Q. My anal region hurts and found some blood in toilet paper. Why?

Answered by
Dr. Zakaullah Khan
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 03, 2016 and last reviewed on: Apr 06, 2020

Hi doctor,

I am having stomach pain in the lower abdomen for the past few days. I am also feeling bloated abdomen along with stomach pain. All day I have been trying to poo and I just did once. When I looked at the toilet paper there was a tiny bit of blood. Also, my anal region hurts. Now, it is itchy and sore. My urine is also dark yellow in color. Please help.

Dr. Zakaullah Khan

General Medicine Internal Medicine


Welcome to icliniq.com.

  • It basically seems that you have trouble with digesting your food. I would suggest you do regular exercise and eat more fiber (green vegetable and salads).
  • To help in constipation, you may take more fruits like banana.

Investigations to be done:

Per rectal examination.

Differential diagnosis:

1. Anal fissure.
2. Hemorrhoids.
3. Irritable bowel syndrome.

Probable diagnosis:

Constipation and anal fissure.

Treatment plan:

Tablet Rabeprazole, once a day early morning on an empty stomach to avoid any acidity. Consult your doctor, discuss with him or her and take the medicine with consent.
If there is increased bleeding per rectum, fever and vomiting, then immediately head to the emergency room.

Preventive measures:

1. Drink plenty of water.
2. Keep anal area hygienic and clean. Wipe using wet wipes.
3. Eat healthy diet of fruits and vegetables.

Regarding follow up:

For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

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