Red Stains on Toilet Paper: Causes and When to Seek Medical Advice

If there are red bloodstains on the toilet paper, it may indicate the presence of blood in the stool or from the anal area. This could be due to various reasons such as hemorrhoids, anal fissures, or gastrointestinal bleeding. It is

Hello Dr.
Ke: This is Ah Xiang, who consulted with you previously.
I would like to ask the following questions: After finishing my bowel movement today, I noticed red bloodstains on the toilet paper.
However, it was just a small amount and not extensive.
This morning, I consumed some red yeast rice cookies, and I also experienced a slight stinging sensation when rinsing my anal area with water.
Therefore, I would like to ask Dr.
Ke: 1.
Is it possible that the red bloodstains are caused by the consumption of red yeast rice cookies? 2.
If it is not food-related, could it be caused by internal or external hemorrhoids? 3.
I do not have abdominal pain, my weight has not decreased, and my bowel movements and stool consistency are normal.
Given that I noticed bloodstains on the toilet paper again today, should I observe the situation further or seek medical attention directly? Thank you, Dr.
Ke.

Axiang, 30~39 year old female. Ask Date: 2015/04/18

Dr. Ke Fangxu reply Surgery

1.
It's unlikely that a few cookies would cause abnormal stool unless the quantity consumed is truly large.
2.
It is possible.
3.
If the individual is genuinely concerned, it is advisable to undergo a colonoscopy to rule out any issues; however, based on your description, further observation may be sufficient.

Reply Date: 2015/04/18

More Info

Hello, Ah Xiang. Thank you for reaching out with your concerns regarding the red stains you observed on the toilet paper after using it. Let's address your questions one by one.

1. Could the red stains be caused by consuming red yeast rice products?
Red yeast rice is a fermented product that contains compounds similar to statins, which are used to lower cholesterol. While it is generally safe for most people, it is unlikely that the consumption of red yeast rice would directly cause blood in your stool or on toilet paper. However, if the product contained any additives or if you have a sensitivity to it, it could potentially lead to gastrointestinal irritation, but this is not common. The red color you observed is more likely related to other factors.

2. Is it possible that the red stains are caused by hemorrhoids?
Yes, the presence of small amounts of bright red blood on toilet paper can often be attributed to hemorrhoids, which are swollen veins in the lower rectum or anus. Hemorrhoids can cause bleeding, especially during bowel movements, and they may also lead to discomfort or a feeling of fullness. Given that you mentioned experiencing slight pain after cleaning, this could indeed be a sign of external hemorrhoids or anal fissures, which are small tears in the lining of the anus.

3. Should you observe the situation or seek medical attention?
Since you mentioned that you are not experiencing abdominal pain, weight loss, or significant changes in your bowel habits, it may be reasonable to monitor the situation for a short period. However, if the bleeding persists, increases in volume, or if you start experiencing additional symptoms such as pain, changes in bowel habits, or any other concerning signs, it would be prudent to seek medical attention. It is always better to err on the side of caution, especially when it comes to any signs of bleeding.

In summary, while the red stains could be related to dietary factors, they are more likely associated with hemorrhoids or minor anal fissures. Keeping an eye on your symptoms and maintaining good bowel habits—such as staying hydrated, eating a fiber-rich diet, and avoiding straining during bowel movements—can help manage and prevent further issues. If you have any doubts or if symptoms worsen, please consult a healthcare professional for a thorough evaluation.

Take care, and I hope this information helps you feel more at ease regarding your situation.

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