Red Discoloration Around Stool: Possible Causes and Solutions

There is redness around the stool?

Hello Doctor: Since I started playing online games in October last year, I have been going to bed almost every day around 1 to 2 AM (sitting in front of the computer for about 3 hours), and I wake up at 6 AM to prepare to take my child to school.
This year, after having a bowel movement, I noticed that the stool color is normal, but after being in water for a while, there are bright red sediment-like substances around the stool (I spend about half an hour in the bathroom each time, playing on my phone).
If the stool is too large, I feel pain at the anal opening, and every time I rinse my bottom with water after a bowel movement, I feel a bit of pain when my hand touches the anus.
(While sitting on a chair, I also vaguely feel some pain in the anal area.) Since I had a comminuted fracture in my knee two years ago, I have not exercised until I started cycling at home for knee rehabilitation two weeks ago.
What could this situation be? Would improving my lifestyle help? Thank you.

Xiao Fang, 40~49 year old female. Ask Date: 2016/04/18

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Dear Mr.
Xiao Fang, based on your description, I recommend that you consult a gastroenterologist to rule out the possibility of gastrointestinal bleeding or internal bleeding from polyps.
Thank you for your inquiry.
Changhua Hospital cares about your health.

Reply Date: 2016/04/18

More Info

The presence of red discoloration around your stool can be concerning and may indicate a few different underlying issues. Based on your description, it seems that you are experiencing some discomfort and changes in your bowel habits, particularly after a period of prolonged sitting and possibly a sedentary lifestyle. Here are some possible causes and solutions to consider:

Possible Causes
1. Hemorrhoids: One of the most common causes of bright red blood around the stool is hemorrhoids. These are swollen veins in the lower rectum or anus that can cause pain, itching, and bleeding, especially during bowel movements. The fact that you experience pain when passing larger stools could suggest that you may have hemorrhoids that are aggravated by straining.

2. Anal Fissures: An anal fissure is a small tear in the lining of the anus, which can occur due to passing hard or large stools. This can lead to sharp pain during and after bowel movements, as well as bleeding that may appear as red streaks around the stool.

3. Dietary Factors: A diet low in fiber can lead to constipation and harder stools, which can exacerbate hemorrhoids and fissures. If your diet lacks fruits, vegetables, and whole grains, this could be a contributing factor.

4. Sedentary Lifestyle: Prolonged sitting, especially in a position that puts pressure on the rectal area, can contribute to the development of hemorrhoids and may worsen any existing conditions.

5. Infections or Inflammatory Conditions: While less common, infections or inflammatory bowel diseases (like Crohn's disease or ulcerative colitis) can also cause rectal bleeding. If the bleeding persists or is accompanied by other symptoms like diarrhea, weight loss, or fever, it would be important to seek medical attention.

Solutions and Recommendations
1. Increase Fiber Intake: Incorporating more fiber into your diet can help soften your stools and make them easier to pass. Aim for a variety of fruits, vegetables, whole grains, and legumes. This can help prevent straining during bowel movements.

2. Stay Hydrated: Drinking plenty of water is crucial for maintaining healthy bowel movements. Aim for at least 8 glasses of water a day, and consider increasing your intake if you are consuming more fiber.

3. Regular Exercise: Since you mentioned that you have recently started cycling for rehabilitation, continuing to engage in regular physical activity can help improve bowel function and reduce the risk of constipation. Aim for at least 150 minutes of moderate exercise per week.

4. Avoid Prolonged Sitting: Try to limit the amount of time you spend sitting, especially during gaming or other sedentary activities. Take breaks to stand up, stretch, and walk around.

5. Over-the-Counter Treatments: If you suspect hemorrhoids or fissures, over-the-counter creams or ointments may provide relief. However, if the pain and bleeding persist, it’s important to consult a healthcare professional for a proper diagnosis and treatment plan.

6. Consult a Doctor: Given your symptoms, especially the pain and the presence of blood, it would be wise to consult a healthcare provider. They can perform a physical examination and may recommend further tests to rule out any serious conditions.

Conclusion
While lifestyle changes such as improving your diet, increasing physical activity, and managing your sitting habits may help alleviate your symptoms, it’s essential to monitor your condition closely. If the red discoloration around your stool continues or worsens, or if you experience significant pain, it’s crucial to seek medical advice to ensure that there are no serious underlying issues. Your health is important, and addressing these concerns early can lead to better outcomes.

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