Ask a doctor on the topic of Other questions to doctors

Bleeding at the anus

June 22, 2013 | 25,00 EUR | answered by Dr. med. Kathrin Hamann

Good day,

I would like to describe my case to you in as much detail as possible:
For about 2-3 years now, I have occasionally (i.e. every 6-10 months for a few weeks at a time) experienced bleeding during bowel movements. The blood does not come from the colon, but directly from the anus. I strongly suspect that it is related to my bowel habits (I often strain heavily and wipe "until everything is clean"). When the bleeding occurs, I am more cautious during bowel movements for the next few days and the issue resolves itself.
In the picture, you can see a swelling at the anus. Sometimes this swelling is quite noticeable and palpable, while other times it is barely present or not present at all.
My suspicion is an anal venous thrombosis. There is no pain, and I do not have any other symptoms. I just want to make sure that it is nothing serious. Please let me know if further investigation is necessary.
By the way, I am 21 years old.

Thank you in advance and best regards.

Dr. med. Kathrin Hamann

Good evening,

I am happy to help you further.

If this occurs after very firm stool with strong straining as fresh blood streaks and decreases during cleaning, then it is very likely a hemorrhoid bleeding. This swelling/protrusion can also indicate the beginning of a prolapse. In general, this should be clarified by a proctologist. However, I would like to reassure you. It is important to pay attention to soft and regular bowel movements. Warm sitz baths are recommended, as well as the application of medical Vaseline to the perianal region.

Do you have any questions about this? I am happy to help you further.

All the best and speedy recovery!

Best regards,

Dr. K. Hamann