Rectal Bleeding: Is It Hemorrhoids or Something More?

Rectal bleeding

Hello Dr.
Ke, six months ago I had a colonoscopy due to blood on the surface of my stool, which diagnosed me with internal hemorrhoids and found no other polyps.
The bowel preparation for the colonoscopy was rated as good.
Recently, during a bowel movement, I noticed a small piece that looked like a blood clot mixed with the stool.
There was only a small amount, but the shape of the stool was normal, and I only noticed that small piece.
Is the blood on the surface of my stool due to bleeding from the internal hemorrhoids, or could it indicate another condition? I have read a lot online about colorectal cancer being associated with blood in the stool...
could colorectal cancer develop within six months? I'm very scared.
If possible, could you please reply and leave an email address? I may have follow-up questions.
Thank you!

Chen, 20~29 year old female. Ask Date: 2020/12/27

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period, shorten the time spent on bowel movements, and increase the intake of dietary fiber, which can be helpful.
Warm sitz baths should assist in alleviating symptoms, and you can also purchase hemorrhoidal suppositories at the pharmacy.
It is best to avoid taking stool softeners indiscriminately.
Although the probability of developing colorectal cancer at the age of 23 is not zero, it is generally very low.
Based on your description, it seems more like hemorrhoidal bleeding.
It is advisable to maintain a light diet and good lifestyle habits, avoiding spicy, irritating, and greasy foods.
If symptoms persist without improvement, you may consult a physician for medication.
If you have just undergone a colonoscopy, it is likely that there are no significant issues.

Reply Date: 2020/12/27

More Info

When it comes to rectal bleeding, it is essential to understand the potential causes and the appropriate steps to take. Based on your description, you have a history of internal hemorrhoids diagnosed six months ago, and you are now experiencing a new episode of rectal bleeding with a small blood clot or streak on your stool.
First and foremost, it is important to recognize that rectal bleeding can stem from various sources, including hemorrhoids, anal fissures, diverticular disease, and more serious conditions such as colorectal cancer. Given your previous diagnosis of internal hemorrhoids, it is quite possible that the bleeding you are experiencing is related to this condition. Hemorrhoids can become inflamed or irritated, leading to bleeding, especially during bowel movements. The presence of a small blood clot or streak may indicate that the hemorrhoids are exacerbated or that there is a minor tear in the anal area.

However, your concern about the possibility of colorectal cancer is valid, especially since you have done some research and found that blood in the stool can be a symptom of this disease. While it is less common for colorectal cancer to develop within just six months, it is not impossible. The risk factors for colorectal cancer include age, family history, personal history of polyps, and certain lifestyle factors. If you have any additional risk factors or if the bleeding persists, it is crucial to seek further evaluation.

In your case, since you have already undergone a colonoscopy that ruled out other significant issues, it may be beneficial to monitor your symptoms closely. If the bleeding continues, increases in frequency, or is accompanied by other symptoms such as abdominal pain, changes in bowel habits, or unexplained weight loss, you should consult your healthcare provider promptly. They may recommend a follow-up colonoscopy or other diagnostic tests to ensure that there are no new developments.

In the meantime, here are some general recommendations to manage your symptoms and promote healing:
1. Dietary Adjustments: Increase your fiber intake through fruits, vegetables, and whole grains to soften stools and reduce straining during bowel movements. Staying well-hydrated is also essential.

2. Topical Treatments: Over-the-counter creams or ointments specifically designed for hemorrhoids can help alleviate discomfort and reduce inflammation.

3. Warm Sitz Baths: Soaking in warm water can provide relief from pain and help reduce swelling in the anal area.

4. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate hemorrhoids and lead to further bleeding.

5. Regular Check-ups: Keep regular appointments with your healthcare provider to monitor your condition and discuss any changes in your symptoms.

If you are still feeling anxious about your symptoms or if you have further questions, I encourage you to reach out to your healthcare provider for personalized advice. They can provide reassurance and help you navigate your concerns effectively. Remember, while online research can be informative, it is always best to consult with a medical professional for accurate diagnosis and treatment options.
In conclusion, while your current symptoms may be related to your known hemorrhoids, it is essential to remain vigilant and proactive about your health. If you experience any alarming symptoms or if the bleeding persists, do not hesitate to seek medical attention. Your health and peace of mind are paramount.

Similar Q&A

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: 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

Recently, I experienced constipation and had to strain a lot while using the restroom. The situation has improved somewhat, but after bowel movements, I noticed slight bleeding around the anal area. However, there is no pain, so I'm unsure whether it's blood in my stool...

Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! The causes of rectal bleeding include anal fissures, hemorrhoids, inflammation, polyps, and even tumors; however, the most likely causes are still the first two. As age varies, the underlying causes may also differ. Therefore, if symptoms persist without improvement, it is...

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.