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

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

  1. Hey the past 3 days every time I went to the bathroom had diarrhea wipe my self and it was blood im not weak or anything . Then today I wipe and it stop should I take some benefiber to see if this will help … It’s like on and off

    • If this has been occurring on and off, with bouts of diarrhea and blood, then I would recommend you speak with your doctor. If this is a one time occurrence, keep an eye on it. If it happens again, speak with your doctor.

  2. What’s with me go loo most times blood on loo paper later in the day feel wet down there wipe it always blood what do I do ??

    • It’s very important that you schedule an appointment with your doctor. Consistent blood flow when going to the bathroom is not a normal occurrence.

  3. I have been experiencing a feeling of really bloated ness for a long time I’m not a fat person but my stomach is getting huge are really bloated I have just kind of icky icky feeling no just a block from inside my stomach after I went to the bathroom I wiped and there was blood on the toilet paper I did not have a bowel movement and and I have been through menopause so it is not a. Menstrual period I do get constipation quite often and I do believe I have had some type of hemorrhoids but they have not really been bothering me lately so when I saw blood I got pretty scared

  4. Pleas I had a very serious waist pains, last week which I couldn’t even sit down properly…and all of saddened I notice another pains too in my anuss with some little blood which am really scared cos the blood look a little brownish. …but now the waist pain has gone except the blood in my anuss. So pls help me? Is very painful

  5. This is so embarrassing, but EVERY time I go to poop I’m constipated. But when I finally poop, I wipe poop THEN blood. Its been causing this AWFUL smell EVERYDAY. I’m starting to lose friends. I’m to embarrassed to hang out with anyone, because of the smell. Other students are teasing and making fun of me because of the smell. I just want it to stop ;( Please help me. agreen5757@yahoo.com

  6. duuuude i just got this. So scary, i thought i was going to die. thanks a lot for the information, i have been sitting a lot these past couple of days because i have the flu.

  7. Hi I just wiped and saw blood. I panicked because that’s a bad feeling to see blood on the tissue after wiping away #2. I panicked because I been having similar pains in my stomach for the last month that I had back in 2005 when My #2 was black entirely. Doctors said I had bleeding ulcers up top. This time it’s actually live blood and I don’t know what to do! I’m afraid of the doctors

  8. I bleeding, it has happend for years now I’m 19 years old don’t feel pain but it like happens two or three time a year and it’s in the upper but aria should I worry? It comps and go but the blood is really red help! Thank you.

  9. I have the same issue as well.
    And I notice I had lump around the anus but it went away. So did the bleeding. For awhile but then it started to bleed and have a lump around the anus again.
    It doesn’t hurt at all.
    I have gain weight and my job I am alway sitting.
    Will this go away later as long as I eat healthy, eat more fiber, and do excerise or should I go contact a doctor?

  10. Help please! I’m a 10 year old girl and lately I’ve been finding blood on toilet paper after I wipe and my underwear. It would be too embarrassing and awkward to tell my mum or dad so I’ve kept it to myself but any help please?

    • It could be that you are starting your period. Do you have an older sister, aunt, friend, etc that you could talk to about this situation?

  11. Constipation with severe abdominal cramps was the first sign when I figure out I was pregnant. Its rare, but if you’re sexually active I would check this out. The bleeding could be associated with implantation bleeding, especially if its not much. The stool bleeding can be a side effect of the constipation, so this could all be solved with a simple pregnancy test or a trip to your doctor.

  12. Hi I am 14 and weigh about 125 (I’m kinda tall for my age not overweight or anything) but lately I have been noticing that when I wipe there is blood on the toilet paper but when I wipe a again there isn’t any. I don’t think its my period because I haven’t gotten it yet and it happens at random times. I have a healthy diet and stay really active so I don’t know whats going on. It does not hurt or anything. Please help!

    • I am guessing this is probably your period. Take to an older female person that you trust and get their opinion.

  13. Hey today me too had the same problem
    While having my motions in the morning
    I saw some drops of blood coming it was red
    a little bit pain was there in my butt area
    Is it a serious problem

    By the way i am athletic person 19 yrs old height 5’5 weight 60 suddenly I have stopped doing exercises and drinking tons of water

    Is dis the reason behind the blood coming out while having my motions

  14. Hey every time I wipe there is blood it’s not in the stool it’s self just when I wipe and it happens consistently what is it i’m concerned

  15. I’m a 13 year old girl and recently when I use the bathroom and I wipe there is light redish blood on the toilet paper but not on the stool. It’s never happened before. I haven’t differently than normal, although I don’t drink a lot and I still haven’t had my first period. Is this a serious problem?

    • This might be your first period, actually. Speak to your mom and tell her about this and she’ll tell you whether it is or not. If you feel uncomfortable telling your mother, try an older sister, aunt, etc. someone you trust. Even if it is your butt and not your first period, it is just a hemorrhoid, since it is light. Unlike many other commenters I don’t believe you need to see a doctor, just drink lots of water and make sure to eat fiber. Other than that, no worries Penny! I’m 13 too.

