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Bleeding after.

Good day,

I have a somewhat sensitive question. For about 5 years, I have been experiencing light bleeding in my stool on and off, especially during times of stress. Five years ago, I visited a proctologist for the first time and he identified a small tear in the anus. 2.5 years ago, I went back to him and he performed a rectal examination, which showed everything was fine. He mentioned that he could see a scar from an anal fissure.

Over the past year, I have been under more stress and the bleeding has been occurring more frequently, but it usually goes back to normal after 2-3 days. Then I have a break of 1-3 months. On Thursday, my stool was very hard and I had to strain a bit, afterwards I experienced a slight burning sensation and noticed a streak of dark red blood on the toilet paper. I didn't think much of it at first, and yesterday I didn't have a bowel movement. Today, I noticed dark red blood on the paper again, but the stool itself was completely normal in color, not black and not full of blood.

I inspected my anus and noticed that when I stretch it slightly, there is a small tear and the blood starts to 'flow', around 1-2 drops, but it stops once I stop stretching it. I don't have any pain and otherwise I feel fine.

Since the blood is dark red, I am a bit worried as it indicates venous bleeding. Could it be my old anal fissure acting up again, or is it possibly deeper now causing the bleeding to stop difficultly or has a large vein been ruptured?

Now it's the weekend and I am wondering if I can wait until Monday, or if I should see a doctor today.

Kind regards,

Christian Welsch

Dear questioner, unfortunately you did not mention your age or any additional medical conditions. Based on your description, I would assume that you are suffering from a recurring anal fissure. The bleeding in this case is usually harmless and not concerning in terms of quantity. I would suggest trying a cream that you can apply with a rubber glove (Hametum cream works well). Additionally, make sure to drink enough water, exercise, and have a balanced diet to soften your stool.

If the symptoms persist, you should consult a proctologist.

Do you have any further questions?

Regards, Welsch

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Christian Welsch

Christian Welsch

Veitsbronn

niedergelassener HNO-Arzt und Notfallmediziner, seit 15 Jahren regelmäßige Mitarbeit im allgemeinmedizinischen Notdienst

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