Fresh, bright-red rectal bleeding after bowel movement (2–3 drops, without pain or itching) most often suggests a small internal hemorrhoid or minor fissure, both of which are benign and usually self-limiting.
However, it’s very important to always consult a surgeon for a proper digital rectal examination and proctoscopy to confirm the cause.
Even though it is likely minor, colorectal cancer and other serious conditions must always be ruled out, especially when bleeding is new in onset.
Next Steps
• See a general or gastrointestinal surgeon for an examination.
• Meanwhile, keep stools soft — take plenty of water, fiber, and fruits, and avoid straining.
• You can apply a mild local ointment (lignocaine or hydrocortisone-based) for a few days for comfort.
• If bleeding increases or persists beyond 4–5 days, get a proctoscopy/colonoscopy done.
Health Tips
Most bright-red bleeding per rectum in young adults is from hemorrhoids or fissures — not cancer — but only a clinical examination can confirm that safely. Never ignore rectal bleeding, even if it appears minor. Early evaluation ensures peace of mind and timely treatment.