Blood on Toilet Paper: Causes and Solutions - Surgery

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There was a small amount of blood when wiping after a bowel movement in the morning?


Doctor, I used to have a bowel movement once or twice a day, but recently I've started a new job driving a large truck for long hours.
For the past week or two, my bowel habits have changed.
I have a bowel movement in the morning, and when I wipe, there's a little blood on the toilet paper.
In the evenings, if I have a bowel movement, I don't experience the same issues.
At the beginning of my new job, I had some abdominal pain, but that has since resolved.
On my days off, I don't have any bleeding or discomfort; I just don't understand why there's blood when I wipe.

An, 30~39 year old female. Ask Date: 2018/02/22

Dr. Ke Fangxu reply Surgery


This situation is likely indicative 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.
Increasing dietary 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 for evaluation.
If necessary, a colonoscopy can be arranged.

Reply Date: 2018/02/22

More Info


When it comes to noticing blood on toilet paper after a bowel movement, especially in the context of recent changes in lifestyle or work habits, there are several potential causes to consider. The presence of bright red blood on toilet paper typically indicates that the source of the bleeding is near the anus or in the lower rectum. Here are some common causes and considerations:
1. Hemorrhoids: One of the most common reasons for bright red blood on toilet paper is hemorrhoids, which are swollen veins in the rectal area. They can become irritated and bleed, especially during bowel movements, particularly if there is straining or if the stool is hard. Given your recent changes in work and possibly dietary habits, this could be a significant factor.

2. Anal Fissures: Another possible cause is an anal fissure, which is a small tear in the lining of the anus. This can occur due to passing hard stools or straining during bowel movements. If you have experienced any discomfort or pain during bowel movements, this could be a contributing factor.

3. Dietary Changes: Changes in your diet, particularly if you are consuming less fiber or not drinking enough fluids, can lead to constipation and harder stools, which can exacerbate both hemorrhoids and fissures. Since you mentioned that your bowel habits have changed with your new job, it’s possible that your diet has also been affected.

4. Stress and Lifestyle Changes: The stress associated with a new job, especially one that involves long hours and possibly irregular eating habits, can impact your digestive health. Stress can lead to gastrointestinal issues, including changes in bowel habits and increased tension in the abdominal area, which may contribute to straining during bowel movements.

5. Other Gastrointestinal Issues: While less common, other conditions such as diverticulosis, polyps, or even inflammatory bowel disease could also cause rectal bleeding. However, these are typically accompanied by other symptoms such as abdominal pain, changes in bowel habits, or weight loss.


Recommendations:
1. Dietary Adjustments: Focus on increasing your fiber intake through fruits, vegetables, whole grains, and legumes. This can help soften your stool and make bowel movements easier. Additionally, ensure you are drinking plenty of water throughout the day to stay hydrated.

2. Avoid Straining: Try to avoid straining during bowel movements. If you feel the urge to go, don’t delay it, as this can lead to harder stools.

3. Warm Baths: Taking warm baths can help soothe the anal area and may relieve discomfort associated with hemorrhoids or fissures.

4. Over-the-Counter Treatments: You might consider using over-the-counter topical treatments for hemorrhoids, which can provide relief from symptoms.

5. Monitor Symptoms: Keep an eye on your symptoms. If the bleeding persists, increases in frequency, or is accompanied by pain, significant changes in bowel habits, or other concerning symptoms, it is important to seek medical attention. A healthcare professional can conduct a thorough evaluation to rule out any serious conditions.

6. Consult a Doctor: Since you mentioned that the bleeding seems to occur only after starting your new job and is not accompanied by pain or discomfort, it may be related to lifestyle changes. However, if you are concerned or if the symptoms do not improve with home care, it’s advisable to consult a healthcare provider for a proper diagnosis and treatment plan.

In summary, while occasional blood on toilet paper can often be attributed to benign causes such as hemorrhoids or fissures, it is essential to pay attention to your body and seek medical advice if symptoms persist or worsen. Making dietary changes and managing stress can significantly improve your bowel health and overall well-being.

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