What does it mean when a thread-like structure protrudes from the anus during defecation?

Jul 19, 2022 Source: Cainiu Health
Disease description:

This morning, while defecating, I noticed a thread-like structure protruding from my anus, which has caused me significant concern. What could be causing a thread-like structure to protrude from the anus during bowel movements?

Doctor's answer (1)
Dr. Cheng Yicheng
A thread-like structure protruding from the anus during defecation may be caused by parasitic infections—such as roundworms—or undigested food. In patients with hemorrhoids, prolapse of internal hemorrhoidal tissue cannot be ruled out. If the patient experiences anal discomfort, prompt medical evaluation is strongly recommended. During treatment, maintaining local hygiene is essential; sitz baths with potassium permanganate solution may be used for cleansing.