Is having small amounts of blood following bowel movements a sign of an anal fissure?

Question

Hello doctor,

I see small amounts of blood when I wipe after bowel movements and a slight stinging as well. Wondering if this is an anal fissure or maybe something else? I have had blood on toilet paper in the past too with the same symptoms but thought it is nothing to worry about.

Answer 1

Hello,

Welcome to icliniq.com.

Thank you for your query. I have read your query and I am sorry for such discomfort. I have downloaded your file. Let me see it and reply to you within a few minutes.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Based on the reply to my questions, it is not an anal fissure or hemorrhoid as well. In anal fissures, the most common symptom is sharp anal pain with defecation followed by throbbing anal spasms. No pain around the anus rules out a localized abscess. It appears to be mild small localized swelling with skin abrasion leading to slight stinging and some itching.

I suggest you to follow a few instructions mentioned below:

Keep the area hygienic.
Gently wash the area after defecation.
Apply Lidocaine cream around the anus two times a day for five days.
If symptoms persist with an increased bleeding episode (which will not occur I think) or pain, then please visit a doctor in your area to get it checked.

I hope this has helped you.

Thank you.