Finding Blood While Wiping After Diarrhea: What Could It Mean? - Surgery

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Noticing trace amounts of blood while wiping after using the restroom?


I had diarrhea three times today, and during the third time, I experienced pain while using the restroom, similar to a feeling of blockage (I had to hold it in for a moment).
After finishing, I noticed blood when wiping (a small amount, but it might have mixed with vaginal discharge and felt a bit sticky).
After wiping twice and getting it clean, the pain lessened (there was no issue with sitting), and afterward, there was no pain.
I also didn't see any blood when wiping with toilet paper.
What could be wrong with me? Is this normal?

Xiao Zhou, 10~19 year old female. Ask Date: 2018/02/24

Dr. Xu Kaixi reply Surgery


Rectal bleeding is considered an abnormal symptom and can range from common conditions like hemorrhoids to more serious gastrointestinal diseases.
Based on your description, hemorrhoids are the most likely cause, but other reasons cannot be ruled out.
It is recommended that you visit a hospital's surgical or gastroenterology department for further evaluation.

Reply Date: 2018/02/24

More Info


Finding blood while wiping after a bowel movement can be concerning, and it’s important to understand the potential causes and implications. Based on your description, it seems you experienced some discomfort during your bowel movement, which may have contributed to the presence of blood. Here are some possible explanations for your symptoms:
1. Hemorrhoids: One of the most common causes of blood in the stool or on toilet paper is hemorrhoids. These are swollen veins in the rectal area that can become inflamed and bleed, especially during bowel movements. The pain you experienced could be due to straining, which is often associated with diarrhea or constipation.

2. Anal Fissures: Another possibility 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. The pain associated with fissures can be sharp and may cause bleeding, especially when wiping.

3. Infections or Inflammatory Conditions: In some cases, infections or inflammatory bowel diseases (such as ulcerative colitis or Crohn's disease) can lead to blood in the stool. These conditions are often accompanied by other symptoms, such as abdominal pain, diarrhea, or changes in bowel habits.

4. Gastrointestinal Issues: Given that you mentioned having diarrhea, it’s possible that the irritation from frequent bowel movements could have caused some minor bleeding. The mucosal lining of the rectum can become inflamed and lead to bleeding, especially if the stool is loose and frequent.

5. Other Causes: While less common, other gastrointestinal issues, such as polyps or tumors, can also cause bleeding. However, these are usually accompanied by other symptoms and are less likely in younger individuals without a significant medical history.

In your case, since the bleeding was minimal and you noted that the pain subsided after the bowel movement, it may not be a cause for immediate concern. However, it’s crucial to monitor your symptoms. If you experience recurrent bleeding, significant pain, changes in your bowel habits, or any other concerning symptoms, it would be wise to consult a healthcare professional for a thorough evaluation.


Recommendations:
- Hydration and Diet: Ensure you stay hydrated, especially if you are experiencing diarrhea. A balanced diet rich in fiber can help regulate bowel movements and prevent straining.

- Avoid Straining: If you feel the urge to go, try not to hold it in, as this can lead to straining and potential injury to the anal area.

- Warm Baths: Taking warm baths can help soothe any discomfort in the anal area and promote healing if you have hemorrhoids or fissures.

- Over-the-Counter Treatments: If you suspect hemorrhoids, over-the-counter creams or ointments may provide relief.

In summary, while finding blood after wiping can be alarming, it is often related to benign conditions such as hemorrhoids or anal fissures, especially if the bleeding is minimal and resolves quickly. However, if symptoms persist or worsen, seeking medical advice is essential to rule out any serious underlying conditions.

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