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Why are there drops of blood when I pass stool?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At March 13, 2018
Reviewed AtNovember 30, 2023

Patient's Query

Hello doctor,

I forced stool and fart at the same time, and that caused some pain in my anus. Thereafter, there were some drops of blood when I passed stool. My stool was slightly covered in blood too. I cleansed my anus with water and wiped it. Then, there was no sign of blood.

Hi,

Welcome to icliniq.com.

From what you mentioned, you have an anal fissure which is a cut injury in the anal canal. Most commonly due to constipation and hard stools. They cause severe pain during and after bowel motion (may last for hours). If not treated appropriately, it could become chronic, with recurrent pain and bleeding in the future.

My advice would be to treat constipation with laxatives and stool softeners, and local GTN (Nitroglycerin) will be helpful. The other possible cause is bleeding piles. For further advice, I highly recommend that you follow up in order to set the appropriate management plan.

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

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Internal Medicine

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