Blood on Fingers After Manual Stool Removal: When to Seek Medical Help?

There is fresh blood on the finger after fecal extraction?

Hello, Director Chen:
I have been experiencing severe constipation recently, with hard and dry stools.
I attempted to manually remove the stool, but my fingers bled.
However, there was no blood when I wiped.
I have been feeling a sense of heaviness and occasional sharp pain in my lower abdomen.
Although I have a long-standing issue with constipation and have been taking stool softeners, I have not taken them in the past month and switched to taking dietary supplements, which have not been effective.
Due to the long-term use of stool softeners, I am unable to assess the shape of my stools.
Currently, the color ranges from dark brown to light brown, and the stools are hard and pellet-like.
There is no visible blood in the stool, but I did notice significant bleeding from my fingers during the manual removal.
Should I seek further examination? Thank you for your response.

Tiao Tiao Hu, 30~39 year old female. Ask Date: 2015/06/23

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, for habitual constipation, in addition to medication, it is recommended to drink more water, increase physical activity, consume more fruits and vegetables, and reduce meat, fried foods, and irritating foods.
The bleeding phenomenon is suspected to be caused by injury from straining during bowel movements, which usually resolves on its own; however, if the bleeding persists, it is necessary to consult a colorectal surgeon.
Wishing you peace and health.
Sincerely, Dr.
Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/06/23

More Info

When dealing with the aftermath of manual stool removal, especially when it results in bleeding, it is essential to approach the situation with caution and awareness of potential complications. The presence of fresh blood on your fingers after such an action indicates that there may be trauma to the anal or rectal area, which could lead to various issues, including infection, hemorrhoids, or even more serious conditions like anal fissures.

Given your history of chronic constipation and the recent changes in your bowel habits, it is crucial to seek medical attention. Here are several reasons why you should consider consulting a healthcare professional:
1. Assessment of Bleeding: The fresh blood you observed could be a sign of a tear or fissure in the anal canal, which is common in individuals who experience constipation and hard stools. A healthcare provider can perform a thorough examination to determine the source of the bleeding and assess the severity of any injury.

2. Underlying Conditions: Chronic constipation can lead to various complications, including hemorrhoids, which can also cause bleeding. A medical professional can evaluate whether you have developed hemorrhoids or other conditions that may require treatment.

3. Infection Risk: Any time there is a break in the skin, such as from manual stool removal, there is a risk of infection. If you notice any signs of infection, such as increased redness, swelling, warmth, or discharge from the area, it is imperative to seek medical help promptly.

4. Management of Constipation: Since you mentioned that you have been experiencing constipation and have not found relief with your current regimen, it would be beneficial to discuss alternative treatments with your doctor. They may recommend dietary changes, increased fluid intake, or different medications to help manage your constipation more effectively.

5. Follow-Up Care: If the bleeding is due to a minor injury, your healthcare provider can offer guidance on how to care for the area to promote healing and prevent further injury. They may also provide advice on when to return for follow-up care if symptoms persist or worsen.

In summary, while it may be tempting to dismiss the bleeding as a minor issue, it is essential to take it seriously, especially given your history of constipation and the potential for complications. Seeking medical attention will allow for a proper evaluation and ensure that any necessary treatment is initiated promptly. Remember, it is always better to err on the side of caution when it comes to your health.

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