Rectal Bleeding: Signs of Hemorrhoids and When to Seek Help

Rectal bleeding

Recently, I've noticed blood when wiping after a bowel movement.
It feels like my stools are harder than usual.
Does this indicate the possibility of hemorrhoids, and should I go to the hospital for an examination?

Sen, 10~19 year old female. Ask Date: 2016/04/07

Dr. Ke Fangxu reply Surgery

This situation likely indicates 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 purchase hemorrhoidal suppositories at the pharmacy for use.
It is best not to take stool softeners indiscriminately; at this age, increasing dietary fiber and hydration should be sufficient.
If bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2016/04/07

More Info

Rectal bleeding can be concerning, and it is important to understand the potential causes and when to seek medical attention. Based on your description of experiencing blood after bowel movements, particularly with hard stools, it is possible that you may be dealing with hemorrhoids. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, itching, and bleeding, especially during bowel movements.

When you notice blood on toilet paper or in the toilet bowl, it is crucial to assess the characteristics of the bleeding. If the blood is bright red and appears only on the surface of the stool or on the toilet paper, it is often a sign of hemorrhoids or anal fissures. These conditions are typically not serious and can often be managed with lifestyle changes, such as increasing fiber intake, staying hydrated, and using over-the-counter treatments.

However, if the bleeding is persistent, if you experience significant pain, or if you notice other symptoms such as changes in bowel habits, weight loss, or abdominal pain, it is essential to seek medical evaluation. These could be signs of more serious conditions, including colorectal polyps or cancer, which require prompt attention.

In terms of management, if hemorrhoids are confirmed, treatments may include dietary modifications to soften stools, topical treatments to reduce inflammation and discomfort, and in some cases, procedures to remove the hemorrhoids if they are severe or recurrent.
It is advisable to consult a healthcare provider for a thorough examination, especially if this is a new symptom for you. They may perform a physical examination and possibly recommend further tests, such as a colonoscopy, to rule out other potential causes of rectal bleeding.

In summary, while your symptoms may suggest hemorrhoids, it is important to monitor the situation closely and seek medical advice if the bleeding continues or if you have any concerns. Early intervention can help prevent complications and ensure appropriate treatment.

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