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Blood while passing stool
I have been suffering from anal fissure from past 1 month and im sure about it bcz I've checked it myself by self examination in the mirror and i saw some skin tears near butthole area but today while passing stool i saw bright red blood in my stool. Is it because of anal fissure or something else is the reason?
Answers (17)
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Yes, bright red blood in stool is commonly due to an anal fissure, especially if you have a history of skin tears, pain, or discomfort while passing stool.
Why Is There Blood?
ð¹ Anal fissures cause fresh bleeding due to tearing when passing hard stools.
ð¹ If the blood is bright red, it's likely from the anal region (fissure/hemorrhoids).
ð¹ Dark/tarry blood â May indicate internal bleeding (needs further evaluation).
What You Should Do?
â
Continue softening stool â Drink plenty of water & take fiber-rich foods (fruits, oats).
â
Use stool softeners (Lactulose/Isabgol) if constipation persists.
â
Apply an ointment (like Lidocaine+Nifedipine or Smuth Cream) for relief.
â
Sit in warm water (Sitz bath) for 10-15 mins daily.
â
If bleeding persists beyond a week or worsens, consult a proctologist.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Fissure could cause bleeding,but usually associated with significant pain.Other cause could be internal hemorrhoids.However exact cause could be determined by visiting a surgeon in your area for a clinical examination.
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Bleeding due to anal fissure is usually associated with severe pain while passing stool and constipation
Usually it is hard to visualize fissure by self
Even local trauma in the area can cause bleeding
Next Steps
consult a general surgeon
you should not be straining while passing stool ,
if you have constipation, take syrup lactulose 20 ml before bed
Fibre rich diet
plenty of water
urgent consultation in case you have profuse bleeding
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For blood in stool, try home remedies like increasing fiber intake with foods like bananas, apples, and carrots, staying hydrated, applying a cold compress to the anus, and consuming foods rich in antioxidants like berries, green tea, and turmeric, but consult a doctor if bleeding persists or worsens.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy
Water intake more
Green leafy vegetables and fruits
Do connect and consult
Will help you
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
**Dear Patient,**
Bright red blood in stool with a visible anal tear strongly suggests **anal fissure** as the likely cause. However, other conditions like hemorrhoids, proctitis, or rarely, more serious issues (e.g., inflammatory bowel disease) can present similarly. Here’s what you need to know:
**Self-Care for Anal Fissure:**
1. **Pain & Healing Management:**
- **Sitz baths:** Soak in warm water for 15 minutes 2-3 times daily to relax muscles and promote healing.
- **Fiber-rich diet:** Consume oats, fruits, and vegetables to soften stools (aim for 25–30g fiber/day).
- **Hydration:** Drink 3–4L water daily to prevent constipation.
- **Topical ointments:** Apply a **lignocaine + diltiazem gel** (prescription needed) to reduce pain/spasm.
2. **Avoid Aggravating Factors:**
- Straining during bowel movements.
- Spicy foods or caffeine (can irritate the area).
*When to Worry:**
Consult **immediately** if you experience:
- Persistent bleeding >1 week despite home care.
- Severe pain, pus discharge, or fever (signs of infection).
- Recurrent episodes (may indicate chronic fissure needing medical intervention).
**Why Consultation is Important:**
A **physical examination** is crucial to:
- Confirm the diagnosis (fissure vs. hemorrhoids vs. other causes).
- Rule out complications (e.g., abscess, fistula).
- Prescribe targeted treatments (e.g., nitroglycerin ointment, Botox injections for chronic cases).
**For a proper evaluation and personalized plan, contact me on WhatsApp at "Eight Zero Zero Nine Eight Two One Three Three Two".**
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
It's bks if anal fissure
Consult online
Need proper history and evaluation for treatment
Do not neglect contact
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Dr. Reshma Rahman
General Physician
3 yrs exp
Delhi
Kindly connect….
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Would be fissure or hemorrhoids.
Needs to be evaluated.
Do Consult.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Anal fissure only
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
kindly consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need more history. Please consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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