Transparent Mucus and Blood Clots After Bowel Movements - Surgery

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Presence of transparent mucus and blood clots after bowel movement?


Hello Doctor: I previously experienced bleeding from an internal hemorrhoid, and after my first pregnancy, the bleeding became more severe and external hemorrhoids developed, occasionally bleeding with bright red blood.
However, during the later months of my second pregnancy (in the first half of 2016), I noticed that after each bowel movement, there was transparent mucus, sometimes accompanied by small blood clots (not bright red).
Now, during my postpartum recovery, I often feel swelling and pain in my rectal area, and for the past few days, I have occasionally experienced lower back pain (sometimes on the left side, sometimes on the right).
Today, I discovered two dark red blood clots in my stool, approximately 3 centimeters long.
I would like to ask if this is a normal occurrence related to hemorrhoidal bleeding? Thank you.

Natalie, 30~39 year old female. Ask Date: 2016/08/16

Dr. Xu Kaixi reply Surgery


Hemorrhoids can worsen during pregnancy due to increased pressure in the abdominal cavity, and they typically improve over time after delivery.
Therefore, it is expected that there may be bleeding from hemorrhoids during the postpartum recovery period.
However, if the bleeding persists for two to three months without improvement, it is advisable to visit a surgical outpatient clinic for further examination and treatment.

Reply Date: 2016/08/16

More Info


Understanding the presence of transparent mucus and blood clots after bowel movements can be concerning, especially for someone who has experienced rectal bleeding and other related symptoms during and after pregnancy. It is essential to consider various factors that could contribute to these symptoms, including the potential for hemorrhoids, anal fissures, or other gastrointestinal issues.

Firstly, the presence of transparent mucus in your stool can be a normal occurrence. Mucus is produced by the intestines to help lubricate the bowel and facilitate the passage of stool. However, when accompanied by blood, especially if it is dark red or in the form of clots, it may indicate an underlying issue that requires attention. In your case, given your history of hemorrhoids (referred to as "internal and external piles"), it is possible that these could be contributing to the bleeding and discomfort you are experiencing.

Hemorrhoids can become inflamed or thrombosed, especially during pregnancy due to increased pressure in the pelvic area and hormonal changes that affect blood flow. This can lead to symptoms such as pain, swelling, and bleeding during bowel movements. The fact that you are experiencing pain in your rectal area and lower back could also be related to the strain of passing stool, particularly if you are dealing with constipation, which is common during the postpartum period.

The appearance of dark red blood clots in your stool is concerning and should not be ignored. While it could be related to hemorrhoids, it could also indicate other conditions such as anal fissures, diverticular disease, or even more serious gastrointestinal issues. It is crucial to monitor the frequency and amount of bleeding, as well as any accompanying symptoms such as severe pain, changes in bowel habits, or signs of infection (fever, chills).

Given that you are currently in the postpartum period and experiencing these symptoms, it is advisable to consult with a healthcare provider as soon as possible. They may recommend a physical examination, possibly including a digital rectal exam or a colonoscopy, to assess the situation more thoroughly. This will help determine the exact cause of your symptoms and guide appropriate treatment.

In the meantime, there are several self-care measures you can take to alleviate discomfort and promote healing:
1. Dietary Adjustments: Increase your fiber intake through fruits, vegetables, and whole grains to help soften stools and reduce straining during bowel movements. Staying hydrated is also essential.

2. Warm Baths: Soaking in a warm bath can help relieve pain and discomfort in the anal area.

3. Topical Treatments: Over-the-counter creams or ointments designed for hemorrhoid relief can provide temporary relief from pain and itching.

4. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate hemorrhoids and lead to further bleeding.

5. Gentle Exercise: Engaging in light physical activity can help stimulate bowel function and reduce constipation.

6. Consultation with a Specialist: If symptoms persist or worsen, consider seeing a gastroenterologist or a colorectal surgeon for further evaluation.

In conclusion, while the presence of mucus can be normal, the occurrence of blood clots and persistent pain warrants a thorough evaluation by a healthcare professional. Early intervention can help prevent complications and ensure that any underlying issues are addressed promptly.

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