A member asked:

I have anal bleeding during/at the end of a bowel movement and the stools are soft. i do have some hemorrhoids but they do not seem sore. concerned?

9 doctors weighed in across 2 answers

Possibilities...: Blood in stool is a warning sign. Causes of bleeding may be predictable (e.G rectal trauma, fissure, hemorrhoids with straining), but evaluation is always appropriate. A rule of thumb (but not absolute): black stool means bleeding comes from upper GI tract; grape jelly stool from small bowel; silver stool from biliary tree; burgundy stool from right colon; red blood from left colon to anus.

Answered 7/23/2018

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Dr. Douglas Brewer answered

Specializes in Surgery - Colorectal

Possibly: Hemorrhoid bleeding classically is bright red, painless, occurs only with and after bowel movement and is seen mostly on tissue and in toilet. Unfortunately a rectal cancer can act just like this also. So especially in people 40 or over we would recommend at least a rectal exam if not a sigmoidoscope.

Answered 10/24/2017

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