Light Blood Discharge from the Anus After Menstruation

At the end of menstruation, there seems to be thick light blood from the anus?

I remember this is the second time I've noticed blood when wiping my anus (without pain).
It's not when I'm having a bowel movement, but rather when I feel a moist and slippery sensation around the anus, and upon wiping, I find a thick, light blood that feels like tissue fluid.
The last time I noticed this was similar to this occurrence, around the end of my menstrual period.
I'm unsure if there is something wrong with my body, whether it's related to my menstrual cycle, gastrointestinal issues, or something concerning the anus.
I'm very worried about my health.
Thank you for your help, doctor.

Niming, 20~29 year old female. Ask Date: 2017/10/30

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, if the bleeding is periodic, it is recommended to consult a gynecologist during the bleeding to confirm the cause and receive appropriate treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2017/10/30

More Info

Experiencing light blood discharge from the anus after menstruation can be concerning, and it's understandable that you're worried about your health. Let's break down the potential causes and considerations regarding this symptom.

Firstly, it's important to note that the menstrual cycle can influence various bodily functions, including gastrointestinal and rectal health. Hormonal changes during menstruation can lead to increased blood flow and sensitivity in the pelvic region, which may cause some women to experience light bleeding or spotting from the anus, especially towards the end of their menstrual period. This could be due to several factors:
1. Hormonal Effects: The hormonal fluctuations during your menstrual cycle can affect the blood vessels in the pelvic area, potentially leading to increased vascularity or even minor bleeding from the rectal area.

2. Hemorrhoids: If you have a history of hemorrhoids, they can become more pronounced during menstruation due to increased pressure in the pelvic area. Hemorrhoids can cause light bleeding, especially when wiping after using the restroom.

3. Anal Fissures: These are small tears in the lining of the anus that can occur due to straining during bowel movements or passing hard stools. They can lead to minor bleeding and discomfort, although you mentioned that you did not notice blood during bowel movements.

4. Gastrointestinal Issues: Conditions such as diverticulosis or inflammatory bowel disease (IBD) can also lead to rectal bleeding. However, these conditions typically present with other symptoms such as abdominal pain, changes in bowel habits, or diarrhea.

5. Infection or Inflammation: Infections or inflammatory conditions affecting the rectum or surrounding tissues can also lead to bleeding. Conditions like proctitis (inflammation of the rectum) could be a consideration.

Given that you mentioned the blood was thick and similar to tissue fluid, it may suggest that it could be related to the menstrual cycle or possibly some minor irritation in the anal area. However, it is crucial to monitor the situation closely. Here are some recommendations:
- Keep a Record: Document when the bleeding occurs, its consistency, and any accompanying symptoms (like pain, itching, or changes in bowel habits). This information can be helpful for your healthcare provider.

- Consult a Healthcare Provider: Since this is the second occurrence, it would be wise to consult a healthcare professional, preferably a gastroenterologist or a gynecologist. They can perform a thorough examination and possibly recommend tests to rule out any underlying conditions.

- Avoid Straining: If you experience constipation or difficulty during bowel movements, consider dietary changes to increase fiber intake and stay hydrated. This can help prevent hemorrhoids and fissures.

- Monitor for Changes: If you notice any changes in the bleeding pattern, such as increased frequency, volume, or the presence of pain, seek medical attention promptly.

In conclusion, while light blood discharge from the anus after menstruation can be related to hormonal changes or minor issues like hemorrhoids, it is essential to approach this symptom with caution. Consulting a healthcare provider will provide you with the best course of action and peace of mind regarding your health.

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