Blood When Wiping: Should You See a Doctor for Your Symptoms? - Surgery

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Noticing blood when wiping after a bowel movement?


A few days ago, I had a bowel movement and had to exert a lot of force.
I noticed blood when wiping, but there was no blood in the stool.
That day, I had to wipe multiple times, and it felt watery or sticky.
The water in the toilet appeared to have a layer of oil floating on it.
After that, I had another bowel movement without any bleeding, and the stool color seemed normal, but I still had to wipe a lot.
I'm feeling a bit stressed due to upcoming exams and have been sitting for long periods.
There is a family history of colorectal cancer.
Should I consider getting checked at a major hospital soon?

An An, 20~29 year old female. Ask Date: 2017/04/06

Dr. Chen Jiaming reply Surgery


Based solely on your description, it is difficult to determine whether your issue stems from hemorrhoids, anal mucosal tears, or other causes.
It is recommended that you visit a colorectal surgery or gastroenterology clinic or hospital for further examination.
Additionally, adjusting your pre-exam routine, diet, and bowel habits may help, and you can also consult or seek medical assistance for medications.

Reply Date: 2017/04/06

More Info


It sounds like you are experiencing some concerning symptoms after a bowel movement, particularly the presence of blood when wiping and the unusual consistency of your stool. Given your family history of colorectal cancer and the stress you are currently under, it is understandable that you are feeling anxious about these symptoms.
First and foremost, it is important to recognize that blood in the stool or when wiping can be caused by a variety of factors, some of which are benign, while others may require medical attention. Common causes of blood when wiping include hemorrhoids, anal fissures, or irritation from wiping too hard. These conditions are often associated with straining during bowel movements, which can occur if you are experiencing constipation or if you are sitting for prolonged periods, as you mentioned.

However, given your family history of colorectal cancer, it is prudent to take your symptoms seriously. While the fact that your stool appears normal and you did not notice blood in subsequent bowel movements is reassuring, the presence of blood at any point should not be ignored, especially in the context of a family history of gastrointestinal issues.

The consistency of your stool, described as "water-like" or "sticky," could indicate a few things. It may suggest a dietary issue, such as a lack of fiber, or it could be a sign of gastrointestinal distress. The "oily" appearance of the water in the toilet could also be indicative of malabsorption or other digestive issues, which might warrant further investigation.

Given these factors, I would recommend that you see a healthcare provider for a thorough evaluation. A doctor can perform a physical examination and may recommend tests such as a colonoscopy, especially considering your family history. A colonoscopy is a procedure that allows doctors to examine the inner lining of your large intestine and can help identify any abnormalities, such as polyps or signs of cancer.

In addition to a colonoscopy, your doctor may also suggest blood tests or imaging studies to rule out other potential causes of your symptoms. It's also essential to discuss your stress levels and any lifestyle factors that may be contributing to your symptoms. Stress can significantly impact gastrointestinal health, leading to issues such as irritable bowel syndrome (IBS), which can cause changes in bowel habits and discomfort.

In the meantime, consider making some dietary adjustments to increase your fiber intake, which can help regulate your bowel movements and reduce straining. Staying hydrated is also crucial, as it can help prevent constipation. If you are experiencing significant anxiety about your symptoms, it may be beneficial to speak with a mental health professional who can provide support and coping strategies.

In summary, while your symptoms may not indicate a severe issue, it is always better to err on the side of caution, especially with your family history. Scheduling an appointment with your healthcare provider will allow you to address your concerns and receive appropriate care. Remember, taking proactive steps regarding your health is essential, and seeking medical advice is a responsible decision.

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