Blood in Stool After Childbirth: Is It from Dragon Fruit or Hemorrhoids? - Surgery

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Blood in the stool?


I just gave birth three months ago.
Before giving birth, I did not have any issues with constipation, but after delivery, I started experiencing constipation and developed hemorrhoids.
The hemorrhoids can be pushed back in, but they still protrude.
Currently, I have a bowel movement every 2-3 days.
On Tuesday, I ate red dragon fruit, but I haven't had a bowel movement for the past two days until today.
The stool color is normal, a yellow-brown, slightly hard, and somewhat coarse, but I noticed a dark red-purple color attached to the surface of the stool.
However, there was no blood on the toilet paper after wiping.
During the second bowel movement, there was only a small amount, but I noticed a few seeds from the dragon fruit.
Since it has been 2-3 days since I consumed it, I would like to know if this is caused by the dragon fruit or if it is related to my colon or hemorrhoids.
Thank you!

momo, 20~29 year old female. Ask Date: 2016/08/26

Dr. Ke Fangxu reply Surgery


Both possibilities exist.
If the phenomenon disappears after stopping the consumption of dragon fruit, then it is not a concern.
Otherwise, a fecal occult blood test can be performed to determine whether there is any bleeding.

Reply Date: 2016/08/26

More Info


After childbirth, many women experience various gastrointestinal changes, including constipation and hemorrhoids, which can lead to concerns about blood in the stool. In your case, you mentioned that you have been experiencing constipation and hemorrhoids since giving birth three months ago. You also noted that you recently consumed red dragon fruit, and now you see a dark red or purple color on the surface of your stool, but there is no blood on the toilet paper after wiping.

First, it is important to understand that dragon fruit, especially the red variety, can sometimes cause a temporary change in stool color. The pigments in the fruit can lead to a reddish or purplish tint in the stool, which may be mistaken for blood. However, the fact that your stool is primarily yellow-brown and only has a slight discoloration on the surface suggests that it is more likely a result of the dragon fruit rather than actual bleeding.

On the other hand, given your history of hemorrhoids, it is also possible that the dark red or purple color could be related to your hemorrhoids. Hemorrhoids can cause bleeding, especially if there is straining during bowel movements or if the stool is hard. The presence of dark red or purple coloration could indicate that there is some irritation or minor bleeding from the hemorrhoids, particularly if the stool is somewhat hard and you are experiencing constipation.

In your situation, it is advisable to monitor your symptoms closely. If the discoloration persists, or if you notice any actual blood in your stool or on the toilet paper, it would be prudent to consult a healthcare professional. A doctor can perform a thorough examination, including a rectal exam, to assess the condition of your hemorrhoids and rule out any other potential issues, such as anal fissures or other gastrointestinal concerns.

Additionally, since you mentioned experiencing constipation, it may be beneficial to focus on dietary changes to promote regular bowel movements. Increasing your fiber intake through fruits, vegetables, and whole grains, along with adequate hydration, can help soften your stool and reduce straining during bowel movements. If dietary changes are insufficient, your healthcare provider may recommend stool softeners or mild laxatives to alleviate constipation.

In summary, while the discoloration in your stool could be related to the consumption of dragon fruit, it is also important to consider the possibility of hemorrhoid-related irritation. Keep an eye on your symptoms, and do not hesitate to seek medical advice if you have any concerns about your health. Your well-being is paramount, especially during the postpartum period when your body is still recovering from childbirth.

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