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Gastroenterology (Expert Forum)
Blood In Bowel Movement And On Toilet Paper After Straining...
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Blood In Bowel Movement And On Toilet Paper After Straining...
by hsig2007, Mar 29, 2008 06:19PM
Hi doctor, I have been having this problem for a while now and I have no idea what is causing this. I have looked through this forum but nobody has described the problem exactly the way I have it. Please help!
I go through series of loose bowel movements, normal bowel movements, and hard bowel movements, I think because I have a minor case of Irritable Bowel Syndrome. The hard bowel movements are the ones I'm concerned about, as they cause a strange phenomenon.
When I have a very hard bowel movement, often I find myself straining and forcing it out. The problem is that after this occurs, the toilet water around the bowel movement is red and when I wipe, there is bright red blood on the paper for the first couple wipes or so. I don't see any blood on the stool itself, per se, but I've never really examined poop that closely and I don't really want to.
I've noticed that if I DON'T strain and just let the bowel movement come out naturally, there is usually no blood on the toilet paper or in the toilet water. So it usually seems to happen ONLY when I strain to push out an abnormally hard and dry bowel movement.
I don't know what to do or how to stop this. Please help.
By the way, I am 25-years-old and I work at night, so my eating schedule is a bit different from a nine-to-fiver. I don't exercise much and I am 5'2" and slightly overweight.
Thanks!
I go through series of loose bowel movements, normal bowel movements, and hard bowel movements, I think because I have a minor case of Irritable Bowel Syndrome. The hard bowel movements are the ones I'm concerned about, as they cause a strange phenomenon.
When I have a very hard bowel movement, often I find myself straining and forcing it out. The problem is that after this occurs, the toilet water around the bowel movement is red and when I wipe, there is bright red blood on the paper for the first couple wipes or so. I don't see any blood on the stool itself, per se, but I've never really examined poop that closely and I don't really want to.
I've noticed that if I DON'T strain and just let the bowel movement come out naturally, there is usually no blood on the toilet paper or in the toilet water. So it usually seems to happen ONLY when I strain to push out an abnormally hard and dry bowel movement.
I don't know what to do or how to stop this. Please help.
By the way, I am 25-years-old and I work at night, so my eating schedule is a bit different from a nine-to-fiver. I don't exercise much and I am 5'2" and slightly overweight.
Thanks!
Doctor's Answer
by Kevin Pho, MD, Mar 30, 2008 07:33PM
, Mar 30, 2008 07:33PM
Constipation can irritate to bowel lining leading to bleeding.
Hemorrhoids, polyps, inflammatory bowel disease or an anal fissure are other causes.
You can consider a flexible sigmoidoscopy for further evaluation.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
Hemorrhoids, polyps, inflammatory bowel disease or an anal fissure are other causes.
You can consider a flexible sigmoidoscopy for further evaluation.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
Member Comments (1)
by ray111, Nov 17, 2008 12:34AM
A related discussion, IBS and straining was started.
