What does it mean if there is blood when wiping after a bowel movement?

Jul 11, 2024 Source: Cainiu Health
Disease description:

I have been experiencing stomach discomfort recently, with difficulty in passing stool, and noticed blood on the toilet paper after wiping. I would like to know, what causes blood on the toilet paper after wiping?

Doctor's answer (1)
Dr. Li Jingxiang

Blood stains when wiping the anus may be due to the following reasons:

1. Anal fissure: A crack in the skin or mucous membrane around the anus, often accompanied by severe pain during bowel movements, especially when stools are dry or too hard.

2. Rectal polyps: Non-cancerous growths inside the rectum that can sometimes cause rectal bleeding, typically bright red in color and painless.

3. Colorectal issues: Although less common, rectal bleeding could be an early symptom, especially in individuals over the age of 50.

To determine the cause, it is recommended to seek medical attention promptly for related examinations, such as digital rectal examination and colonoscopy. Maintaining a high-fiber diet can help soften stools, reduce anal irritation, and maintain local cleanliness. If there is significant bleeding or persistent bleeding, immediate medical care is necessary.