Experiencing rectal bleeding after physical exertion or fatigue may indicate an underlying issue, such as hemorrhoids or anal fissures. It is important to consult a healthcare professional for a proper diagnosis and treatment?
I have experienced this several times, especially after work.
The earliest incident was three years ago.
Today, I had a bowel movement that was accompanied by a tearing, stabbing pain.
After the stool passed, blood dripped out, and there was bright red blood on the toilet paper.
I also had the urge to have a bowel movement again, but this time it came out mixed with blood, and the amount was considerable.
I have researched hemorrhoids, but I'm not sure if it is hemorrhoids or something else.
I don't have any visible hemorrhoids, and the pain feels sharp and tearing.
What could this issue be?
Tòngkǔ, 20~29 year old female. Ask Date: 2015/12/12
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The likelihood of bleeding is higher with hemorrhoids or anal fissures.
If you do not feel any external hemorrhoids, it is possible that you have internal hemorrhoids.
It is recommended to avoid prolonged sitting or standing, as maintaining the same position for too long can lead to varicose veins and the formation of hemorrhoids.
Additionally, avoid straining too much during bowel movements to prevent anal fissures, and it is advisable to ensure that your stool is not too hard or large.
It is recommended to consult a colorectal specialist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2015/12/12
More Info
Experiencing blood in your stool can be alarming, and it's important to understand the potential causes and implications for your gastrointestinal health. Based on your description, it seems you have been dealing with recurrent episodes of blood in your stool, accompanied by a tearing or sharp pain during bowel movements. This can be indicative of several underlying conditions, and it’s crucial to approach this matter with care.
One of the most common causes of blood in the stool, especially when accompanied by pain, is anal fissures. An anal fissure is a small tear in the lining of the anus, often caused by passing hard stools or straining during bowel movements. The pain associated with fissures can be sharp and is typically felt during and after bowel movements. The blood you see may be bright red, indicating that it is fresh and likely coming from the lower gastrointestinal tract.
Another possibility is hemorrhoids, which can also cause bright red blood in the stool. Hemorrhoids are swollen veins in the rectal area that can bleed when irritated. However, you mentioned that you do not see external hemorrhoids, which makes this less likely, but it is still possible to have internal hemorrhoids that do not protrude outside.
In some cases, the presence of blood in the stool can indicate more serious conditions, such as diverticulosis, inflammatory bowel disease (IBD) like Crohn's disease or ulcerative colitis, or even colorectal cancer. However, these conditions are often accompanied by other symptoms such as significant abdominal pain, changes in bowel habits, weight loss, or systemic symptoms like fever and fatigue.
Given your history of recurrent symptoms and the nature of the blood you are experiencing, it is essential to seek medical attention. A healthcare professional may recommend a thorough evaluation, which could include a digital rectal exam, colonoscopy, or other imaging studies to determine the exact cause of your symptoms. A colonoscopy is particularly useful as it allows direct visualization of the colon and rectum, and can help identify any lesions, inflammation, or other abnormalities.
In the meantime, it may be beneficial to monitor your diet and bowel habits. Increasing fiber intake can help soften stools and reduce straining during bowel movements, potentially alleviating some of the pain and preventing further fissures. Staying hydrated is also crucial. If you notice any changes in your symptoms, such as increased pain, more significant blood loss, or the development of new symptoms, it is vital to seek immediate medical care.
In summary, while conditions like anal fissures and hemorrhoids are common causes of blood in the stool, it is essential to rule out more serious gastrointestinal issues. Given your symptoms, a consultation with a gastroenterologist would be a prudent step to ensure proper diagnosis and treatment. Remember, early intervention can lead to better outcomes and peace of mind regarding your gastrointestinal health.
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