Rectal Bleeding: Causes, Symptoms, and When to Worry

Rectal bleeding

Hello doctor, I experienced rectal bleeding for the first time.
The blood was bright red and splattered on the slope of the toilet and in the water.
I had a hard time passing a stool, which took a long time and required a lot of effort.
The stool was somewhat pellet-like.
When I wiped with toilet paper for the first time, there were blood stains about the size of a five to ten cent coin, but after a few wipes, it stopped.
Now, almost a week has passed, and every time I use the restroom, I check and there hasn't been any more bleeding like the last time.
The day after the bleeding, I went to see a doctor who used an anoscope and diagnosed me with an anal fissure.
But isn't an anal fissure supposed to be very painful? I felt that the doctor was somewhat dismissive while I was describing my symptoms.
I haven't experienced any pain during bowel movements since then.
Am I suffering from a serious illness?

Cheng, 20~29 year old female. Ask Date: 2017/10/18

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 bowel movements.
Increasing fiber intake can also be beneficial.
Warm sitz baths may help alleviate symptoms, and over-the-counter hemorrhoidal suppositories can be used.
It is best to avoid taking stool softeners indiscriminately.
If bleeding persists, it is advisable to consult a physician.
Although the likelihood of developing colorectal cancer at the age of 24 is not zero, it is generally very low.
It is recommended to maintain a light diet and a good lifestyle, avoiding spicy, irritating, and greasy foods.
If symptoms continue without improvement, a physician may prescribe medication or recommend a colonoscopy.

Reply Date: 2017/10/18

More Info

Rectal bleeding can be a concerning symptom, and it's understandable that you might feel anxious about it. Based on your description, it seems that you experienced bright red blood during a bowel movement, which can often be alarming. However, there are several potential causes for rectal bleeding, and not all of them indicate a serious condition.

Common Causes of Rectal Bleeding
1. Hemorrhoids: These are swollen blood vessels in the rectal area that can cause bleeding, especially during bowel movements. They can be internal or external and may not always be painful.

2. Anal Fissures: As you mentioned, your doctor diagnosed you with a fissure. This is a small tear in the lining of the anus, which can occur due to passing hard stools. While fissures can be painful, they may not always cause significant discomfort, especially if they are small or healing.

3. Diverticular Disease: This condition involves the formation of small pouches in the colon wall, which can sometimes bleed.

4. Polyps or Colorectal Cancer: While less common, these can also cause rectal bleeding. Polyps are growths that can develop on the lining of the colon or rectum, and some can become cancerous over time.

5. Gastrointestinal Infections: Certain infections can lead to inflammation and bleeding in the gastrointestinal tract.

6. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause rectal bleeding, along with other symptoms like abdominal pain and diarrhea.

Symptoms to Monitor
While you mentioned that you are not experiencing pain, it is essential to monitor for other symptoms that could indicate a more serious issue. These include:
- Changes in bowel habits (diarrhea or constipation)
- Abdominal pain or cramping
- Weight loss
- Fatigue
- Changes in the color or consistency of your stool

When to Seek Medical Attention
You should seek medical attention if:
- The bleeding persists or worsens.

- You experience significant pain or discomfort.

- You notice other concerning symptoms, such as those mentioned above.

- You have a family history of gastrointestinal diseases.

Conclusion
In your case, it seems that the initial bleeding was likely due to a benign cause, such as a hemorrhoid or anal fissure, especially since you have not experienced pain during subsequent bowel movements. However, it is crucial to stay vigilant and maintain open communication with your healthcare provider. If your symptoms change or if you have any concerns, do not hesitate to seek further evaluation.

In summary, while rectal bleeding can be alarming, many causes are treatable and not indicative of severe disease. Maintaining a healthy diet, staying hydrated, and managing bowel habits can help prevent future occurrences. If you have any doubts or if your symptoms change, please consult your healthcare provider for further assessment and guidance.

Similar Q&A

Understanding Rectal Bleeding: Causes and When to Seek Help

Recently, I experienced constipation and had to strain a lot while using the restroom. The situation has improved somewhat, but after bowel movements, I noticed slight bleeding around the anal area. However, there is no pain, so I'm unsure whether it's blood in my stool...

Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! The causes of rectal bleeding include anal fissures, hemorrhoids, inflammation, polyps, and even tumors; however, the most likely causes are still the first two. As age varies, the underlying causes may also differ. Therefore, if symptoms persist without improvement, it is...

Understanding Rectal Bleeding: Causes and Concerns

Hello, Dr. Chang. I've been experiencing a burning and itching sensation around my anus for the past couple of days. My stools have been somewhat soft, and after bowel movements, I've noticed dark red liquid on the toilet paper, but it is not thick. Could this be an iss...

Dr. Zhang Shuhao reply Surgery
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more blood than the first caus...

Understanding Rectal Bleeding: Causes and When to Seek Help

Hello Dr. Chen, I have a question. Recently, my bowel movements have been normal, but I've noticed bright red bleeding from my rectum, similar to menstrual bleeding. I'm not sure what this symptom could indicate. Could you please help me understand? Thank you.

Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello: The bleeding may be from the anus or rectum, with the most common cause being hemorrhoidal bleeding. It is recommended that you schedule an examination with a gastroenterologist or a colorectal surgeon. Additionally, you should consume a diet rich in fiber, develop good bo...

Understanding Rectal Bleeding: Causes and When to Seek Help

Hello doctor, I usually have regular bowel movements in the morning, but I've noticed fresh red blood and sometimes dark red blood when wiping my bottom for the past month. It also feels painful. My weight has been fluctuating between losing and gaining. What could this be a...

Dr. Ke Fangxu reply Surgery
Based on your description, it seems to be an anal fissure. The typical symptoms include pain during bowel movements accompanied by slight bleeding. The primary cause of anal fissures is usually hard stools; however, diarrhea, frequent bowel movements, or prolonged straining can a...