Blood in Stool: Causes, Symptoms, and Duration of Hemorrhoids

Rectal bleeding

The stool is both coffee-colored and golden yellow, and it can be as thick as a ten or even fifty NT dollar coin.
During bowel movements, there is a sharp pain in the anus, and wiping results in bright red blood the size of a ten NT dollar coin.
Initially, the blood spread in the toilet water, separating from it, but later it became bright red blood mixed at the end of the stool.
The amount of blood wiped away has decreased, and the pain in the anus is not as severe as the first time.
Upon self-examination, there are no unusual findings at the anal opening.

What could be the reason for the bright red blood initially spreading in the toilet water and later mixing with the stool? How long does hemorrhoids typically last?

Xiao Wu, 30~39 year old female. Ask Date: 2021/07/31

Dr. Hong Yuanbin reply Internal Medicine

Hello, based on your description, it seems that the bleeding from the anus or hemorrhoids is likely caused by hard or large stools.
This usually resolves on its own after some time.
It is recommended to increase your intake of vegetables, exercise regularly, and establish a regular bowel habit to reduce the chances of bleeding.
If you experience frequent bleeding, it is advisable to consult a colorectal surgeon.
Thank you for your inquiry.

Reply Date: 2021/07/31

More Info

When it comes to the presence of blood in stool, particularly the bright red blood you described, it is essential to understand the potential causes, symptoms, and duration of conditions such as hemorrhoids. Hemorrhoids, which are swollen veins in the lower rectum and anus, are a common cause of rectal bleeding and can lead to discomfort and pain during bowel movements.

Causes of Blood in Stool
1. Hemorrhoids: The most common cause of bright red blood in stool is hemorrhoids. They can cause pain, itching, and bleeding, especially during bowel movements. The blood is usually bright red and may appear on toilet paper or in the toilet bowl.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain during bowel movements and may also cause bleeding.

3. Diverticular Disease: Diverticulosis can lead to diverticulitis, which may cause bleeding. This condition involves the formation of small pouches in the colon wall.

4. Colorectal Polyps or Cancer: While less common, polyps or cancer in the colon can also cause bleeding. Blood from these sources may be mixed with stool or appear separately.

5. Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract.

Symptoms Associated with Hemorrhoids
- Pain and Discomfort: You mentioned experiencing significant pain during bowel movements, which is a common symptom of hemorrhoids.

- Bleeding: The bright red blood you observed, especially if it was on the toilet paper or mixed with stool, is typical of hemorrhoidal bleeding.

- Itching or Irritation: Hemorrhoids can cause itching around the anus.

- Swelling: You may notice swelling or a lump near the anus.

Duration of Hemorrhoids
The duration of hemorrhoids can vary significantly based on several factors, including the severity of the condition and the treatment approach. In general:
- Acute Hemorrhoids: If the hemorrhoids are caused by a specific event (like straining during bowel movements), they may resolve within a few days to weeks with appropriate care, such as dietary changes, increased fluid intake, and topical treatments.

- Chronic Hemorrhoids: If the underlying causes are not addressed, hemorrhoids can persist for months or even years. Chronic hemorrhoids may require more intensive treatments, such as rubber band ligation or surgical intervention.

Recommendations
1. Dietary Changes: Increase fiber intake to soften stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.

2. Hydration: Drink plenty of fluids to help prevent constipation.

3. Topical Treatments: Over-the-counter creams or ointments can help relieve pain and itching.

4. Warm Baths: Soaking in warm water can provide relief from pain and discomfort.

5. Consult a Healthcare Provider: Given the symptoms you described, it is crucial to consult a healthcare provider for a thorough examination. They may recommend a physical examination, and possibly a colonoscopy, to rule out other serious conditions.

6. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate hemorrhoids.

In conclusion, while hemorrhoids are a common cause of bright red blood in stool, it is essential to seek medical advice to rule out other potential causes and to receive appropriate treatment. Early intervention can help alleviate symptoms and prevent complications.

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