  16. 9 time out of 10, the cause is wiping too aggressively. I’ve had the same exact issue, and decided to start using baby wipes so that I didn’t have to wipe as aggressively. Turns out you’re not supposed to be flushing these, as they’re not toilet friendly. Ultimately, I ended up buying a bidet that is built into my toilet seat from http://www.homebidet.com/.

    Still have the issue when at work, but not quite as bad. May try wetting a paper towel or using travel sized baby wipes at work.

  17. Hello. I’m a 13 year old girl who has started her period, weighs around 115-120 pounds, I am healthy, and some what active. Just a moment ago I went to have a bowel movement and noticed that there was bright red blood on the feces. I checked and it was not period blood, but rather from my anus. I am very confused and honestly don’t want to go to my doctor at all costs. Is there any way I could fix this without getting checked out? (There is a slight tingling pain in my anal cavity)

    • Katherine, If the bleeding continues, go to your doctor. My nephew has some bleeding. He didn’t want to tell his parents or go to the doctor. His bleeding did not go away. He now is just 1 colon ulcer away from Crohns and has to have treatments every couple of months. I’m not saying this is your situations, but what I am saying is that it’s better to suffer a little bit of embarrassment and find out it’s nothing that to keep everything to yourself and discover later that you have a very serious condition that could have been averted with early intervention.

  18. So sometimes I seem to really poop the nice biggish ones and sometimes little pellets. Well then lately, here and there, I become so gassy and it’s not really poop that comes out but more so a sticky clear substance with little bits of what look and smell like poop. But.. Then I feel like there’s still more that needs to come out. So tonight I haven’t been feeling well at all, was on the toilet for a little and kept farting and these weird things kept coming out. Then all of a sudden I wipe and there’s some traces of red blood within more of a clear sticky substance. Please help me. I haven’t been feeling great lately with my stomach and bowels.

    • I’m almost 20 years old living at college (the food isn’t the greatest but it works) I’m getting my tonsils and adenoids taken out in May and am not expecting my period for another 2 1/2 weeks. I’m about 5’7 and now weigh about 180.
      I saw you said to have more fiber, are bananas included in that description would you say?

      • Soluble vs. Insoluble Fiber

        The two types of fiber are soluble fiber, which absorbs water and swells up into a gel-like substance, and insoluble fiber, which doesn’t absorb water. Each type of fiber has a different function, with soluble fiber slowing digestion and insoluble fiber adding bulk to your stools. Soluble fiber helps lower your cholesterol and causes you to feel full, while insoluble fiber reduces your risk for constipation and diverticulitis.

        Fiber in Bananas

        The daily value for fiber is 25 grams per day, with this fiber including a mix of soluble and insoluble fibers. A medium banana contains 3.1 grams of fiber, including 1 gram of soluble fiber. For cholesterol-lowering benefits, consume at least 8 grams per day of soluble fiber, notes a 2002 study published in the “American Journal of Clinical Nutrition.” A banana contains 12.5 percent of the recommended soluble fiber intake.

        Better Sources

        While bananas provide soluble fiber, other foods provide more. These include lima beans, kidney beans, baked beans and pears, which each contains 3 grams of soluble fiber per serving, and oatmeal, winter squash, Brussels sprouts, parsnips and navy beans, which each contain 2 grams of soluble fiber per serving. The serving size is 1/2 cup, except for oatmeal, which has a 1-cup serving size, and pears, where the serving size is one large pear.

  19. I Just Went To The Bathroom And Had Diarrhea When I Wiped For Like 3 Sheets There Was A Streak Of Bright Red Blood About 1/3 A Centimeter Wrong I Was Just Done Putting Out A Fire We Had Made I’m 11 103 Pounds And A Boy Should I Be Worried

  20. Hello I’m a 21 year old male I’m a bit worried I’ve been finding blood whn I’ve been 2 the toilet as the water turns a pinky colour or as I wipe and 2 day I’ve been 2 the toilet and as I’ve wiped there was a lot more blood it’s normal just a bit as I no of but 2 day was different I seem 2 be putting on weight and I don’t eat a lot if anything I eat less because of this and always tryed and I’m worryed tht it cud be cancer because it’s always been the course of death in r family my mother sadly passed away will it last year at age 38 what should I do please

    • Schedule an appointment with your doctor. If it’s nothing you will have peace of mind, if it’s something you can get treatment.

  21. I’m pregnant and I just found out and we’ll I dont have a dr. yet so i went to the RR this morning and took a #2 and when I wiped I saw blood then wiped again and I saw it again, but then it was clean then I wiped my vagina and their wasnt any nlood their blood their. So I don’t know what to do keep in mind I’m only (16)

  22. Timely analysis . I am thankful for the information , Does anyone know if I would be able to access a sample NY DTF ST-330 copy to complete ?

Leave a Reply

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