A member asked:

Hello i have have had some anal bleeding on and off for the last 4 months. it seems to happen after straining to have a bowel movement. blood is bright red and is seen on the paper after wiping and some stain on the stool. could this be cancer? 44 m?

2 doctors weighed in across 2 answers

Your description sounds more like hemorrhoids being the underlying cause. However, you should definitely schedule an appointment with your primary doctor so that a proper examination and testing can be done.

Answered 3/3/2023

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Common things are common, rare things are rare. Bright red blood per rectum usually comes from a crack/fissure in the anal skin triggered by a hard/bulky or rapidly delivered stool. Colon cancer bleeding originates higher up in the digestive tract, taking on a darker red or purple color after gut enzymes act on the blood. Please discuss this with your doc.

Answered 3/3/2023

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