Rectal Bleeding: Symptoms and Potential Risks

Rectal bleeding

Hello Doctor: Sometimes after having a bowel movement, I notice a small amount of blood, and there is also a bit of blood on the toilet paper.
I feel like there is something stuck near my anus, and wiping feels painful.
Occasionally, after a bowel movement, I have a persistent feeling of not being completely clean, as if there is still stool stuck in my anus.
I initially thought it was due to constipation and didn't pay much attention to it, but this situation has been ongoing for 1 to 2 years.
Recently, I have started to worry that it might be a sign of colorectal cancer.
Thank you for your response.

Miss Lin, 10~19 year old female. Ask Date: 2016/02/15

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Warm sitz baths may also help alleviate symptoms.
Over-the-counter hemorrhoid suppositories can be used as well.
It is best not to take stool softeners indiscriminately; at this age, increasing dietary fiber and hydration should be sufficient.
Although the likelihood of developing colorectal cancer at the age of 16 is not zero, it is generally very low.

Reply Date: 2016/02/15

More Info

Rectal bleeding can be a concerning symptom, and it is important to understand its potential causes and risks. Based on your description, it seems you are experiencing rectal bleeding after bowel movements, along with pain and a sensation of something being stuck in the anal area. These symptoms can be indicative of several conditions, some of which may require medical attention.

Firstly, the presence of blood in the stool or on toilet paper can be caused by a variety of issues. The most common causes include hemorrhoids, anal fissures, and gastrointestinal conditions. Hemorrhoids are swollen veins in the rectum or anus that can cause bleeding, especially during bowel movements. They are often associated with straining, constipation, or prolonged sitting. Anal fissures, which are small tears in the lining of the anus, can also lead to bleeding and pain, particularly during bowel movements.

Given that you have experienced these symptoms for 1 to 2 years, it is essential to consider the possibility of chronic conditions. Chronic constipation can lead to straining and the development of hemorrhoids or fissures. However, persistent rectal bleeding should not be ignored, as it can sometimes be a sign of more serious conditions, including colorectal polyps or even colorectal cancer, especially if there are changes in bowel habits, weight loss, or other systemic symptoms.

Your concern about colorectal cancer is valid, particularly if you have a family history of the disease or other risk factors. While the symptoms you describe may not directly indicate cancer, it is crucial to rule out this possibility through appropriate medical evaluation.
To address your symptoms, I recommend the following steps:
1. Consult a Healthcare Provider: It is important to see a doctor, preferably a gastroenterologist, who can perform a thorough evaluation. This may include a physical examination, a digital rectal exam, and possibly a colonoscopy to visualize the colon and rectum directly.

2. Dietary Changes: If constipation is a contributing factor, increasing your fiber intake through fruits, vegetables, and whole grains can help. Staying hydrated and engaging in regular physical activity can also promote healthy bowel movements.

3. Avoid Straining: When using the bathroom, try to avoid straining, as this can exacerbate hemorrhoids and fissures. If you feel the urge to go, do so promptly rather than holding it in.

4. Over-the-Counter Treatments: For hemorrhoids or fissures, over-the-counter topical treatments may provide relief. However, these should be used under the guidance of a healthcare provider.

5. Monitor Symptoms: Keep track of any changes in your symptoms, such as the frequency and amount of bleeding, changes in bowel habits, or the development of new symptoms. This information will be helpful for your healthcare provider.

In summary, while your symptoms may be due to benign conditions such as hemorrhoids or fissures, the persistence of rectal bleeding warrants a medical evaluation to rule out more serious conditions, including colorectal cancer. Early diagnosis and treatment are key to managing any underlying issues effectively. Please prioritize scheduling an appointment with a healthcare professional to discuss your symptoms in detail.

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