Proper Wiping Techniques to Prevent Bleeding After Bowel Movements

If you experience bleeding after wiping, it's important to ensure proper wiping technique to minimize irritation. Here are some guidelines for correct wiping: 1. Wipe from front to back: Always wipe from the front of the body towards the back to prevent the spread of bacteria from the anal area to the urethra. 2. Use soft toilet

Hello, doctor.
Previously, I used water and wet wipes to clean myself after using the restroom.
Recently, I read online that using only wet wipes can lead to eczema, so I switched to a method of washing with water, followed by wet wiping, and then drying.
However, during the drying process, the dry toilet paper often sticks to my skin, and sometimes it causes skin abrasions that bleed and swell.
I would like to ask: 1.
Is my current cleaning method correct? 2.
I bought an ointment from the pharmacy, and the pharmacist recommended one containing neomycin.
Will using this ointment for an extended period lead to antibiotic resistance?

joey, 40~49 year old female. Ask Date: 2024/01/23

Dr. Zhang Shuhao reply Surgery

1.
Everyone has different cleaning habits; if your original method has not caused eczema, you can continue using it.
2.
Clotrimazole ointment does not lead to drug resistance, but long-term use should be monitored for any skin allergies.

Reply Date: 2024/01/23

More Info

When it comes to proper wiping techniques after bowel movements, maintaining good hygiene while minimizing irritation is crucial. Your current method of using water followed by wet wiping and then drying is generally a good approach, but there are some nuances to consider to prevent bleeding and discomfort.

1. Wiping Technique: The technique you are using—washing with water, followed by wet wiping, and then drying—is appropriate. However, the key is to ensure that the wiping is gentle and that you are using the right materials. Instead of using dry toilet paper, which can be abrasive, consider using softer, more absorbent materials. If you find that dry toilet paper is sticking or causing irritation, you might want to switch to a softer brand or consider using a bidet or a handheld showerhead for rinsing. After washing, pat the area dry with a soft towel or a gentle cloth rather than rubbing it, which can lead to irritation and bleeding.

2. Use of Ointments: Regarding the ointment containing Neomycin, it is important to use such medications judiciously. Neomycin is an antibiotic that can be effective in preventing infections in minor cuts or abrasions. However, prolonged use of topical antibiotics can lead to skin irritation or allergic reactions, and there is a potential for developing antibiotic resistance if used excessively. It’s best to use it only as needed and for a limited duration. If you find that the area is not healing or continues to bleed, it would be wise to consult a healthcare professional for a more tailored treatment plan.

3. Additional Recommendations:
- Moisturizing: Consider using a barrier cream or ointment that is designed for sensitive skin in the anal area. Products containing zinc oxide or petroleum jelly can help protect the skin from irritation and promote healing.

- Avoiding Irritants: Be cautious with scented wipes or soaps, as these can exacerbate irritation. Opt for hypoallergenic and fragrance-free products.

- Dietary Considerations: Ensure that your diet is high in fiber and that you are well-hydrated to prevent constipation, which can lead to straining and further irritation during bowel movements.

- Consultation: If you continue to experience bleeding or significant discomfort, it is advisable to consult a healthcare provider. They can assess for any underlying conditions such as hemorrhoids or anal fissures that may require specific treatment.

In summary, while your cleaning method is on the right track, adjustments in technique and materials can help reduce irritation and bleeding. Additionally, be mindful of the use of topical antibiotics and consult with a healthcare professional if issues persist. Taking these steps can help maintain comfort and hygiene effectively.

Similar Q&A

Understanding Bleeding After Wiping: Insights on Hemorrhoids and Care

Hello Doctor, after having a bowel movement today, I wiped with toilet paper and there was no blood, and the stool was normal. However, I have a slight flare-up of hemorrhoids, which are mildly swollen and painful. I kept worrying that I might have some unnoticed bleeding, so I k...

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 fo...

Managing Internal Hemorrhoids: Tips to Prevent Recurring Bleeding

Hello, Doctor: Last week, I noticed a small amount of bright red blood on the toilet paper after wiping following a bowel movement, but the stool color was normal, and there was no blood in the stool. I experienced a slight foreign sensation near the rectal wall as the stool appr...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: To reduce the occurrence of constipation, you can increase your intake of fluids and fruits and vegetables. Additionally, when wiping after a bowel movement, you can use a rinsing method or moist wipes. Changhua Hospital cares about your health. Dr. Tsai An-shun.

Blood in Stool: What to Do When You Notice Blood After Bowel Movements

If you have had a stool test that came back normal but notice a small amount of blood on the toilet paper after wiping, it is advisable to monitor the situation. Minor bleeding can sometimes occur due to hemorrhoids or anal fissures. However, if the bleeding persists, increases i...

Dr. Chen Shidian reply Gastroenterology and Hepatology
It is recommended to primarily use water for cleansing after bowel movements. If toilet paper is necessary for wiping, avoid vigorous rubbing to reduce the risk of minor bleeding from the anal vessels. If needed, an anoscopy or other examinations may be considered.

Blood After Wiping: Understanding Pain and Discomfort in the Anal Area

One day, after having a bowel movement, I noticed blood when wiping. It was painful during the process, and I also felt itching and swelling around the anal area. What could be the issue?

Dr. Ke Fangxu reply Surgery
This situation is likely indicative 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. Warm sitz baths may also help alleviate ...