Rectal Bleeding: Hemorrhoids or Something Else?

Hemorrhoids? Or something else?

I would like to ask the doctor a few questions, and I sincerely hope you can help clarify them for me.

1.
I started experiencing constipation around the end of November last year, and since then, I have had three instances of what seemed like rectal bleeding.
Two of these occurrences coincided with my menstrual period, while one instance involved stool that was coffee-colored with a hint of red.
I couldn't determine whether it was coffee-colored or red.
It's clear that this is abnormal, but I would like to ask the doctor if hemorrhoid-related bleeding can sometimes appear as a combination of blood and stool.
I often read online that colorectal cancer presents as blood mixed with stool, while hemorrhoid bleeding is separate.
This makes me quite worried, but I also heard from the school nurse that internal hemorrhoids can also cause blood to mix with stool.
Which one is correct?
2.
I would like to know if difficulty passing gas can be caused by hemorrhoids.
This symptom also started around the end of November, and I have been experiencing discomfort in my buttocks when sitting.
3.
Is anal itching also related? Today, especially after having a bowel movement, I experienced significant itching, although it doesn't last long.
Thank you, doctor.
🙏

Yun, 10~19 year old female. Ask Date: 2020/03/06

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, the likelihood of hemorrhoidal bleeding is the highest.
The nature of the bleeding can vary from person to person and cannot be solely determined by whether the stool and blood are mixed.
Anal itching may also be related to hemorrhoids.
It is recommended that you visit a hospital's surgical or gastroenterology department for further evaluation.

Reply Date: 2020/03/06

More Info

Understanding rectal bleeding can be a complex issue, as it may arise from various conditions, including hemorrhoids, anal fissures, or more serious concerns like colorectal cancer. Based on your description, it seems you have experienced rectal bleeding alongside symptoms such as constipation, discomfort while sitting, and anal itching. Let's address your concerns systematically.

1. Nature of Rectal Bleeding: You mentioned experiencing rectal bleeding three times, with two incidents coinciding with your menstrual period. The color of the blood can provide clues about its source. Bright red blood typically indicates bleeding from the lower gastrointestinal tract, such as hemorrhoids or anal fissures, while darker blood (like coffee grounds) may suggest bleeding from higher up in the digestive tract. The fact that you have seen blood mixed with your stool raises concerns, as this could indicate a more serious issue.
Regarding your question about whether hemorrhoids can cause blood to appear mixed with stool, it is indeed possible. Internal hemorrhoids can sometimes lead to blood being present in the stool, but it is usually bright red and separate from the stool itself. The distinction you mentioned—blood mixed with stool versus blood on the surface—can be significant. Blood that is mixed in with the stool could suggest a more serious condition, such as colorectal cancer, especially if it is accompanied by other symptoms like changes in bowel habits or unexplained weight loss. Therefore, it is crucial to consult a healthcare provider for a thorough evaluation, including possibly a colonoscopy, to rule out any serious conditions.

2. Flatulence and Discomfort: You asked if difficulty passing gas could be related to hemorrhoids. While hemorrhoids can cause discomfort and pain, they are not typically associated with difficulty in passing gas. This symptom may be related to other gastrointestinal issues, such as constipation or dietary factors. If you are experiencing significant discomfort while sitting, it could be due to the presence of hemorrhoids or anal fissures, which can make sitting painful.
3. Anal Itching: Anal itching can be caused by several factors, including hemorrhoids, poor hygiene, skin irritation, or even infections. It is not uncommon for individuals with hemorrhoids to experience itching, especially after bowel movements. Maintaining good hygiene and using soothing topical treatments can help alleviate this symptom. However, if the itching persists or worsens, it is advisable to seek medical advice.

In summary, while hemorrhoids could be a contributing factor to your symptoms, the presence of blood in your stool—especially if it appears mixed with the stool—should not be ignored. It is essential to consult a healthcare professional who can perform a physical examination and possibly recommend diagnostic tests to determine the exact cause of your symptoms. Early detection and treatment are crucial, especially when it comes to conditions like colorectal cancer.
In the meantime, consider dietary changes to alleviate constipation, such as increasing fiber intake and staying hydrated. Over-the-counter treatments for hemorrhoids may also provide temporary relief. However, please prioritize seeing a healthcare provider to address your concerns comprehensively.

Similar Q&A

Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?

Hello Dr. Lin, I have been troubled by the issue of rectal bleeding for the past few days. I have a regular bowel movement every morning and maintain a balanced diet, but recently I have noticed fresh blood in the toilet and on the toilet paper after wiping. I still have normal b...

Dr. Lin Hongmao reply Surgery
Dear OL: Thank you for your question. Based on your description, it seems like you may be experiencing issues related to internal hemorrhoids. I have some information about hemorrhoids for your reference. 1. What are hemorrhoids? In simple terms, hemorrhoids are an enlargement o...

Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?

Hello Doctor, I have a question on behalf of a friend. He drinks a lot of water but experiences rectal bleeding 2-3 times a month, which involves either passing a significant amount of blood or noticing bright red blood on toilet paper. There is not much pain associated with it, ...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Regardless of whether it is a mole or bleeding, it is recommended to consult a gastroenterologist or a colorectal specialist. Changhua Hospital cares about your health. Dr. Tsai An-shun.

Understanding Rectal Bleeding: Causes and When to Seek Help

I have been experiencing rectal bleeding for the past week or two. Initially, I noticed bright red blood on the toilet paper when wiping. In the last couple of days, I have seen drops of blood while sitting on the toilet, and today, my bowel movement was accompanied by a signific...

Dr. Chen Jiaming reply Surgery
Based on your description, the likelihood of this condition being caused by hemorrhoids (external hemorrhoids) is higher; however, the possibility of cancer cannot be completely ruled out. It is recommended to first consult a colorectal surgeon or a gastroenterologist to further ...

Understanding Rectal Bleeding: Causes, Symptoms, and Treatment Options

Recently, I have been experiencing bleeding from both my anus and rectum, regardless of whether it's a bowel movement or not. The blood is dark red and there are also small blood clots. I am also prone to diarrhea. Thank you for your response, doctor.

Dr. He Zhenming reply Surgery
It is most likely that the anal fissure is caused by hemorrhoids. Please see a colorectal clinic. He Zhenming.