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Wednesday, April 23, 2014
lately i have been noticing blood on the tissue after having a bowel movement its not all the time. Blood doesn`t appear anywhere else but on the tissue and its only there the first time i wipe myself. It only happens when i strain. Could it be my diet?
Most outlet bleeding is due to hemorrhoidal irritation, anusitis, or a fissure. A host of other less common things can cause it as well. A good exam with a physician who practices proctology is the first place to start. If you have never had a colonoscopy, it may be reasonable to consider this, or another diagnostic test, to make sure the true source of bleeding is not farther up from the anal canal.
Janice Frederick Rafferty, MD
Professor of Surgery
Chief of Colorectal Surgery Division
College of Medicine
University of Cincinnati