Blood in Toilet After Bowel Movement: Causes and Concerns

Blood in the toilet after a bowel movement?

I do not have any issues with bowel movements, but after using the restroom yesterday, I noticed blood in the toilet, similar to the first couple of days of my menstrual period.
There was also blood on the toilet paper, and the amount was comparable to that of my menstrual flow.
This has happened three times in the past year, and usually, things return to normal the next day.
However, today when I used the restroom, the same thing occurred; I was unable to have a successful bowel movement.
I was initially concerned that it might be due to straining, but today I experienced the same bleeding as yesterday, so now I am a bit hesitant to try to have a bowel movement.
I am not sure what could be causing the bleeding, although there is a family history of hemorrhoids.
Additionally, I have a question: can I attempt to have a bowel movement again tomorrow? Thank you.

Alice, 30~39 year old female. Ask Date: 2019/01/26

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, a 36-year-old female is experiencing blood in the toilet during bowel movements, primarily from the rectal and anal area.
The most common causes are hemorrhoids and anal fissures.
Difficulties in bowel movements, such as straining, diarrhea, and constipation, can contribute to this issue.
Experiencing bleeding multiple times a year can lead to chronic anemia due to prolonged blood loss.
It is recommended to seek examination and treatment from a colorectal specialist.
Wishing you safety and health! Sincerely, Dr.
Ming-Hui Lin, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/01/26

More Info

Experiencing blood in the toilet after a bowel movement can be alarming and is often a cause for concern. The presence of blood in the stool or in the toilet bowl can be attributed to several potential causes, most commonly related to conditions affecting the rectum and anus. Given your description, it is important to consider the following factors.

Common Causes of Blood in the Stool
1. Hemorrhoids: This is one of the most common causes of rectal bleeding. Hemorrhoids can be internal or external and may cause bright red blood on the toilet paper or in the toilet bowl. They often result from straining during bowel movements, chronic constipation, or prolonged sitting.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools or straining during bowel movements. They can lead to sharp pain and bleeding during and after bowel movements.

3. Diverticular Disease: Diverticulosis and diverticulitis can cause bleeding in the lower gastrointestinal tract. Diverticulosis involves the formation of small pouches in the colon wall, while diverticulitis occurs when these pouches become inflamed or infected.

4. Colorectal Polyps or Cancer: Although less common, polyps can bleed, and colorectal cancer can also present with blood in the stool. Given your family history of hemorrhoids, this is less likely, but it is still a consideration, especially if the bleeding persists.

5. Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the intestines, leading to blood in the stool.

Recommendations
Given that you have experienced this issue multiple times within the past year, it is crucial to consult a healthcare professional for a thorough evaluation. Here are some steps you can take:
- Keep a Record: Document the frequency, amount, and appearance of the blood, as well as any accompanying symptoms (such as pain, changes in bowel habits, or weight loss). This information will be helpful for your healthcare provider.

- Avoid Straining: If you are concerned about straining during bowel movements, consider dietary changes to include more fiber, which can help soften stools and promote regularity. Staying hydrated is also essential.

- Consult a Specialist: Given the recurrent nature of your symptoms, it would be wise to see a gastroenterologist or a colorectal specialist. They may recommend a colonoscopy or other diagnostic tests to rule out more serious conditions.

- Do Not Avoid Bowel Movements: While it is understandable to be apprehensive about passing stool due to the fear of bleeding, it is important not to hold back. This can lead to constipation and worsen the situation. If you are experiencing pain or discomfort, discuss this with your doctor, who may recommend a stool softener or laxative.

Conclusion
In summary, while occasional blood in the stool can be benign, recurrent episodes warrant further investigation. Conditions like hemorrhoids and anal fissures are common culprits, but it is essential to rule out more serious issues. Please consult a healthcare professional to discuss your symptoms and receive appropriate care. Your health is paramount, and addressing these concerns early can lead to better outcomes.

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