Blood on Toilet Paper: Is It Hemorrhoids or Colon Cancer? - Surgery

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There are small spots of blood on the toilet paper?


After having a bowel movement, I noticed small spots of blood on the toilet paper, but my stool is golden yellow and does not contain any blood.
This has been happening for three days.
Should I be concerned about colon cancer, or could it be hemorrhoids?

J, 20~29 year old female. Ask Date: 2021/01/29

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.
If the bleeding persists without improvement or if there are other gastrointestinal symptoms, it is advisable to visit a hospital's surgical or gastroenterology department for further evaluation.

Reply Date: 2021/01/29

More Info


Experiencing blood on toilet paper can be concerning, and it's understandable to worry about the potential causes, such as hemorrhoids or colon cancer. Based on the information provided, it seems that you are noticing small amounts of blood on the toilet paper after wiping, while your stool appears to be a normal golden color without any visible blood. This symptom has persisted for three days.

Firstly, it's important to note that blood on toilet paper is often associated with hemorrhoids, especially if the blood is bright red and occurs during or after bowel movements. Hemorrhoids are swollen veins in the lower rectum or anus that can cause discomfort, itching, and bleeding. They are quite common and can result from straining during bowel movements, sitting for prolonged periods, or increased pressure during pregnancy.

In contrast, colon cancer typically presents with more significant symptoms, such as changes in bowel habits (e.g., persistent diarrhea or constipation), unexplained weight loss, abdominal pain, or blood mixed in with the stool. The fact that your stool is golden and does not show any blood suggests that the bleeding may not be originating from the colon itself but rather from the anal area, which is more consistent with hemorrhoids or possibly an anal fissure.

Given that you have had blood on toilet paper for three consecutive days, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend a physical examination and possibly a rectal exam to determine the source of the bleeding. If hemorrhoids are confirmed, treatment options may include lifestyle changes, over-the-counter medications, or procedures to remove or reduce the hemorrhoids.

While the risk of colon cancer increases with age and certain risk factors (such as family history, diet, and lifestyle), your current symptoms do not strongly indicate cancer. However, it is essential to remain vigilant and proactive about your health. If you have a family history of colon cancer or other gastrointestinal issues, discussing this with your doctor is crucial, as they may recommend screening tests like a colonoscopy, especially if you are over the age of 45 or have other risk factors.

In summary, while the presence of blood on toilet paper can be alarming, it is more likely related to hemorrhoids or another benign condition rather than colon cancer, especially given the absence of blood in the stool itself. Nevertheless, it is essential to seek medical advice to rule out any serious conditions and to receive appropriate treatment for your symptoms. Taking care of your digestive health through a balanced diet, adequate hydration, and regular exercise can also help prevent issues like hemorrhoids in the future.

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