Blood in Stool: Is It Normal During Hemorrhoid Treatment?

Rectal bleeding

Hello Doctor: At the beginning of December, I noticed bright red blood when using the restroom (blood separated from stool), so I began visiting the hospital.
The doctor diagnosed me with internal hemorrhoids and started treatment using rubber band ligation.
However, about three weeks into the treatment, I have noticed some mucus in my stool and blood at the end of my bowel movements.
Occasionally, my stool is mixed with blood and appears darker (deep red and black), but there has been no significant bleeding.
Is it normal to have these symptoms during the treatment? Thank you, Doctor.

A Da La, 20~29 year old female. Ask Date: 2024/01/09

Dr. Chen Shidian reply Gastroenterology and Hepatology

You may return to the original physician for consultation or observe for a few more days.

Reply Date: 2024/01/09

More Info

When it comes to the presence of blood in stool during hemorrhoid treatment, particularly after undergoing rubber band ligation for internal hemorrhoids, it is important to understand the typical healing process and what symptoms may be considered normal versus those that warrant further investigation.

Firstly, it is not uncommon to experience some bleeding after rubber band ligation. This procedure works by cutting off the blood supply to the hemorrhoid, causing it to shrink and eventually fall off. In the days or weeks following the procedure, patients may notice some bright red blood on the toilet paper or in the stool. This is generally a sign that the treated hemorrhoid is healing, and minor bleeding can occur as part of this process.

However, the presence of mucus and changes in stool color, such as dark red or black stools, can be concerning. Dark red or black stools may indicate the presence of digested blood, which could suggest bleeding higher up in the gastrointestinal tract. While it is possible for hemorrhoid treatment to cause some changes in bowel habits and minor bleeding, the appearance of dark or black stools should not be ignored. This could be a sign of more serious conditions, such as gastrointestinal bleeding from other sources, and it is advisable to seek medical attention if this occurs.

In your case, since you mentioned that the bleeding is not excessive and you have not experienced large amounts of blood, it may be a part of the normal healing process. However, the presence of mucus and any significant changes in stool color should prompt a discussion with your healthcare provider. They may recommend monitoring your symptoms closely and possibly conducting further examinations, such as a colonoscopy, to rule out other potential causes of bleeding.

Additionally, if you experience any of the following symptoms, you should seek medical attention promptly:
- Significant or worsening bleeding
- Severe abdominal pain
- Changes in bowel habits that persist beyond a few weeks
- Symptoms of anemia, such as fatigue, weakness, or dizziness
In summary, while some bleeding and changes in stool may be normal after hemorrhoid treatment, it is crucial to remain vigilant and communicate any concerning symptoms to your healthcare provider. They can provide guidance tailored to your specific situation and ensure that any potential complications are addressed promptly.

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