomfort or concern. A healthcare provider can perform a thorough evaluation, which may include a physical examination and possibly imaging studies to rule out more serious conditions.

Conclusion
In summary, while blood on toilet paper can be alarming, it is often related to benign issues like hemorrhoids or anal fissures, particularly in the context of constipation. By making dietary changes, staying hydrated, and maintaining regular physical activity, you can improve your bowel health. However, do not hesitate to seek medical advice if your symptoms persist or worsen. Taking proactive steps now can help prevent more significant issues in the future.

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