Blood in Toilet After Bowel Movement: Causes and Solutions - Surgery

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Blood in the toilet after a bowel movement?


I recently noticed that after using the restroom, the toilet water is tinged with blood, and there is blood on the toilet paper as well.
I also spend a bit of time in the bathroom.
What can I do to improve this situation?

yo, 20~29 year old female. Ask Date: 2017/06/15

Dr. Ke Fangxu reply Surgery


This situation is likely due to hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on the toilet.
Warm sitz baths may help alleviate symptoms.
You can also purchase hemorrhoid suppositories at the pharmacy and use stool softeners, but it is best not to take them indiscriminately.
If bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2017/06/15

More Info


Finding blood in the toilet after a bowel movement can be alarming and may indicate a variety of underlying issues. The presence of bright red blood in the toilet or on toilet paper typically suggests that the source of the bleeding is in the lower gastrointestinal tract, such as the rectum or anus. Here are some common causes and potential solutions to consider:

Common Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of rectal bleeding, hemorrhoids are swollen blood vessels in the rectal area. They can be internal or external and may cause bright red blood during bowel movements, especially if straining occurs.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain and bleeding during or after bowel movements.

3. Diverticular Disease: Diverticulosis involves the formation of small pouches in the colon wall, which can sometimes bleed. This condition is more common in older adults.

4. Colorectal Polyps or Cancer: While less common, polyps (growths on the colon lining) and colorectal cancer can also cause bleeding. This is particularly concerning if the bleeding is persistent or accompanied by other symptoms such as weight loss or changes in bowel habits.

5. Gastrointestinal Infections: Certain infections can lead to inflammation and bleeding in the intestines, resulting in bloody stools.


Solutions and Recommendations
1. Gentle Bowel Movements: Avoid straining during bowel movements. If you experience constipation, consider increasing your fiber intake through fruits, vegetables, and whole grains, or using fiber supplements. Staying hydrated is also crucial.

2. Warm Sitz Baths: Taking warm baths can help soothe the anal area, especially if you have hemorrhoids or anal fissures. This can alleviate discomfort and promote healing.

3. Over-the-Counter Treatments: For hemorrhoids, topical treatments such as creams or ointments can provide relief. Pain relief medications may also help if you are experiencing discomfort.

4. Avoid Irritants: Steer clear of spicy foods, caffeine, and alcohol, which can irritate the digestive tract and exacerbate symptoms.

5. Consult a Healthcare Provider: If the bleeding persists, is heavy, or is accompanied by other concerning symptoms (such as severe pain, fever, or changes in bowel habits), it is essential to seek medical attention. A healthcare provider may recommend diagnostic tests, such as a colonoscopy, to determine the cause of the bleeding.

6. Regular Check-ups: If you have a history of gastrointestinal issues or are over the age of 50, regular screenings for colorectal cancer are recommended, as early detection can significantly improve outcomes.


Conclusion
While occasional blood in the stool can be due to benign conditions like hemorrhoids or fissures, it is essential to monitor the situation closely. Persistent or significant bleeding warrants immediate medical evaluation to rule out more serious conditions. Taking proactive steps to maintain digestive health, such as a balanced diet, hydration, and regular exercise, can also help prevent future occurrences. Always prioritize your health and consult with a healthcare professional for personalized advice and treatment options.

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