Occasional Blood on Toilet Paper: Causes and Concerns

There is no blood in the stool, but there is a small amount of blood on the toilet paper?

Recently, I have been experiencing abdominal bloating, but it goes away after using the restroom.
I have been burping and passing gas, but there is no pain.
My bowel movements vary; sometimes they are thin, sometimes thick, and at times watery, but they are all brown.
Previously, my stools were harder, but after increasing my water intake and eating more fruits, my constipation has improved, and my stools have become softer.
Blood is not present all the time; it appears occasionally and in small amounts, sometimes just a little.
My anus sometimes feels itchy and painful, especially when my stools are hard, but there is no blood in the stool.
Additionally, since it's summer vacation, I have been lying down a lot, and when I stand up, I feel dizzy for a moment, but it resolves quickly.
Could you please tell me what might be going on? Am I sick?

Jiang, 10~19 year old female. Ask Date: 2016/07/27

Dr. Ke Fangxu reply Surgery

Based on your description, it seems more like Irritable Bowel Syndrome (IBS).
I recommend that you temporarily focus on a light diet, avoiding spicy, irritating, and greasy foods, as this will likely improve your symptoms.
If the symptoms persist without improvement, you may also consider asking your doctor for medication to take for a period of time.

Reply Date: 2016/07/27

More Info

When it comes to occasional blood on toilet paper, it can be concerning and may indicate a variety of underlying issues. Based on your description, there are several potential causes to consider, and it’s important to understand these in the context of your overall health.

Firstly, the presence of blood on toilet paper, especially after bowel movements, is often associated with hemorrhoids. Hemorrhoids are swollen veins in the lower rectum or anus that can become irritated and bleed, particularly during bowel movements. This is especially common if you have experienced constipation or have had hard stools, which can cause straining during defecation. The fact that you mentioned your stools have varied in consistency—from hard to soft—suggests that you may have had episodes of constipation, which can exacerbate hemorrhoids.

Another possibility is anal fissures, which are small tears in the lining of the anus. These can occur due to passing hard stools and can cause pain and bleeding during bowel movements. The itching and discomfort you described could also be indicative of an anal fissure or irritation from hemorrhoids.

You also mentioned experiencing bloating and changes in stool consistency, which could be related to dietary factors. Increasing your water intake and consuming more fruits and vegetables, as you noted, can help soften stools and reduce the risk of constipation. However, if your diet is high in processed foods or low in fiber, it may contribute to irregular bowel habits and discomfort.

The occasional presence of blood, especially if it is minimal and not accompanied by significant pain, may not be alarming. However, it is crucial to monitor the situation. If the bleeding persists, increases in volume, or is accompanied by other symptoms such as severe pain, changes in bowel habits, or weight loss, it is essential to seek medical attention. A healthcare provider can perform a thorough examination, which may include a digital rectal exam or other diagnostic tests, to determine the exact cause of the bleeding.

Additionally, the dizziness you experience upon standing could be related to dehydration or a sudden drop in blood pressure, especially if you have been lying down for extended periods. It’s important to stay hydrated and rise slowly from a lying or sitting position to minimize dizziness.

In summary, while occasional blood on toilet paper can often be attributed to hemorrhoids or anal fissures, it is essential to consider your overall symptoms and health history. Maintaining a high-fiber diet, staying hydrated, and avoiding straining during bowel movements can help prevent these issues. However, if symptoms persist or worsen, consulting with a healthcare professional is advisable to rule out any serious conditions and to receive appropriate treatment.

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