Pink Blood During Bowel Movements: Is It Hemorrhoids? - Surgery

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Light pink blood on toilet paper after wiping?


Hello, doctor.
I've been experiencing hemorrhoid flare-ups lately, which are painful and swollen.
I've applied a topical treatment called Yizhi Kang during this period.
On two occasions, when wiping, I noticed a small amount of pinkish blood, less than a centimeter in diameter, but it was very minimal.
I couldn't see any blood the second time I wiped.
I would like to know if this is blood from the hemorrhoids and what I should be aware of.
Additionally, what can I do to reduce the occurrence of hemorrhoid flare-ups?

Hua Hua, 30~39 year old female. Ask Date: 2023/04/26

Dr. Zhang Shuhao reply Surgery


Hemorrhoids can cause swelling, pain, and bleeding during flare-ups.
It is advisable to increase fluid intake, avoid alcohol, tobacco, and spicy foods, use hemorrhoid ointments, and take warm sitz baths.
If symptoms gradually improve, there is generally no need for excessive concern.
However, if accompanied by black stools, brick-red stools, abdominal bloating or pain, changes in bowel habits, or a family history of colorectal cancer, a colonoscopy should be considered.

Reply Date: 2023/04/26

More Info


When it comes to the presence of pink blood during bowel movements, especially in the context of hemorrhoids, it is essential to understand the underlying causes and appropriate management strategies. Based on your description, it is quite possible that the pink blood you observed is related to hemorrhoids, particularly if you are experiencing pain and swelling in that area.

Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. The bleeding associated with hemorrhoids is typically bright red, indicating that it is fresh blood, which is consistent with your observation of pink blood. This type of bleeding usually occurs during bowel movements, especially if there is straining involved, which can happen if you are constipated or have hard stools.

Here are some key points to consider regarding your situation:
1. Symptoms of Hemorrhoids: Common symptoms include pain, itching, swelling around the anus, and bleeding during bowel movements. The blood may appear on toilet paper or in the toilet bowl. If the blood is bright red and small in quantity, it is often a sign of hemorrhoids rather than a more serious condition.

2. Management and Treatment: Since you mentioned using a topical treatment (益痔康), it is important to continue with such treatments as they can help alleviate symptoms. Additionally, consider the following strategies to manage and reduce the occurrence of hemorrhoids:
- Dietary Changes: Increase your fiber intake by consuming more fruits, vegetables, and whole grains. This can help soften stools and reduce straining during bowel movements.

- Hydration: Drink plenty of water to stay hydrated, which can also help prevent constipation.

- Regular Exercise: Engaging in regular physical activity can promote healthy bowel function and reduce the risk of constipation.

- Avoid Straining: When using the bathroom, try to relax and avoid straining. If you feel the urge to go, do not delay, as this can lead to harder stools.

- Sitz Baths: Taking warm sitz baths can help soothe the area and reduce discomfort.

3. When to Seek Medical Attention: While hemorrhoids are common and often manageable at home, it is crucial to seek medical attention if:
- You experience significant pain or discomfort.

- The bleeding persists or worsens.

- You notice blood that is dark or mixed with stool, which could indicate other gastrointestinal issues.

- You have any other concerning symptoms, such as changes in bowel habits or unexplained weight loss.

4. Preventive Measures: To prevent future flare-ups of hemorrhoids, maintain a healthy lifestyle that includes a balanced diet rich in fiber, adequate hydration, and regular exercise. Additionally, avoid prolonged sitting, especially on the toilet, as this can increase pressure on the rectal veins.

In summary, the pink blood you observed during bowel movements is likely related to hemorrhoids, especially given your symptoms. By implementing dietary and lifestyle changes, you can help manage your symptoms and reduce the likelihood of future occurrences. However, if your symptoms persist or worsen, it is advisable to consult a healthcare professional for a thorough evaluation and tailored treatment plan.

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