and Treating Rectal Bleeding and Pain During Bowel Movements

Bowel issues

Hello Doctor: In the past two days, I have noticed some reddish, blood-like substance when wiping after using the restroom, and it also hurts after I finish.
However, the amount is only a little.
My stool is yellowish with a slight orange tint.
I've experienced this before, so I bought some ointment to apply, but I've been using it for a while and I'm not sure if it's effective.
Is it because I haven't been applying the ointment regularly? It seems that whenever I eat spicy or fried foods, I experience this bowel issue.
Could you please provide some recommendations for treating these symptoms? Thank you for listening, Doctor.

Longlong, 10~19 year old female. Ask Date: 2016/12/15

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a major 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.
You can purchase over-the-counter hemorrhoid suppositories, but it is best to avoid using laxatives indiscriminately.
At this age, increasing the intake of dietary fiber and fluids should be sufficient.
If bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2016/12/15

More Info

Rectal bleeding and pain during bowel movements can be concerning symptoms that often indicate underlying issues such as hemorrhoids, anal fissures, or other gastrointestinal conditions. Based on your description, it seems that you are experiencing mild rectal bleeding and discomfort, particularly after bowel movements, which could be attributed to a few common causes.

Potential Causes
1. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools or straining during bowel movements. Symptoms typically include sharp pain during and after bowel movements, along with slight bleeding.

2. Hemorrhoids: Swollen blood vessels in the rectal area can lead to bleeding, especially during bowel movements. Hemorrhoids can be internal or external, and they often cause discomfort, itching, and sometimes pain.

3. Dietary Factors: You mentioned that consuming spicy or fried foods seems to exacerbate your symptoms. Certain foods can irritate the gastrointestinal tract or lead to harder stools, which can increase the likelihood of straining and subsequent bleeding.

Recommendations for Treatment
1. Dietary Adjustments: Focus on a high-fiber diet to help soften stools and promote regular bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated by drinking plenty of water is also crucial.

2. Over-the-Counter Treatments: If you suspect hemorrhoids or fissures, topical treatments such as hydrocortisone creams or witch hazel pads can provide relief. However, it’s essential to use these products as directed and not rely solely on them for treatment.

3. Sitz Baths: Taking warm sitz baths for about 15-20 minutes several times a day can help soothe the anal area, reduce pain, and promote healing. This is particularly effective for anal fissures and hemorrhoids.

4. Avoid Straining: Try not to strain during bowel movements. If you feel the urge to go, don’t delay. If you are constipated, consider using a stool softener or a gentle laxative after consulting with a healthcare provider.

5. Topical Medications: While you mentioned using a topical ointment, it’s essential to ensure that it is appropriate for your condition. If you are unsure, consult a healthcare professional for recommendations on effective topical treatments.

6. Regular Monitoring: Keep track of your symptoms. If the bleeding persists, increases in volume, or is accompanied by severe pain, changes in bowel habits, or other concerning symptoms, it’s crucial to seek medical attention. A healthcare provider may perform a physical examination or recommend further tests to rule out more serious conditions.

7. Consult a Specialist: If your symptoms do not improve with home care, consider consulting a gastroenterologist or a colorectal surgeon. They can provide a thorough evaluation and recommend appropriate treatments, which may include prescription medications or procedures if necessary.

Conclusion
In summary, while mild rectal bleeding and pain can often be managed with dietary changes and home remedies, it’s essential to pay attention to your body’s signals. If your symptoms persist or worsen, do not hesitate to seek professional medical advice. Early intervention can prevent complications and lead to more effective treatment outcomes. Remember, maintaining a healthy lifestyle and being proactive about your health is key to managing these symptoms effectively.

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