Blood in Stool: Should You Seek Medical Attention for Rectal Bleeding?

Blood in the stool with a sensation of anal discomfort?

Today at home, I felt the urge to have a bowel movement while watching a video.
I decided to stand up and hold it in.
About ten minutes later, I noticed blood running down my thigh.
When I checked, my buttocks were covered in blood, so I hurried to the bathroom.
I found that blood was dripping, which made me quite anxious.
I examined my stool but couldn't tell if there was any blood in it.
After finishing in the bathroom and rinsing with clean water, there was no more bleeding.
My anus feels slightly prickly, but it's not very painful.
Should I seek medical attention for this situation?

Yueguang, 30~39 year old female. Ask Date: 2023/03/13

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 and to shorten the time spent on bowel movements.
Spicy and irritating foods should be temporarily avoided, and increasing dietary fiber can be beneficial.
Warm sitz baths may help alleviate symptoms, and you can also purchase hemorrhoid suppositories at the pharmacy.
It is best not to take stool softeners indiscriminately.
If bleeding persists, it is advisable to consult a physician.
If necessary, a colonoscopy can be arranged.

Reply Date: 2023/03/13

More Info

Experiencing rectal bleeding can be alarming, and it's understandable to feel anxious about the situation. In your case, since you noticed blood after straining to have a bowel movement, there are a few potential causes to consider.
1. Hemorrhoids: One of the most common reasons for rectal bleeding is hemorrhoids, which are swollen veins in the rectal area. Straining during bowel movements can exacerbate this condition, leading to bleeding. The blood is usually bright red and may be seen on toilet paper or in the toilet bowl.

2. Anal Fissures: Another possibility is an anal fissure, which is a small tear in the lining of the anus. This can occur due to passing hard stools or straining, and it can cause sharp pain and bleeding during bowel movements.

3. Diverticular Disease: In some cases, diverticulosis (small pouches in the colon) can lead to bleeding. This is less common in younger individuals but is still a possibility.

4. Other Conditions: While less common, other gastrointestinal issues such as inflammatory bowel disease (IBD), polyps, or even colorectal cancer can cause rectal bleeding.
Given that you mentioned the bleeding stopped after cleaning yourself and that you are not experiencing severe pain, it may not be an immediate emergency. However, it is essential to monitor your symptoms closely. Here are some guidelines on when to seek medical attention:
- Persistent Bleeding: If the bleeding resumes or continues, you should seek medical attention.

- Severe Pain: If you experience significant pain, it is advisable to consult a healthcare provider.

- Changes in Bowel Habits: If you notice changes in your bowel habits, such as diarrhea or constipation, along with bleeding, it’s important to get evaluated.

- Other Symptoms: If you experience symptoms like dizziness, fainting, or significant abdominal pain, you should seek immediate medical care.

In general, it’s always better to err on the side of caution. If you are feeling anxious or uncertain about your symptoms, it is wise to consult a healthcare professional. They may recommend a physical examination and possibly further tests, such as a colonoscopy, to determine the cause of the bleeding.

In summary, while your current situation may not seem critical, it's essential to keep an eye on your symptoms. If you experience any worsening or new symptoms, do not hesitate to seek medical attention. Taking care of your health is paramount, and addressing any concerns early can prevent potential complications in the future.

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