Bleeding After Bowel Movements: Should You Be Concerned? - Surgery

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Bleeding after wiping the anus following a bowel movement?


Hello, I would like to ask about an issue I experienced.
Two weeks ago, after having a bowel movement, there was blood in the toilet, but I didn't have any further issues afterward.
However, today it happened again twice.
I'm concerned about whether there might be a health problem.
I read that this could be a sign of rectal cancer, and I'm worried.
I wanted to ask for your opinion.

rew, 20~29 year old female. Ask Date: 2016/09/18

Dr. Xu Kaixi reply Surgery


Hello: Blood in the stool is considered an abnormal symptom and can range from common conditions like hemorrhoids to more serious gastrointestinal diseases.
Based on your description, hemorrhoids are the most likely cause of the bleeding.
It is recommended that you visit a hospital for further evaluation.
You may start by scheduling an appointment with either the surgical or gastroenterology department for a preliminary examination, which may include a fecal occult blood test or even a colonoscopy.

Reply Date: 2016/09/18

More Info


Experiencing bleeding after bowel movements can be alarming, and it's understandable to be concerned about your health. While occasional bleeding can occur for various reasons, it's crucial to assess the situation carefully and seek medical advice if necessary.

Firstly, it's important to note that bleeding after bowel movements is often not indicative of a severe condition. The most common causes of rectal bleeding include hemorrhoids, anal fissures, and diverticular disease. Hemorrhoids are swollen veins in the rectal area that can cause pain and bleeding, especially during bowel movements. Anal fissures are small tears in the lining of the anus, which can also lead to bleeding and discomfort. Both conditions are generally treatable and not life-threatening.

However, if the bleeding is significant, persistent, or accompanied by other symptoms such as abdominal pain, changes in bowel habits, or weight loss, it is essential to consult a healthcare professional. These could be signs of more serious conditions, including inflammatory bowel disease (IBD), polyps, or even colorectal cancer. While colorectal cancer is a concern, especially in individuals over 50 or those with a family history of the disease, it is essential not to jump to conclusions without a proper evaluation.

In your case, since you mentioned that the bleeding has occurred multiple times, it would be wise to schedule an appointment with a healthcare provider. They may recommend a physical examination, a digital rectal exam, or even a colonoscopy to determine the cause of the bleeding. A colonoscopy is a procedure that allows doctors to view the inside of the colon and rectum, helping to identify any abnormalities or sources of bleeding.

In the meantime, here are some general recommendations to help manage your symptoms and promote bowel health:
1. Dietary Changes: Ensure you are consuming a high-fiber diet, which can help soften stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying hydrated by drinking plenty of water is also crucial.

2. Avoid Straining: If you experience constipation, avoid straining during bowel movements. If necessary, consider using a stool softener or a mild laxative, but consult with a healthcare provider before starting any medication.

3. Warm Baths: Taking warm baths can help soothe discomfort and promote relaxation in the anal area, especially if you have hemorrhoids or fissures.

4. Over-the-Counter Treatments: If hemorrhoids are suspected, over-the-counter creams or ointments may provide relief. However, these should be used as directed and not as a substitute for medical evaluation.

5. Monitor Symptoms: Keep track of your symptoms, including the frequency and amount of bleeding, any associated pain, and changes in bowel habits. This information will be helpful for your healthcare provider.

In conclusion, while bleeding after bowel movements can be caused by benign conditions, it is essential to take it seriously, especially if it recurs. Seeking medical advice is the best course of action to rule out any serious underlying issues and to receive appropriate treatment. Your health is paramount, and addressing these symptoms early can lead to better outcomes.

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