Can anal fissures or the presence of blood in the stool indicate cancer?

Question

Hi doctor,

I am a 31-year-old and currently breastfeeding my 11-month-old baby. Blood in my stool started after a hard stool, and then I checked with the doctor, and he told me it was a fissure. Then I used cremaffin, and it went away and again started last month. A few days back, I went to the doctor, and he told me it was a fissure. But for the last few days, I have had lower abdomen pain like menstrual cramps (but no periods), and today when I wiped after stool, I saw a small clot on the tissue. Can this be cancer?

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I have reviewed your attached images (attachments removed to protect the patient's identity). A few more details need to be sent. Is the blood mixed with stools, or is it fresh blood streaks in stools? The description is likely secondary to a fissure in the anal region, aggravated by constipation or hard stools. Get yourself well-hydrated. Avoid constipating food. Take Cremaffin (Milk of magnesia) whenever you notice stools becoming harder or you need to strain. You should apply Diltiazem (Diltigesic) or Fidonal (Lidocaine) cream in the perianal region to promote healing and reduce pain. You can consider a colonoscopy if this recurs and once the fissure heals. Consult your specialist doctor, talk with them, and take medications with their consent.

I hope this information will help.

Thanks.