Blood on toilet paper after a bowel movement?
Hello doctor, this morning I had a very large bowel movement, and it was extremely painful at the time.
After wiping, I noticed a little blood, and I also have a burning sensation around the anus.
What could be the problem? Will it resolve on its own? Thank you, doctor.
We, 20~29 year old female. Ask Date: 2019/05/07
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding.
The common causes are often constipation or diarrhea.
The fundamental treatment is to improve bowel habits, along with warm sitz baths.
Warm sitz baths can help alleviate pain, maintain cleanliness, and promote blood circulation.
You can also purchase hemorrhoid suppositories at the pharmacy for use.
If the symptoms persist without improvement, it is advisable to consult a physician for further evaluation.
Reply Date: 2019/05/07
More Info
Blood after a bowel movement can be concerning, and it’s important to understand the potential causes and when to seek medical attention. Based on your description, it sounds like you experienced pain during a bowel movement, followed by the presence of blood and a burning sensation afterward. Here are some possible explanations for your symptoms:
1. Hemorrhoids: One of the most common causes of blood in the stool is hemorrhoids, which are swollen veins in the rectal area. They can cause pain, itching, and bleeding, especially after a hard or straining bowel movement. The blood is usually bright red and may be seen on the toilet paper or in the toilet bowl.
2. Anal Fissures: An anal fissure is a small tear in the lining of the anus, often caused by passing a large or hard stool. This can lead to sharp pain during and after bowel movements, along with bleeding. The blood is typically bright red and may be accompanied by a burning sensation.
3. Diverticular Disease: Diverticulosis is a condition where small pouches form in the walls of the colon. If these pouches become inflamed or infected (diverticulitis), it can lead to bleeding. However, this is less common and usually presents with other symptoms like abdominal pain.
4. Colorectal Polyps or Cancer: While less common, bleeding can also be a sign of polyps or colorectal cancer, especially if it is persistent or accompanied by other symptoms such as changes in bowel habits, weight loss, or abdominal discomfort.
5. Infections or Inflammatory Conditions: Certain infections or inflammatory bowel diseases (like Crohn's disease or ulcerative colitis) can also cause rectal bleeding, though these conditions typically have additional symptoms.
When to Seek Help
You should seek medical attention if you experience any of the following:
- Persistent Bleeding: If the bleeding continues or worsens, it’s important to consult a healthcare provider.
- Severe Pain: If the pain is severe and does not improve, it may indicate a more serious condition.
- Changes in Bowel Habits: If you notice changes in your bowel habits, such as diarrhea or constipation, especially if accompanied by blood.
- Other Symptoms: If you experience other concerning symptoms, such as weight loss, fever, or fatigue.
Self-Care and Management
In the meantime, here are some self-care tips that may help alleviate your symptoms:
- Increase Fiber Intake: Eating a high-fiber diet can help soften stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.
- Stay Hydrated: Drinking plenty of water can also help prevent constipation.
- Warm Baths: Taking warm baths can help soothe anal discomfort and promote relaxation.
- Over-the-Counter Treatments: If hemorrhoids are suspected, over-the-counter creams or suppositories may provide relief.
Conclusion
While it’s possible that your symptoms may resolve on their own, it’s essential to monitor your condition closely. If the bleeding persists or if you have any concerns, do not hesitate to consult a healthcare professional for a thorough evaluation. Early diagnosis and treatment can help prevent complications and ensure better health outcomes.
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