Blood After Bowel Movement: Could It Be Hemorrhoids? - Surgery

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I noticed blood when wiping after a bowel movement?


Two days ago, I noticed blood when wiping after using the restroom.
Could this be a sign of hemorrhoids?

henry, 10~19 year old female. Ask Date: 2016/03/13

Dr. Yu Mingchang reply Surgery


Hello; the likelihood is low.
Eat more vegetables and fruits.
Changhua Hospital, Ministry of Health and Welfare cares about you.

Reply Date: 2016/03/13

More Info


Experiencing blood after a bowel movement can indeed be concerning, and one of the most common causes of this symptom is hemorrhoids. Hemorrhoids, which are swollen veins in the lower rectum and anus, can cause bleeding, especially during bowel movements. This bleeding is often bright red and may be seen on the toilet paper or in the toilet bowl.
However, while hemorrhoids are a frequent cause of rectal bleeding, they are not the only potential cause. Other conditions that can lead to blood after a bowel movement include anal fissures, diverticular disease, colorectal polyps, and even more serious conditions like colorectal cancer. Anal fissures, which are small tears in the lining of the anus, can also cause sharp pain and bleeding during bowel movements.
If you are experiencing blood after a bowel movement, it is essential to consider the following points:
1. Amount and Appearance of Blood: If the blood is bright red and small in quantity, it is more likely to be from hemorrhoids or an anal fissure. Darker blood or blood mixed with stool can indicate a more serious issue and should be evaluated by a healthcare professional.

2. Associated Symptoms: Pay attention to any other symptoms you may be experiencing, such as pain, itching, changes in bowel habits, or weight loss. These can provide important clues to your healthcare provider.

3. Duration: If the bleeding persists or recurs, it is crucial to seek medical attention. Even if the bleeding seems minor, it is always better to err on the side of caution.

4. Lifestyle Factors: Consider factors such as diet, hydration, and bowel habits. A diet low in fiber can lead to constipation, which may exacerbate hemorrhoids or cause anal fissures. Increasing fiber intake, staying hydrated, and ensuring regular bowel movements can help alleviate symptoms.

5. Medical Evaluation: A healthcare provider may perform a physical examination and possibly recommend further tests, such as a colonoscopy, to rule out other conditions. It is essential to provide your doctor with a complete history of your symptoms and any relevant medical history.

In summary, while hemorrhoids are a common cause of blood after a bowel movement, it is essential to consider other potential causes and seek medical evaluation if the bleeding persists or is accompanied by other concerning symptoms. Early diagnosis and treatment can help manage the condition effectively and prevent complications. If you have any doubts or concerns, do not hesitate to reach out to a healthcare professional for guidance.

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