Help! I saw blood on the toilet paper after I wiped – what should I do!?

mayo foundation

Q: Help! I saw bright red blood on the toilet paper after I wiped.  What should I do!? 

Short A: Come in to see us so we can check it out.

Long A: Don’t panic. We see this all the time at Student Health and it’s rarely as scary as it looks.  You’re probably dealing with a hemorrhoid: a very common, and literal, pain in the butt. 

Hemorrhoids are abnormally swollen veins in the rectum or anus that bleed with minor pressure, such as that which occurs from bowel movements.  They can be painful or painless depending on their location, and are often associated with rectal pain and itching, a lump that you can feel and/or rectal bleeding. 

Risk factors for developing hemorrhoids include

  • Poor fiber intake
  • Prolonged sitting or standing
  • Being overweight
  • Pregnancy
  • Chronic constipation or diarrhea
  • Engaging in anal sex

When you come to the Student Health Center, we will ask you a lot of embarrassing questions and do an embarrassing examination to rule out other more serious causes of rectal bleeding such as infections, inflammatory bowel disease, anal fissures and even (rarely) colon cancer.  Since some hemorrhoids are located a few inches inside the rectal canal, we may have to use a small, lubricated, clear plastic tube called an anoscope to look on the inside.

The mainstay of hemorrhoid treatment (and prevention) is fiber, fiber, fiber.  Most of us don’t get enough fiber in our diet, which leads to constipation, which leads to straining to have a bowel movement, which leads to increased pressure in the rectal veins which… you get the idea.  Supplementing your diet with soluble fiber supplements (Metamucil or Benefiber) will work wonders for this problem.  Other things you can do include:

  • Avoid straining and prolonged sitting on the toilet
  • Lose weight if necessary
  • Drink 8 to 10 glasses of water per day
  • Exercise regularly
  • Gently clean the anal area with soft, moistened paper after each bowel movement and avoid the urge to scratch – as an old family doctor once told me: “Wipe, don’t polish!”

Again, while it can certainly be scary, rectal bleeding is rarely a sign of a life-threatening condition.  But if it happens to you, be sure to see your health care provider to make sure it isn’t, especially if the bleeding is dark brown or black, is heavy, you feel weak or light-headed, or the pain gets suddenly a lot worse.

 

John A. Vaughn, MD
Student Health Services
The Ohio State University

296 thoughts on “Help! I saw blood on the toilet paper after I wiped – what should I do!?

  1. Hi! I am 12 years old, I weigh around 130 and I’m atleast 5’3. In the night of October 23 I’ve experienced blood on my underwear. But this has happened before. Some will say it’s my period but It has not happened once a month. Since my last blood spot it has been about 2-4 months. I’m afraid to tell my mom or talk to the doctor about. Is there something at home I could do about this? Please help😥😥

    • While the rule of thumb is that you period comes once a month, that is not the case for everyone and definitely when you are first starting out you may not have your period on a regular basis. If you are not comfortable talking to you mom – perhaps there is a trusted friend, aunt, cousin, someone else you can talk with.

  2. I would talk to someone you trust about this, but like Tina said sometimes it’s not a regular basis thing every girl is different and has them different when I first got it I would get it a month skip a month and get it again sometimes I’d skipped three months Nd get it but I would recommend that talking to someone you trust because sometimes it could be bad.

  3. I’m 24 I have used a sex toy via anal , it was painless but covered in blood. Red thick chunky blood no pain. That was a week ago or so. I have regular bowel movements. Every couple or so not every day , I wipe there is a small amount of light red blood not in stool or toilet just on tp. Ther is no pain and not blood every bm I also sit on the toilet and read for extended periods of time. I work out drink tons of water everyday I log miles every day I am very healthy and fit . I am considering going to ER I have no insurance. So please did I cause this from anal play or do I have a serious issue???

  4. Hi, I am not sure if i have a hemorrhoid, but I am not overweight, I sometimes experience a very small amount of blood on the toilet paper whenever I wipe. Also, it has been very itchy. Please let me know if I do, in fact, have a hemorrhoid.

Leave a Reply

Your email address will not be published. Required fields are marked *