Will It Get Better? Hard Stools and Anal Health - Nutrition

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Will it get better?


I would like to ask, sometimes when I have hard stools, there is a little blood from my anus.
Recently, it has become more serious, and a small polyp appeared, but it disappeared the next day.
Will this situation improve?

noo, 10~19 year old female. Ask Date: 2004/08/06

Dr. Huang Shuli reply Nutrition


Dear Noo: I apologize for the delayed response.
Your question should be directed to a colorectal specialist for assistance.
Thank you! Dietitian Huang Shuli from Hsinchu Hospital.

Reply Date: 2004/08/06

More Info


When it comes to hard stools and anal health, it’s important to understand the underlying causes and potential treatments. Hard stools, or constipation, can lead to discomfort and complications such as anal fissures or hemorrhoids, which may explain the bleeding and the appearance of a small growth or lump near the anus.
Firstly, the presence of blood during bowel movements is a sign that should not be ignored. It can indicate several conditions, ranging from minor issues like hemorrhoids or anal fissures to more serious conditions. The small lump you described may have been a hemorrhoid, which can swell and become more prominent when straining during bowel movements. Hemorrhoids can sometimes resolve on their own, but they can also recur, especially if the underlying cause of constipation is not addressed.

To improve your situation, it’s essential to focus on dietary and lifestyle changes that promote regular bowel movements and soften stools. Here are some recommendations:
1. Increase Fiber Intake: Consuming a diet rich in fiber can help soften stools and promote regularity. Aim for at least 25-30 grams of fiber per day. Foods high in fiber include fruits, vegetables, whole grains, legumes, and nuts.

2. Stay Hydrated: Drinking plenty of water is crucial for preventing constipation. Aim for at least 8-10 cups of water daily, as adequate hydration helps keep stools soft.

3. Regular Exercise: Physical activity can stimulate bowel function. Aim for at least 30 minutes of moderate exercise most days of the week.

4. Establish a Routine: Try to set aside time each day for bowel movements, especially after meals when the digestive system is more active. This can help train your body to have regular bowel movements.

5. Avoid Straining: Straining during bowel movements can exacerbate hemorrhoids and lead to anal fissures. If you feel the urge to go, don’t delay, and try to relax during the process.

6. Over-the-Counter Remedies: If dietary changes are not enough, consider using over-the-counter stool softeners or laxatives. However, these should be used sparingly and not as a long-term solution.

7. Consult a Healthcare Provider: Given the symptoms you described, including the bleeding and the appearance of a lump, it’s advisable to consult a healthcare professional. They can perform a thorough examination to rule out any serious conditions and provide tailored advice.

In summary, while many cases of hard stools and associated symptoms can improve with lifestyle changes, it’s crucial to monitor your symptoms closely. If the bleeding persists, or if you notice any new or worsening symptoms, seek medical attention promptly. Early intervention can help prevent complications and ensure better anal health.

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