Rectal Bleeding: Causes and Concerns for Your Health

Rectal bleeding

A week ago, I experienced significant pain in my anus while using the restroom, and there was fresh blood on the toilet paper (about the size of two folded sheets) as well as in the toilet bowl.
Since I was in Japan at the time, I bought hemorrhoid cream the day after noticing the blood.
That day, I had diarrhea, and the pain in my anus persisted, with a small amount of fresh blood in the toilet again.
After two days without a bowel movement, I used the restroom at the airport before returning home, and I noticed what seemed to be some discharge on the toilet paper.
Once I returned home, I did not have any issues with anal pain during bowel movements, but today, I experienced pain again, and the process was sharp and painful.
When wiping, there was a small amount of pink blood on the toilet paper.
I would like to know what could be causing this.
My diet is normal; I haven't eaten too much meat and have been trying to eat vegetables.
I drink water daily, although it's less than 2000 cc, but still over 1000 cc...
so I am quite worried.

Nìmíng, 20~29 year old female. Ask Date: 2017/08/27

Dr. Ke Fangxu reply Surgery

Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding.
The common causes are often constipation or diarrhea.
The fundamental treatment is to improve bowel habits, and warm sitz baths can also be helpful.
You can also purchase hemorrhoid suppositories at the pharmacy for relief.
If symptoms persist without improvement, it is advisable to consult a physician for further evaluation.

Reply Date: 2017/08/27

More Info

Rectal bleeding is a symptom that should never be taken lightly, as it can indicate a variety of underlying health issues. Based on your description, it appears that you have been experiencing intermittent rectal bleeding, accompanied by pain during bowel movements and changes in your stool. While you have made some dietary adjustments and are drinking a reasonable amount of water, the persistence of your symptoms suggests that further investigation is warranted.

The most common causes of rectal bleeding include hemorrhoids, anal fissures, diverticular disease, and colorectal polyps or cancer. Given your symptoms, it is plausible that hemorrhoids or anal fissures are contributing to your bleeding. Hemorrhoids are swollen veins in the lower rectum or anus that can cause pain, itching, and bleeding, especially during bowel movements. Anal fissures, on the other hand, are small tears in the lining of the anus that can occur due to passing hard stools or straining during bowel movements. Both conditions can lead to fresh blood on the toilet paper or in the toilet bowl.

Your experience of pain during bowel movements, along with the presence of bright red blood, aligns with these common conditions. The fact that you have also experienced diarrhea may indicate a transient gastrointestinal disturbance, which could have exacerbated your symptoms. Stress, dietary changes, or infections can lead to temporary changes in bowel habits, and these factors might have played a role in your recent experiences.

However, it is crucial to consider other potential causes of rectal bleeding, especially given the duration and recurrence of your symptoms. Conditions such as diverticulitis, inflammatory bowel disease (IBD), or even colorectal cancer can present with similar symptoms. While these conditions are less common, they are serious and require prompt medical evaluation. The presence of any additional symptoms, such as significant weight loss, changes in appetite, or persistent abdominal pain, should also be taken into account.

Given your situation, I strongly recommend that you consult a healthcare professional, preferably a gastroenterologist or a colorectal specialist. They may suggest a thorough evaluation, which could include a physical examination, a digital rectal exam, and possibly a colonoscopy. A colonoscopy is a procedure that allows the doctor to examine the inner lining of your colon and rectum, helping to identify any abnormalities, such as polyps or inflammation, that could be causing your symptoms.

In the meantime, you can take some steps to alleviate your symptoms. Increasing your fiber intake through fruits, vegetables, and whole grains can help soften your stools and reduce straining during bowel movements. Staying well-hydrated is also essential, as it can help prevent constipation. Over-the-counter treatments, such as topical hemorrhoid creams or sitz baths, may provide temporary relief from pain and discomfort.

In summary, while hemorrhoids and anal fissures are likely culprits for your rectal bleeding, it is essential to rule out more serious conditions through proper medical evaluation. Your health and well-being are paramount, and addressing these symptoms with a healthcare provider will help ensure that you receive the appropriate care and treatment.

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