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Experiencing anal itching and blood drops. Possible causes?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 22 year old male. A day or two ago after a bowel movement, I felt an itch in the anal area. I tried to get at it with a tissue but, it got worse and I could see small pellets of blood on the wipe. I am not on any medications.

Answered by Dr. Chandra Prakash Tanwar

Education:

MD

Professional Bio:

Dr. Chandra Prakash Tanwar is a General Practitioner. He helps in the diagnosis and treatment of common illnesses and infections. He is well-versed in the management of chronic conditions like diabetes, hypertension, and asthma. He can provide preventive care, including vaccinations and health screenings. He can give patient education on nutrition, lifestyle changes, and disease prevention.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

  • Blood streaks on the wipe after an episode of itching could be due to an anal fissure. Bleeding per rectum in an otherwise healthy young male could be due to hemorrhoids or anal fissure.
  • A fissure is a tear in the anal canal due to constipation or repeated friction. It presents chiefly as burning while defecation and blood drops.
  • Hemorrhoidal bleeding is like a splash of blood that is more in quantity and is typically painless.
  • A confirmed diagnosis can be made by a proper inspection and examination of the anal area and rectum. A physician can help you.
  • The treatment includes fiber supplementation or stool softeners like Bisacodyl or Isabgol (psyllium husk) powder with water.
  • A hot sitz bath (sitting in a tub of warm water) twice a day shall help.

You can revert to me for further queries. Regards.

Medically reviewed by iCliniq medical review team
Published At August 24, 2017
Reviewed At April 23, 2025

Education:

MD

Professional Bio:

Dr. Chandra Prakash Tanwar is a General Practitioner. He helps in the diagnosis and treatment of common illnesses and infections. He is well-versed in the management of chronic conditions like diabetes, hypertension, and asthma. He can provide preventive care, including vaccinations and health screenings. He can give patient education on nutrition, lifestyle changes, and disease prevention.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Chandra Prakash Tanwar is a General Practitioner. He helps in the diagnosis and treatment of common illnesses and infections. He is well-versed in the management of chronic conditions like diabetes, hypertension, and asthma. He can provide preventive care, including vaccinations and health screenings. He can give patient education on nutrition, lifestyle changes, and disease prevention.

This doctor is not available for online consultations on the platform anymore.

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