Rectal Bleeding: Causes and Solutions for Your Symptoms

Rectal bleeding

Hello, doctor.
This week, my stool has been very hard, and I experienced pain in my anus.
The toilet was filled with bright red blood.
After that, my stool did not have blood but became much thinner.
Sometimes, there is mucus from my anus.
I have had issues with rectal bleeding before, but not as much as this time.
I have a bowel movement once a day, rarely experience constipation, but I exercise very little, sit for long periods without standing, and often drink beverages and eat out, with very little water intake.
What could be the problem?

Niming, 20~29 year old female. Ask Date: 2016/06/02

Dr. Ke Fangxu reply Surgery

This situation is likely indicative 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 as well.
It is best to avoid taking 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: 2016/06/02

More Info

Rectal bleeding can be a concerning symptom, and understanding its potential causes is crucial for determining the appropriate course of action. Based on your description, it appears that you are experiencing bright red blood during bowel movements, along with pain and changes in stool consistency. These symptoms can be indicative of several underlying issues, and it is essential to consider them carefully.

One of the most common causes of rectal bleeding, especially when associated with hard stools and pain, is hemorrhoids. Hemorrhoids are swollen veins in the lower rectum or anus that can become inflamed and bleed, particularly during bowel movements. The bright red color of the blood you are observing is typical of hemorrhoidal bleeding, as it usually originates from the lower gastrointestinal tract.

Another possible cause is anal fissures, which are small tears in the lining of the anus that can occur due to passing hard stools. These fissures can cause significant pain and bleeding during bowel movements, and the blood may also appear bright red. Given that you mentioned experiencing pain and the presence of blood, this could be a likely explanation.

Additionally, the change in stool consistency, becoming thinner, could be related to dietary factors or changes in bowel habits. A diet low in fiber, combined with inadequate hydration, can lead to harder stools and increased straining during bowel movements, which can exacerbate hemorrhoids or fissures. Your mention of consuming fewer fluids and relying on takeout or processed foods may contribute to these issues.

It is also worth noting that while hemorrhoids and fissures are common and often benign, other more serious conditions can cause rectal bleeding, such as diverticular disease, inflammatory bowel disease (IBD), or even colorectal cancer. However, these conditions are less common, especially in younger individuals without other risk factors.

To address your symptoms and prevent further issues, consider the following recommendations:
1. Increase Fiber Intake: Aim to incorporate more fruits, vegetables, whole grains, and legumes into your diet. A high-fiber diet can help soften stools and promote regular bowel movements, reducing the strain during defecation.

2. Stay Hydrated: Drinking plenty of water is essential for maintaining stool consistency. Aim for at least 8-10 glasses of water per day, and consider reducing your intake of caffeinated and sugary beverages.

3. Regular Exercise: Incorporating physical activity into your routine can help stimulate bowel function and reduce the likelihood of constipation. Even simple activities like walking can be beneficial.

4. Avoid Straining: When using the bathroom, try to relax and avoid straining. If you feel the urge to go, respond promptly to avoid hardening of the stool.

5. Consult a Healthcare Provider: Given your history of rectal bleeding and the current symptoms, it is essential to consult a healthcare professional for a thorough evaluation. They may recommend a physical examination, and possibly a colonoscopy, to rule out any serious conditions and provide appropriate treatment.

6. Consider Over-the-Counter Remedies: If hemorrhoids or fissures are suspected, over-the-counter topical treatments, such as hydrocortisone creams or witch hazel pads, may provide relief. However, these should be used under the guidance of a healthcare provider.

In conclusion, while your symptoms may be indicative of common issues like hemorrhoids or anal fissures, it is crucial to seek medical advice for a proper diagnosis and treatment plan. Making dietary and lifestyle changes can significantly improve your symptoms and overall digestive health.

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