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

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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

331 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.

    • im 12 too but i saw blood when i wiped after using number 2, im also scared to talk to my doctor about it, and i want to know how to take care of it at home 🙁 T-T

  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.

    • Sounds like a hemmoroid which can be internal as well as on the outside,bright red or light colored blood is usually not a big deal but dark dark or black blood needs to be checked by a professional.

  5. Hi I’m a 19 year old soon to be 20 I have been experiencing spotting of blood on and off for a few months constant from my bottom when I go to the toilet for a poo some times its there when I fart too most of the time it’s spotting and just comes up on the tissue but just lately I have seen it on my poo as well I also feel sick constantly but the doctor doesn’t know why…..
    this sounds gross but it’s really not my doctor told me to wear a clear glove and feel my bum for any lumps cuts or swelling I didn’t find any I then was advised to put a medium finger on the inner ring and check there I didn’t find anything should I go to the doctors or not? Can any body help

  6. HELP! I just discover yesterday that after I poop theres a little bit blood on the tissue paper… I thought it is nothing but, i SAW blood on the tissue paper again today after I poop😰 I’m not overweight; not pregnant and I’m sure it’s not my period!

    I’m scared to tell my parents😭

  7. Since yesterday its bleeding severely …. I m not able to understand it …. My stomach is paining…. I don’t know which doctor I should consult for my problem

  8. I’m a male, 6’1 feet tall, 148 lbs, drink a lot of water, I eat a lot of fiber and I noticed that there was blood on my tp but no pain and I only seen Like one dropped splashed in the bowl but it took only two wipes to clean. I’m also 16. What should I do?

  9. I’m 12 years old and when I sometimes go #2 when I wipe I see blood sometimes it’s mild sometimes it’s a whole swipe of blood sometimes it hurts to poop but sometimes It doesn’t I don’t want to tell my parents or the doctor but I’ve thought about it being my period and when I wipe it only comes from where I go #2 also I have small boobs and no armpit hair so I don’t thing I have my period but someone help PLEASE!

  10. I’m 19 ivery been having pain in my stomach for about 4 days now when I go to wipe myself after pee I see blood but when I wipe again it’s gone I had sex and I also bleed but only a little . What can this mean?

  11. Hi, I’m 13 and weigh 70 kg and I’m 5″11 and for about two weeks there’s been blood in my poop like a lot!!!! And it bleeds onto my underpants also when I wipe there’s thick chunky blood that’s really dark. I also have lost my appetite, always getting dissy spells and have a sore tummy. I know it’s not my period because ive had it a lot and I know I’m not on it! My grandma died from bowel cancer and my dad has had it. My other relatives (the older ones) have had cancer, I just want to know if I should tell my mum.

  12. im 13 and ive been experiencing blood when i wipe after i poo, i know its not my period, i am slightly overweight and probably dont get enough fiber, im to scared to tell my parents and i dont know what to do, is it a hemorrhoid. please help me.

  13. I am 20 yrs old. 230lbs and 5 ft 10 in tall. I am overweight and the last few days I have noticed that after I poop I wipe and there is blood. My poop isn’t red like I’m pooping blood but I am scared nonetheless. After about 2 wipes the blood is completely gone. Please help! and I am male so its not a period.

  14. this is kind of embarrassing but please help!
    i’m a 14 year old girl and sometimes when i wipe there’s blood? it’s usually so light it’s almost pink and it’s a tiny amount but it’s still scary and it’s definitely coming from my bum. i think it’s being caused by me scratching?? what could be causing it to itch so much that i would scratch until it bleeds??

  15. Hello everyone as you can see i am 27 weeks and 5 days pregnant. Today i woke up with an itchy bumb when i went to do doodoo i saw blood on the toilet papper. When i sit down or sneeze it hurts a lot. I checked nd my behind was red itchy but again whem i wiped i saw blood should i worry. Is there somethings wrong with my son. Im scared.

  16. Some one plz help me so I went to pee and I cleaned afterwards and there was a tiny bit of blood and I’m scared I told my mom what should I do is it Normal and I’m 12 yrs old

  17. I’m not overweight, female, 15 years old and I’ve been experiencing this for quite a long time (years) and because I was never in any pain, I decided it wasn’t anything to worry about. But today there was a lot of bleeding that, when I looked into the toilet, it appeared as though I had my period, but it really wasn’t. Is this anything to be worried about??

    • I know this sounds disgusting, but the next time it happens have someone come take a look so they can give you an opinion (you can always take a picture). It may be time to schedule an appointment with the doctor.

  18. That’s the thing I didnt go poop I have had a hemorrhoid for almost 2 weeks and when I go to the bathroom it hurts bad but I went to the bathroom just to pee and when I wiped there was bright red blood on toilet paper from the hemorroid. bleeding is that normal even though I wasn’t straning to go pee and there was blood in the toilet as well please someone help me cuz it is scary

  19. I’m a 68 years old female. I smoke and I drink at least 3 glasses of wine every night. I take a lot of aspirin for back pain….nothing else but aspirin seems to ease the pain.
    My brother died from colon cancer when he was 30 years old. I had a colonoscopy years ago which turned out negative.
    For about a year now, I have been feeling a bulging in my bottom. It does not hurt, just feels like there is something there. Now, for the past week, when I wipe after a bowel movement I see bright red blood on the toilet paper…not a lot and not always…should I be concerned? I feel fine otherwise.

  20. Hi guys i am a guy aged 21 now, i have seen this in 2015 around september and now it is 2017 and i saw it twice,in January and in feb and this time in feb i saw blood in the toilet and also in the tissue and they was more than before. Can u guys help im not a gay and i have never done anal sex. What could be the cause?

  21. I am 35years old man, my anus use to come out after stood or anytime am walking, please tell me what to do coz am really worried?

  22. I am sidra i want to ask you that on my first sex i had a pain but i dnt know when i started bleeding i saw after some time when we end our sex. it ws for some time i felt spots for 15 min i saw at that tym we ended our sex my fiance said ur hymen was not intact and i didnot felt any resistance
    On 2 day we had again i bleed again but less.
    Kindly guide me what is it as i ws virgin it was my first sex
    M not getting why he said for resistance what bleeding was that.

  23. My sister is having huge problems. She’s even starting to lose control and cry and hit her head. She’s shaky and scared. She is only 8 years old. Sometimes blood is dark brown and heavy. Other times,the exact opposite. Been going on for a month. She is having mood swings and stomachaches. I feel so bad for her!

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