Bowel Issues: Pain and Bleeding After Medication

Bowel movement issues

Hello Dr.
Ke, I have been taking Western medicine for a cold for nearly two weeks, and I have stopped recently.
However, I have noticed some pain during bowel movements, feeling that my stool is hard, but I am not constipated.
After wiping, there is some blood, and today there was even more blood than before, although it stopped after wiping and did not continue to flow.
Could this situation be due to poor moisture absorption? How should I handle this? Also, I am experiencing some pain around the anus; can I apply something like a topical ointment for minor irritations? Thank you for your response, Dr.
Ke.

vivian, 40~49 year old female. Ask Date: 2019/07/30

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; however, they are not recommended for use in young children due to the presence of menthol.
If symptoms persist without improvement, it is best to consult a physician for evaluation.

Reply Date: 2019/07/30

More Info

It sounds like you're experiencing some concerning symptoms related to your bowel movements, particularly pain and bleeding. Based on your description, it seems that you may be dealing with a few potential issues, including constipation, hemorrhoids, or possibly anal fissures.

Firstly, the pain during bowel movements and the presence of blood when wiping could indicate that your stool is hard, which can happen when there is insufficient hydration or dietary fiber intake. When stool is hard, it can cause strain during defecation, leading to small tears in the anal lining (anal fissures) or irritation of the hemorrhoidal tissue, both of which can result in bleeding.
The fact that you mentioned you have been taking medication for a cold for nearly two weeks could also contribute to these symptoms. Some medications, particularly those that may cause constipation as a side effect, can lead to harder stools. Additionally, if your fluid intake has decreased while you were unwell, this could further exacerbate the problem.

To address your concerns, here are some recommendations:
1. Increase Hydration: Ensure you are drinking plenty of water throughout the day. Adequate hydration helps soften the stool and makes it easier to pass.

2. Dietary Adjustments: Incorporate more fiber into your diet. Foods such as fruits, vegetables, whole grains, and legumes can help bulk up the stool and promote regular bowel movements. If you're not used to a high-fiber diet, increase your fiber intake gradually to avoid gas and bloating.

3. Over-the-Counter Remedies: You may consider using a stool softener or a mild laxative if you are experiencing persistent constipation. However, it’s essential to consult with a healthcare professional before starting any new medication.

4. Topical Treatments: For the pain and discomfort around the anus, applying a topical ointment designed for hemorrhoids or anal fissures may provide relief. Products containing hydrocortisone or witch hazel can help reduce inflammation and soothe irritation. However, avoid using any products that could further irritate the area without consulting a healthcare provider.

5. Avoid Straining: When you feel the urge to have a bowel movement, try to go as soon as possible. Straining can worsen any existing fissures or hemorrhoids. If you find it difficult to pass stool, consider using a stool softener or a fiber supplement.

6. Monitor Symptoms: Keep an eye on your symptoms. If the bleeding persists, increases, or is accompanied by severe pain, changes in bowel habits, or any other concerning symptoms, it is crucial to seek medical attention promptly.
7. Consult a Healthcare Provider: If your symptoms do not improve with these measures, or if you have any concerns about the amount of blood you are seeing, it’s important to consult a healthcare provider. They may recommend further evaluation, such as a physical examination or possibly a colonoscopy, to rule out any serious underlying conditions.

In summary, your symptoms could likely be attributed to hard stools and potential anal fissures or hemorrhoids. By increasing your fluid and fiber intake, using appropriate topical treatments, and monitoring your symptoms, you should be able to manage your condition effectively. However, do not hesitate to reach out to a healthcare professional if your symptoms persist or worsen. Your health is important, and getting the right care is essential.

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