Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
149 Doctors are Online

Strips of red outside the stool on straining hard. Have fissures and hemorrhoids. Colonoscopy clear. Reason?

User rating for this question
Very Good
Answered by
Practicing since : 2007
Answered : 1201 Questions
I strained and had two stripes of red (or maybe maroon) blood on the outside of my stool. I have a known fissure (very small) and some XXXXXXX hemorrhoids. The only bleeding I've had before is clearly from the fissure (just a tiny bit of pink blood. I had a colonoscopy 5 years ago that was completely clear.

I went to the gastroenterologist who says it's hemorrhoids and does NOT advise another colonoscopy. Does this make sense? I thought blood always indicated the need for a colonoscopy.
Posted Thu, 13 Jun 2013 in Abdominal Pain
Answered by Dr. Jorge Brenes-Salazar 2 hours later
Dear friend,

Thanks for your health concerns. I agree with the gastroenterologist with the information provided; if there was a normal colonoscopy 5 years ago, the chances of bleeding related to a malignant cause is quite low; on the other hand, anal fissures and hemorrhoids are the most common cause of bleeding while straining. A conservative approach with special detail to prevent constipation appears reasonable.

Hope this is helpful wish you the best health

Dr Brenes Salazar MD
Mayo Clinic MN
Department of Medicine
Division of Cardiovascular Diseases
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask a Gastroenterologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor