Blood in Stool: Is It Just Hemorrhoids? - Surgery

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Rectal bleeding


Hello, in the past month, I have experienced bowel movements about two to three times without any discomfort.
After finishing, the stool color is normal brown, but the water in the toilet is red.
Is this a common symptom of hemorrhoids? However, the bowel movements are normal, without pain or any particular sensation.
Could this be caused by insufficient intake of fruits and vegetables? Could it be related to my irregular eating habits recently, where sometimes I don't eat all day, sometimes I only eat one meal, and other times I eat normally but a lot?

Miss You, 20~29 year old female. Ask Date: 2016/01/25

Dr. Li Qinglong reply Surgery


It could be hemorrhoids, but it's best to have it checked at a surgical outpatient clinic.

Reply Date: 2016/01/25

More Info


When it comes to the presence of blood in the stool, it is essential to approach the situation with caution and seek a thorough understanding of the potential causes. The fact that you have observed red water in the toilet after a bowel movement, while the stool itself appears normal in color, raises some important considerations.
Firstly, the presence of bright red blood in the toilet water can often be associated with hemorrhoids, particularly if there is no pain or discomfort during bowel movements. Hemorrhoids are swollen veins in the lower rectum or anus that can bleed, especially during straining or passing stool. However, it is crucial to note that while hemorrhoids are a common cause of rectal bleeding, they are not the only cause. Other potential sources of bleeding can include anal fissures, diverticular disease, colorectal polyps, or even more serious conditions such as colorectal cancer.

Your mention of irregular eating habits could also play a role in your gastrointestinal health. A diet lacking in fiber can lead to constipation, which may increase the likelihood of straining during bowel movements, potentially exacerbating hemorrhoids or causing anal fissures. On the other hand, a sudden increase in fiber intake or a diet high in certain foods can also lead to changes in bowel habits and stool consistency, which might contribute to gastrointestinal discomfort.

Given that you have experienced this issue multiple times over the past month, it is advisable to consult a healthcare professional for a comprehensive evaluation. A physician may recommend a physical examination, including a digital rectal exam, and possibly further diagnostic tests such as a colonoscopy, especially if you have risk factors for colorectal disease or if the bleeding persists.
In the meantime, consider making some dietary adjustments to promote regular bowel movements and overall digestive health. Increasing your intake of fiber-rich foods such as fruits, vegetables, whole grains, and legumes can help. Staying well-hydrated is also important, as it aids in digestion and can prevent constipation. Regular physical activity can further support digestive health.

In summary, while hemorrhoids are a common cause of bright red blood in the stool, it is essential to rule out other potential causes, especially if the bleeding persists or is accompanied by other symptoms such as weight loss, changes in bowel habits, or abdominal pain. Consulting a healthcare provider will help ensure that you receive an accurate diagnosis and appropriate management for your symptoms.

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