Rectal Bleeding: Causes and When to Seek Help

Rectal bleeding

Yesterday afternoon, while using the restroom, after squatting for a while, I only passed gas and did not have a bowel movement.
Upon looking down, I noticed what appeared to be blood spraying from my anus, with several drops around the toilet, and it was bright red.
Even after wiping with toilet paper, there was still fresh blood on it.
After a few wipes, there was no more blood.
Last night and this morning, I had bowel movements again, but they were soft stools and there was no fresh blood.
However, since last night, I have been experiencing a burning sensation around my anus.
What could be the cause? Thank you!
P.S.
For the past month, I have frequently experienced diarrhea and abdominal pain.
I consulted a gastroenterologist and underwent a stool test, which showed no abnormalities.
After taking the medication prescribed by the doctor, those symptoms resolved, but the bleeding incident occurred right after finishing the medication.
I usually work in an office and tend to sit a lot, and I also sit at home with little exercise.

jorbin, 20~29 year old female. Ask Date: 2007/08/26

Dr. Lin Shaojie reply Surgery

Dear Jorbin,
This is Dr.
Zhuang Ren-bin from the Tainan Hospital of the Department of Health, Executive Yuan.
The presence of bright red or dark red stools, blood on the stool or toilet paper, or the passage of only blood in a watery form, often results from conditions such as hemorrhoids, anal fissures, or anal fistulas.
It can also occur due to straining to pass hard stools.
However, other pathologies of the colon or distal small intestine should not be overlooked as potential causes.
It is advisable to seek evaluation and treatment from a professional colorectal surgeon.
Sincerely,
The Surgical Department, Tainan Hospital

Reply Date: 2007/08/26

More Info

Rectal bleeding can be alarming and may arise from various causes, some of which are benign while others may require immediate medical attention. Based on your description, it seems you experienced a sudden episode of bright red blood during a bowel movement, which can indicate several potential issues.

One common cause of rectal bleeding, especially in younger individuals, is hemorrhoids. Hemorrhoids are swollen veins in the lower rectum or anus that can become inflamed and bleed, particularly during bowel movements. The fact that you mentioned experiencing soft stools and a burning sensation afterward could suggest irritation in the anal area, possibly due to hemorrhoids or anal fissures, which are small tears in the lining of the anus that can also cause bleeding and discomfort.

Another possibility is that the bleeding could be related to gastrointestinal issues, especially since you mentioned having diarrhea and abdominal pain over the past month. Conditions such as diverticulosis, inflammatory bowel disease (IBD), or even infections can lead to rectal bleeding. However, since your stool tests came back normal, this may reduce the likelihood of some of these more serious conditions.

Given that you have had a recent history of gastrointestinal symptoms, it is essential to monitor your condition closely. If the bleeding recurs, worsens, or is accompanied by other symptoms such as severe abdominal pain, dizziness, or changes in bowel habits, it is crucial to seek medical attention promptly. A healthcare provider may recommend further investigations, such as a colonoscopy, to visualize the colon and rectum and identify any underlying issues.

In the meantime, here are some general recommendations to help manage your symptoms and promote healing:
1. Increase Fiber Intake: Eating a diet rich in fiber can help soften stools and reduce straining during bowel movements, which can alleviate pressure on hemorrhoids and prevent further bleeding. Foods high in fiber include fruits, vegetables, whole grains, and legumes.

2. Stay Hydrated: Drinking plenty of water can help maintain soft stools and prevent constipation, which can exacerbate hemorrhoids and anal fissures.

3. Avoid Straining: When using the restroom, try not to strain or sit for prolonged periods. If you feel the urge to go, respond promptly to avoid constipation.

4. Warm Sitz Baths: Taking warm baths can help soothe the anal area and reduce discomfort. This can be particularly beneficial if you are experiencing burning sensations.

5. Over-the-Counter Treatments: If hemorrhoids are suspected, over-the-counter creams or suppositories may provide relief from discomfort and help reduce inflammation.

6. Regular Exercise: Incorporating regular physical activity into your routine can help promote healthy bowel function and reduce the risk of constipation.

7. Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency and amount of bleeding, as well as any new symptoms that may arise.

In conclusion, while occasional rectal bleeding can be due to benign causes such as hemorrhoids or anal fissures, it is essential to remain vigilant, especially given your recent gastrointestinal symptoms. If you experience any worsening of your condition or if the bleeding persists, do not hesitate to consult a healthcare professional for a thorough evaluation and appropriate management.

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