Blood on Toilet Paper After Bowel Movements: Causes and When to Seek Help

Q: Blood on Toilet Paper After Bowel Movements: Causes and When to Seek Help

Hello： Abdominal pain and bleeding are not necessarily related. <br>From a pathological perspective, the most common cause of rectal bleeding is hemorrhoids. <br>However, other conditions such as rectal inflammation, polyps, diverticula, or even tumors could also be potential cau

Blood on toilet paper after wiping can be a sign of several conditions, including hemorrhoids, anal fissures, or gastrointestinal issues. It is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment?

I have been experiencing bright red blood on toilet paper after bowel movements for over a week now.
Additionally, when I urinate and wipe my anus, I still notice a small amount of blood on the toilet paper.
Previously, this occurred only for one to two days, but this time it has lasted longer.
I also sometimes feel pain in my lower abdomen during bowel movements, and there is pain from my navel to my lower abdomen (my menstrual period is approaching, so I'm unsure if this is the cause).
Given these symptoms, I'm uncertain about which medical specialty I should consult.

Chen, 20~29 year old female. Ask Date: 2014/08/06

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: Abdominal pain and bleeding are not necessarily related.
From a pathological perspective, the most common cause of rectal bleeding is hemorrhoids.
However, other conditions such as rectal inflammation, polyps, diverticula, or even tumors could also be potential causes.
It is recommended to consult a colorectal surgeon.
Wishing you safety and health.
Dr.
Chen Qi-Feng, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2014/08/06

More Info

Experiencing blood on toilet paper after bowel movements can be alarming and may indicate various underlying conditions. It's essential to understand the potential causes and when to seek medical help.

Possible Causes of Blood on Toilet Paper
1. Hemorrhoids: One of the most common causes of blood on toilet paper is hemorrhoids, which are swollen veins in the rectum or anus. They can cause bright red blood during bowel movements, especially if there is straining involved. Hemorrhoids can be internal or external, and while they can be uncomfortable, they are usually not serious.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can result in sharp pain and bleeding during bowel movements. The blood is typically bright red and may be seen on the toilet paper or on the stool.

3. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon, can lead to diverticulitis if these pouches become inflamed. This condition can cause abdominal pain and bleeding.

4. Gastrointestinal Infections: Certain infections can lead to inflammation and bleeding in the gastrointestinal tract. This is often accompanied by other symptoms such as diarrhea, fever, and abdominal cramps.

5. Polyps or Colorectal Cancer: While less common, polyps (growths on the colon lining) or colorectal cancer can cause rectal bleeding. This is especially concerning if the bleeding is persistent or accompanied by other symptoms such as weight loss, changes in bowel habits, or severe abdominal pain.

6. Menstrual Cycle: In some cases, women may notice blood on toilet paper due to menstrual bleeding, especially if they are close to their menstrual period. However, this should not be confused with rectal bleeding.

When to Seek Medical Help
Given that you have been experiencing blood on toilet paper for over a week, along with abdominal pain, it is crucial to consult a healthcare professional. Here are some guidelines on when to seek help:
- Persistent Symptoms: If the bleeding continues for more than a few days or worsens, it is essential to see a doctor.

- Accompanying Symptoms: If you experience severe abdominal pain, changes in bowel habits (such as diarrhea or constipation), or any other concerning symptoms, seek medical attention promptly.

- Age and Risk Factors: If you are over 50 or have a family history of colorectal cancer, you should be evaluated sooner rather than later.

- Severity of Bleeding: If you notice a significant amount of blood or if the blood is dark or tarry, this could indicate a more serious condition that requires immediate evaluation.

Which Specialist to See
For your symptoms, it would be advisable to see a gastroenterologist, a specialist in digestive system disorders. They can perform necessary examinations, such as a colonoscopy, to determine the cause of the bleeding. If your symptoms are related to menstrual issues, a gynecologist may also be appropriate.

Conclusion
In summary, while blood on toilet paper can often be attributed to benign conditions like hemorrhoids or anal fissures, persistent bleeding, especially when accompanied by abdominal pain, warrants a thorough evaluation by a healthcare professional. Early diagnosis and treatment are crucial in managing any underlying conditions effectively. Don't hesitate to seek medical advice to ensure your health and peace of mind.

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