Blood in Stool: Is It Really Hemorrhoids?

Rectal bleeding

Hello doctor, I have been experiencing rectal bleeding for the past two years.
Initially, there were no abnormalities when I had a bowel movement, and there were no traces of blood in the stool.
However, about 10 to 20 minutes later, I would notice settled blood beneath the stool, which is dark red in color.
The amount of blood varies, and it does not occur every time.
I have consulted a physician, who diagnosed me with mild internal hemorrhoids.
Could this really be the cause of the bleeding? Thank you for your response.

Nìmíng, 10~19 year old female. Ask Date: 2017/09/15

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 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 over-the-counter hemorrhoid suppositories 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: 2017/09/15

More Info

When it comes to identifying the cause of blood in your stool, it's essential to approach the situation with caution and a clear understanding of the potential underlying issues. Based on your description, it seems you have been experiencing intermittent rectal bleeding for the past two years, with dark red blood appearing beneath your stool after a bowel movement. You have also been diagnosed with mild internal hemorrhoids.
Internal hemorrhoids are indeed a common cause of rectal bleeding, especially if the blood is bright red or dark red and appears after a bowel movement. Hemorrhoids are swollen veins in the rectal area, and they can become irritated during bowel movements, leading to bleeding. The blood from hemorrhoids is usually bright red, but if it has been sitting in the rectum for a while, it can appear darker. The fact that you notice the blood after a delay of 10 to 20 minutes may suggest that it is indeed coming from the rectal area rather than from higher up in the gastrointestinal tract.

However, it is crucial to consider other potential causes of rectal bleeding as well. Conditions such as anal fissures, diverticular disease, colorectal polyps, or even more serious issues like colorectal cancer can also lead to blood in the stool. Given that you have experienced this symptom for two years, it is advisable to follow up with your healthcare provider for further evaluation.
A thorough examination, including a digital rectal exam and possibly a colonoscopy, may be warranted to rule out any serious conditions. A colonoscopy is particularly important if you are over the age of 50 or if there are any changes in your bowel habits, such as increased frequency of bleeding, changes in stool consistency, or unexplained weight loss.
In addition to the physical examination, your doctor may recommend a fecal occult blood test (FOBT) to check for hidden blood in your stool. This test can help determine if there is bleeding occurring in the gastrointestinal tract that is not visible to the naked eye.

If your bleeding is indeed due to internal hemorrhoids, there are several management strategies that can help alleviate your symptoms. These may include dietary modifications to increase fiber intake, which can help soften stools and reduce straining during bowel movements. Over-the-counter treatments, such as topical creams or suppositories, can also provide relief from discomfort and inflammation associated with hemorrhoids.

In conclusion, while your mild internal hemorrhoids may be the source of your bleeding, it is essential to rule out other potential causes. Regular follow-ups with your healthcare provider and appropriate diagnostic tests will help ensure that you receive the correct diagnosis and treatment. If you notice any changes in your symptoms, such as an increase in the amount of blood, changes in stool color, or new symptoms like abdominal pain, make sure to seek medical attention promptly. Your health and well-being are paramount, and addressing these symptoms early can lead to better outcomes.

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