What should I do if my stool is too dry and causes bleeding during bowel movements?

Generally, passing dry stools with bleeding may be caused by insufficient water intake, inadequate dietary fiber intake, hemorrhoids, anal fissures, intestinal polyps, or other related conditions. It is recommended to seek timely medical consultation to identify the underlying cause and undergo appropriate treatment—such as general management, medication, or surgery—as guided by a qualified physician. A detailed explanation is as follows:

1. Insufficient Water Intake

Inadequate water intake in daily diet or excessive fluid loss due to work or environmental factors may reduce the amount of water in the intestines, resulting in dry stools. Dry stools can damage the intestinal mucosa during defecation, causing bleeding, possibly accompanied by symptoms such as abdominal distension and pain. It is recommended to increase daily water intake and consume more water-rich fruits and vegetables, such as apples, pears, and lettuce.

2. Inadequate Dietary Fiber Intake

Dietary fiber helps increase stool bulk and soften stools. Insufficient intake of dietary fiber can lead to dry, hard stools that are difficult to pass, potentially causing bleeding. This may be accompanied by constipation and bloating. It is recommended to consume more fiber-rich foods in daily life, such as whole grains, vegetables, and fruits.

3. Hemorrhoids

Prolonged sitting or standing, along with constipation and other factors, may lead to hemorrhoids. Dry stools can worsen hemorrhoid symptoms and cause bleeding, which may be accompanied by anal pain, itching, and dampness. The use of hemorrhoid suppositories or ointments is recommended to relieve symptoms. If symptoms are severe, surgical treatments such as hemorrhoidectomy should be performed under a doctor's guidance.

4. Anal Fissure

An anal fissure refers to a longitudinal tear in the anal mucosa that can develop into an ischemic ulcer. Dry stools during defecation can further tear the fissure, leading to bleeding. This is often accompanied by anal pain during bowel movements, which typically subsides afterward, possibly presenting with cyclical pain symptoms. It is recommended to seek timely medical attention, apply hemorrhoid ointment locally to promote wound healing, and use medications such as lactulose oral solution, sorbitol injection, or glycerin suppositories as directed by a physician.

5. Intestinal Polyps

Intestinal polyps are abnormal growths protruding from the intestinal wall. When hard stools pass through, they may rub or compress the polyps, damaging the mucosal surface and causing bleeding. Symptoms such as abdominal pain, alternating constipation, and diarrhea may also occur. It is recommended to seek timely medical consultation, confirm the diagnosis through endoscopic examination, and proceed with endoscopic polypectomy.

In daily life, it is recommended to maintain good living habits, consume more water-rich foods, avoid excessive fatigue and mental stress, and take care of overall health. Additionally, follow your physician's recommendations and guidance to choose appropriate treatment methods and adhere to the treatment plan consistently.