Dr. Muhammad Majid Hanif
Cardiology
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Patient's Query
Hello doctor,
I happened to pass a large, firm stool today. It hurt a bit and I was a little sore after it and the stool had bright red blood on the outside of it. I do have a small internal hemorrhoid that was spotted during a colonoscopy last year. Has the blood come from there, or is it a torn vein? There was no blood when I wiped myself, and the water did not turn red. I have attached photos for your reference.
Hello,
Welcome to icliniq.com.
I have reviewed your health query and seen the photos (attachment removed to protect patient identity).
The blood may have come either from a rupture of the small blood vessels due to hard stools or it may have been from the hemorrhoids. When a hard stool passes down the tract, it scratches the walls. The walls are very thin and delicate, enriched with blood supply. The blood vessels easily rupture and cause the stools to be red. Blood, in this case, is not mixed with stools as it is just added to the surface of the already-made stools.
You need to consult a gastroenterologist for proper evaluation and management of your constipation. There are many reasons for constipation, and the treatment goes accordingly.
Hope it helps. Regards.
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Cardiology
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