Light Blood on Toilet Paper: What It Could Mean

When wiping the anus, there is light blood on the toilet paper?

Hello Doctor: On the evening of April 21, after taking a shower and standing, I felt something unusual in my anus.
When I went to the bathroom and wiped with toilet paper, I noticed a light blood stain.
I'm unsure what problem my body is experiencing.
I'm very anxious and my hands tremble as I type out my symptoms, constantly thinking negatively.
Am I going to get colorectal cancer? I have an external mole that has been there for almost 10 years without any issues, but in the past six months to a year, I've occasionally noticed brown spots when wiping my anus.
Thank you, Doctor.

Fei, 30~39 year old female. Ask Date: 2016/04/21

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.
Over-the-counter hemorrhoidal suppositories can be used, but it is best not to take stool softeners indiscriminately.
At this age, increasing dietary fiber and hydration should be sufficient.
Although the risk of developing colorectal cancer at the age of 30 is not zero, it is generally considered to be relatively low.
If symptoms persist without improvement or if there is significant concern, a colonoscopy can be arranged.

Reply Date: 2016/04/21

More Info

Finding light blood on toilet paper can understandably cause concern, especially when one is unsure about the underlying cause. It’s important to approach this situation with a calm mindset and consider various potential explanations.
First and foremost, the presence of light blood on toilet paper after wiping can often be attributed to benign conditions rather than serious diseases like colorectal cancer. Common causes include hemorrhoids, anal fissures, or minor trauma to the anal area. Hemorrhoids, which are swollen veins in the rectal area, can bleed during bowel movements, especially if there is straining or if the stool is hard. Anal fissures, which are small tears in the lining of the anus, can also cause pain and bleeding, particularly during or after a bowel movement.

Given your description of having a long-standing external hemorrhoid, it is quite plausible that this could be the source of the bleeding. External hemorrhoids can become irritated or thrombosed, leading to bleeding, especially if there has been any recent change in bowel habits, such as constipation or diarrhea.
The color of the blood can also provide clues. Bright red blood typically indicates that the source of the bleeding is closer to the anus, such as from hemorrhoids or fissures, while darker blood may suggest a source higher up in the gastrointestinal tract. Since you mentioned that the blood was light and superficial, it leans more towards a local issue rather than a systemic one.

Your mention of having brown spots occasionally when wiping could also be related to the same issues. It’s possible that these spots are remnants of old blood or irritation from the hemorrhoids.
While it’s natural to worry about serious conditions like colorectal cancer, especially with a family history or concerning symptoms, the absence of other symptoms such as significant weight loss, changes in bowel habits, or abdominal pain is reassuring. Colorectal cancer typically presents with more pronounced symptoms, and the presence of blood alone, especially if it’s light and intermittent, is not a definitive indicator of cancer.

However, it is crucial to monitor your symptoms closely. If the bleeding persists, increases in volume, or is accompanied by other concerning symptoms (such as significant pain, changes in bowel habits, or unexplained weight loss), it would be wise to seek medical evaluation. A healthcare provider may recommend a physical examination, and possibly a colonoscopy, to rule out any serious conditions and to provide peace of mind.

In summary, while finding light blood on toilet paper can be alarming, it is often related to benign conditions such as hemorrhoids or anal fissures. Maintaining a healthy diet rich in fiber, staying hydrated, and avoiding straining during bowel movements can help manage and prevent these issues. If symptoms persist or worsen, do not hesitate to consult a healthcare professional for a thorough evaluation. Your health and peace of mind are paramount.

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