Bowel movement issues
Hello, Doctor:
1.
Sometimes when I wipe after a bowel movement, there is a little bit of red (but it's not fresh blood; the first wipe shows it, and by the second wipe, it’s just the normal stool color).
It has been about a month since the last occurrence, but it happened again today.
After wiping, I also noticed remnants of chili.
I’m wondering if eating red foods that are not well digested could cause the red color when wiping? I don’t feel pain during bowel movements, but whenever I see a little bit of red, it makes me feel a bit down.
Sometimes there is more red (the last time was three months ago, and when I wiped, the red was gone with the stool).
What foods could cause red when wiping after a bowel movement (due to indigestion)? For example, carrots or pig's blood cake.
2.
I have researched the possible causes of blood when wiping after a bowel movement and think it resembles an anal fissure, but since I don’t feel pain during bowel movements, I’m uncertain about the cause (which is why I asked the first question).
If it is an anal fissure, are there over-the-counter medications available that I can buy without a prescription? Is Vaseline effective?
Esgirl, 20~29 year old female. Ask Date: 2017/12/08
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1.
Red vegetable fibers are usually present in the stool.
2.
If the issue is unclear, it is advisable to consult a gastroenterologist or a colorectal specialist, and self-medication is not recommended.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2017/12/08
More Info
When it comes to noticing red stains in your stool or during wiping, it’s understandable to feel concerned. The presence of red coloration can be alarming, but it’s essential to consider various factors that could contribute to this phenomenon.
1. Dietary Factors: As you mentioned, consuming certain foods can lead to red discoloration in your stool or during wiping. Foods like red bell peppers, beets, tomatoes, and even certain types of candies can leave behind pigments that may appear red. If you’ve recently consumed these foods, it’s quite possible that the red color you’re seeing is simply undigested food particles. For instance, red bell peppers have a tough skin that can sometimes pass through the digestive system without being fully broken down, leading to remnants in your stool.
2. Digestive Health: If you’re experiencing red stains but no pain during bowel movements, it’s less likely that you’re dealing with something serious like a gastrointestinal bleed. However, digestive issues such as malabsorption or incomplete digestion can cause food particles to appear in your stool. If you suspect that your body is not digesting certain foods well, it might be worth discussing with a healthcare provider. They may recommend dietary adjustments or tests to evaluate your digestive health.
3. Anal Fissures: You mentioned the possibility of an anal fissure, which is a small tear in the lining of the anus. While fissures typically cause pain during bowel movements, it’s not impossible to have a fissure without significant pain, especially if the tear is minor. If you notice blood that appears bright red and is accompanied by pain, it could indicate a fissure or hemorrhoids. Over-the-counter treatments for anal fissures include topical anesthetics and soothing creams. Products containing hydrocortisone can help reduce inflammation, while petroleum jelly (like Vaseline) can provide a protective barrier and promote healing.
4. When to Seek Medical Attention: If the red discoloration persists, increases in frequency, or is accompanied by other symptoms such as abdominal pain, changes in bowel habits, or weight loss, it’s crucial to consult a healthcare professional. They may perform a physical examination and recommend further tests, such as a colonoscopy, to rule out any serious conditions.
5. Self-Care Measures: In the meantime, maintaining a high-fiber diet can help ensure regular bowel movements and reduce the risk of fissures. Staying hydrated is also essential for digestive health. If you suspect that certain foods are causing issues, consider keeping a food diary to track your intake and any corresponding symptoms.
In summary, while red stains in stool can be concerning, they are often related to dietary choices or minor issues like anal fissures. Monitoring your symptoms and consulting with a healthcare provider if they persist or worsen is the best course of action. Remember, your health is paramount, and it’s always better to err on the side of caution when it comes to changes in your body.
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