I would like to ask about the recently reappeared symptoms?
Hello Doctor, I noticed a small growth near my anus at the beginning of the year.
It doesn't hurt and cannot be pushed back in.
When I have larger or harder stools, there is some bleeding, which sometimes appears only on the toilet paper and other times a few drops fall into the toilet.
The amount is very small.
There were a few months without much bleeding, but in the past week or two, it seems to have started bleeding again, appearing to be attached to the stool, bright red in color.
From the color of the water in the toilet, it seems like there is a bit more blood than before.
However, when I wipe, I can't quite tell if this is blood in my urine.
Recently, I have experienced slight stinging in my urethra during urination on two occasions, and the toilet paper showed a light red color, but this doesn't happen every time.
However, when I wipe after using the restroom, there isn't much blood.
What do you think my condition is? Can I manage to improve my health on my own?
I, 10~19 year old female. Ask Date: 2017/12/24
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: The girl has blood in her stool and a small growth near the anus.
The most common causes are hemorrhoids and anal fissures.
It is recommended to avoid spicy foods, and to ensure adequate hydration, fiber intake, and exercise to facilitate bowel movements.
If urination is painful, to prevent urinary tract infections, it is advised not to hold in urine and to avoid wearing tight, non-breathable pants.
Blood after bowel movements, especially if it persists, can lead to anemia, so it is recommended to follow up with a colorectal or gastroenterology specialist for further examination.
Wishing you safety and health! Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Department of Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2017/12/24
More Info
Based on the symptoms you've described, it seems you may be experiencing a combination of issues related to both rectal bleeding and urinary discomfort. Let's break down the symptoms and potential causes.
1. Rectal Bleeding: The small growth near your anus that bleeds when you have a hard bowel movement could be a hemorrhoid or an anal fissure. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, itching, and bleeding, especially during bowel movements. Anal fissures are small tears in the lining of the anus that can also lead to bleeding and pain. The bright red blood you see on the toilet paper or in the toilet water typically indicates that the bleeding is coming from the lower gastrointestinal tract, which is consistent with hemorrhoids or fissures.
2. Urinary Discomfort: The slight burning sensation during urination and the presence of light red blood on the toilet paper could suggest a urinary tract infection (UTI) or irritation in the urinary tract. UTIs can cause symptoms such as frequent urination, urgency, and pain or burning during urination. The blood you see could be due to inflammation or irritation of the urinary tract lining.
3. Possible Overlap: It's important to note that while the bleeding from your rectum and the urinary discomfort may seem related, they can stem from separate issues. However, if there is significant discomfort or if the bleeding persists, it is crucial to consider that both conditions could be exacerbated by straining during bowel movements or other factors such as dehydration or dietary choices.
Recommendations:
- Hydration and Diet: Ensure you are drinking plenty of water and consuming a diet rich in fiber to help soften your stools. This can reduce straining during bowel movements, which may alleviate the bleeding from hemorrhoids or fissures.
- Over-the-Counter Treatments: For hemorrhoids, topical treatments such as hydrocortisone creams or witch hazel pads can help reduce inflammation and discomfort. For urinary discomfort, drinking cranberry juice or taking cranberry supplements may help prevent UTIs, although they are not a substitute for medical treatment.
- Hygiene: Maintain good hygiene in the anal and genital areas to prevent irritation. Gentle cleansing with mild soap and water can help.
- Monitoring Symptoms: Keep track of your symptoms. If the bleeding from your rectum increases, or if you experience severe pain, fever, or persistent urinary symptoms, it is essential to seek medical attention.
- Medical Evaluation: While self-care measures can be beneficial, they are not a substitute for professional medical advice. Given the complexity of your symptoms, it would be wise to consult a healthcare provider. They can perform a thorough examination, possibly including a rectal exam or urinalysis, to determine the underlying causes of your symptoms and recommend appropriate treatment.
Conclusion:
In summary, while some self-management strategies may help alleviate your symptoms, it is crucial to consult a healthcare professional for a comprehensive evaluation. This will ensure that any serious conditions are ruled out and that you receive the most effective treatment for your specific situation. Remember, early intervention can prevent complications and lead to better health outcomes.
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