Dark Red Blood in Stool After Hemorrhoid Surgery - Gastroenterology and Hepatology

Q: Dark Red Blood in Stool After Hemorrhoid Surgery

Dear Mr. Kevin, Question 1： The likelihood of developing something concerning within 8 months is very low, so there should be no need for worry. If you have any doubts, you may consider undergoing a colonoscopy. Question 2： Please return to the physician who t

Blood in the stool with a dark red color?

Hello Doctor: I underwent a full painless colonoscopy in February of this year, which did not reveal any issues.
However, from September to October, I experienced an increasing frequency of bright red blood in my stool.
The doctor diagnosed me with four internal hemorrhoids, and I underwent a hemorrhoid ligation procedure on October 19.
On October 20 and 21, I noticed bright red blood in my stool, and on October 22, there was blood that adhered to the surface of the stool, which was dark red in color.
Currently, I do not have any abdominal pain, and I have a regular bowel movement three times every morning between 6 and 8 AM, after which I do not feel the urge to go again.
The first part of my stool is somewhat hard, while the latter part is soft.
The second and third bowel movements are either soft or loose.

Question 1: Since no issues were found in February, is it possible for something concerning to develop by October?
Question 2: On the third day after the hemorrhoid ligation, could the dark red blood be a result of necrosis of the hemorrhoidal tissue?

Kevin, 30~39 year old female. Ask Date: 2015/10/22

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Dear Mr.
Kevin,
Question 1: The likelihood of developing something concerning within 8 months is very low, so there should be no need for worry.
If you have any doubts, you may consider undergoing a colonoscopy.

Question 2: Please return to the physician who treated you for further evaluation.
Changhua Hospital cares about your health.

Reply Date: 2015/10/22

More Info

After undergoing hemorrhoid surgery, it is not uncommon for patients to experience changes in their bowel movements, including the presence of blood. In your case, the transition from bright red blood to dark red blood in the stool can be indicative of several factors related to the surgical procedure and the healing process.

Firstly, it is essential to understand the nature of the blood observed in the stool. Bright red blood typically suggests that the source of bleeding is closer to the rectum, such as from hemorrhoids or anal fissures. In contrast, dark red blood may indicate that the blood has been in the digestive tract for a longer period, which can occur if there is bleeding from higher up in the gastrointestinal tract or if there is necrosis (tissue death) occurring in the area where the surgery was performed.

Regarding your first question about the possibility of developing a serious condition between your colonoscopy in February and your surgery in October, it is indeed possible for new issues to arise in that time frame. Conditions such as polyps, diverticulosis, or even malignancies can develop, but they are less likely to manifest so quickly without other symptoms. It is crucial to follow up with your healthcare provider if you have concerns about new growths or changes in your bowel habits.

As for your second question regarding the dark red blood following the internal hemorrhoid ligation, it is plausible that the dark red color could be a result of necrotic tissue. After ligation, the hemorrhoidal tissue is deprived of blood supply, leading to its eventual death and sloughing off. This process can result in bleeding, and the blood may appear darker as it mixes with stool and is exposed to digestive enzymes. However, if the bleeding is significant or persistent, it is essential to consult your surgeon or healthcare provider to rule out any complications such as infection or excessive tissue necrosis.

In the postoperative period, it is also important to monitor for other symptoms that could indicate complications, such as severe pain, fever, or changes in bowel habits. If you experience any of these symptoms, you should seek medical attention promptly.

In summary, while the presence of dark red blood in your stool after hemorrhoid surgery can be related to the surgical procedure and the healing process, it is essential to maintain open communication with your healthcare provider. They can provide guidance based on your specific situation and ensure that any potential complications are addressed in a timely manner. Regular follow-ups and monitoring are key to a successful recovery and to rule out any serious underlying conditions.

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