Is It Hemorrhoids or Warts? Rectal Bleeding Causes - Surgery

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Is it a cauliflower or hemorrhoids?


Hello doctor, I noticed some minor bleeding when I had a bowel movement.
I looked in the mirror and it seems like it could be hemorrhoids or something resembling warts.
I did some research online and it looks somewhat like warts.
Additionally, I often see small streaks of blood during bowel movements.
I have a photo; can you give me an estimate of what this might be?

Axiang, 20~29 year old female. Ask Date: 2018/04/02

Dr. Li Qinglong reply Surgery


Dear Mr.
Ah-Hsiang: Regarding the issue you raised, such as hemorrhoids, it is recommended that you visit an outpatient clinic for a digital rectal examination by a physician for a definitive diagnosis.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2018/04/02

More Info


When it comes to rectal bleeding, distinguishing between hemorrhoids and genital warts (often referred to as "cauliflower-like" growths due to their appearance) is crucial for appropriate treatment and management. Both conditions can cause bleeding, but they have different underlying causes and implications for health.

Hemorrhoids are swollen veins in the lower rectum or anus, similar to varicose veins. They can be internal (inside the rectum) or external (under the skin around the anus). Symptoms of hemorrhoids include:
- Bright red blood on toilet paper or in the toilet bowl after a bowel movement.

- Pain or discomfort, especially during bowel movements.

- Swelling or a lump near the anus.

Hemorrhoids are often caused by increased pressure in the lower rectum due to factors such as straining during bowel movements, sitting for long periods, obesity, pregnancy, or chronic constipation or diarrhea. They are generally not serious and can often be managed with lifestyle changes, over-the-counter treatments, and in some cases, medical procedures.

Genital warts, on the other hand, are caused by certain strains of the human papillomavirus (HPV). They can appear as small, flesh-colored or gray swellings in the genital area, and they may resemble cauliflower. Symptoms may include:
- Growths or lumps in the genital area.

- Bleeding during bowel movements if the warts are located near the anus.

- Itching or discomfort in the affected area.

Genital warts are a sexually transmitted infection (STI) and can be treated with topical medications, cryotherapy, or surgical removal. It's important to note that while genital warts themselves are not usually harmful, they can indicate the presence of HPV, which is associated with certain types of cancer.

Given your symptoms of rectal bleeding and the appearance of growths, it is essential to consult a healthcare professional for an accurate diagnosis. A doctor can perform a physical examination and may recommend further tests, such as a biopsy, to determine the nature of the growths.
In the meantime, here are some general recommendations:
1. Avoid Straining: If hemorrhoids are suspected, try to avoid straining during bowel movements. This can be achieved by maintaining a high-fiber diet, staying hydrated, and using stool softeners if necessary.

2. Maintain Hygiene: Keep the anal area clean and dry. Use gentle wipes or warm water to cleanse the area after bowel movements.

3. Seek Medical Advice: Given the presence of bleeding and growths, it is crucial to see a healthcare provider. They can provide a definitive diagnosis and appropriate treatment options.

4. Monitor Symptoms: Keep track of any changes in symptoms, such as increased bleeding, changes in the size or appearance of growths, or new symptoms like pain or itching.

In conclusion, while both hemorrhoids and genital warts can cause rectal bleeding, they have different causes and treatment approaches. A healthcare professional's evaluation is vital to ensure proper diagnosis and management.

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