Light Blood Stains After Bowel Movement: What Could It Mean? - Surgery

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There are faint traces of what appears to be blood after wiping the anus following a bowel movement?


Hello, doctor.
A couple of days ago, after having a bowel movement, I noticed faint traces of what appeared to be blood on the toilet paper.
Then, while showering, I have a habit of cleaning my anus and inserted my finger into the rectum, where I also noticed red substance on my hand that looked like blood.
I'm not sure what the issue could be.
My lifestyle habits include drinking a lot of water daily, eating out, smoking, and having irritable bowel syndrome.
What could be the problem?

A Cheng, 10~19 year old female. Ask Date: 2017/08/19

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 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 any medications indiscriminately.
If bleeding persists, it is advisable to consult a physician.
If necessary, a colonoscopy can also be arranged.

Reply Date: 2017/08/19

More Info


Experiencing light blood stains after a bowel movement can be concerning, and it's important to understand the potential causes and implications. Based on your description, there are several possibilities that could explain the presence of blood in your stool or on the toilet paper.

1. Hemorrhoids: One of the most common causes of blood on toilet paper or in the stool is hemorrhoids. These are swollen veins in the lower rectum or anus that can bleed during bowel movements, especially if there is straining involved. Hemorrhoids can be internal or external, and they often cause discomfort, itching, or pain.

2. Anal Fissures: Another possibility is an anal fissure, which is a small tear in the lining of the anus. This can occur due to passing hard stools or straining during bowel movements. Fissures can cause sharp pain during and after bowel movements, and they may also lead to bleeding.

3. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon wall, can also lead to bleeding. If these pouches become inflamed or infected (diverticulitis), they can cause significant discomfort and bleeding.

4. Gastrointestinal Conditions: Other gastrointestinal conditions, such as inflammatory bowel disease (IBD) or colorectal polyps, can also result in blood in the stool. IBD includes conditions like Crohn's disease and ulcerative colitis, which can cause inflammation and bleeding in the digestive tract.

5. Infections: Certain infections of the gastrointestinal tract can lead to inflammation and bleeding. Bacterial infections, such as those caused by E. coli or Salmonella, can result in bloody diarrhea.

6. Dietary Factors: Your mention of having a diet that includes a lot of external food may also play a role. A diet low in fiber can lead to constipation and straining, which can exacerbate hemorrhoids or cause fissures.

7. Smoking: Smoking can affect circulation and may contribute to various gastrointestinal issues, including the potential for developing conditions that could lead to bleeding.

Given your symptoms and lifestyle factors, it is crucial to consult a healthcare professional for a thorough evaluation. They may recommend a physical examination, and possibly a colonoscopy or other imaging studies, to determine the exact cause of the bleeding.
In the meantime, here are some general recommendations that may help alleviate some symptoms:
- Increase Fiber Intake: Incorporating more fiber into your diet can help soften stools and reduce straining during bowel movements. Foods high in fiber include fruits, vegetables, whole grains, and legumes.

- Stay Hydrated: Drinking plenty of water can also help prevent constipation.

- Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate hemorrhoids and fissures.

- Consider Over-the-Counter Treatments: If hemorrhoids are suspected, over-the-counter creams or suppositories may provide relief.

- Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency and amount of bleeding, as well as any associated pain or discomfort.

In conclusion, while light blood stains after a bowel movement can often be attributed to benign causes like hemorrhoids or fissures, it is essential to seek medical advice to rule out more serious conditions. Early diagnosis and treatment can help prevent complications and improve your overall gastrointestinal health.

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