2 doctors weighed in:

I sometimes have a little bright red blood on toilet paper after hard stool. What is the most likely cause?

2 doctors weighed in
Dr. Julie Abbott
Preventive Medicine
1 doctor agrees

In brief: Mild trauma

When stool is quite hard and typically difficult to pass, micro trauma occurs in the anal tissues.
This can lead to an actual slit-type opening called a fissure and/or hemorrhoids. The fact that the blood is bright red indicates that it is coming from low down in the GI tract, i.e. anus. Work to soften stool: drink a generous amount of water, increase fiber in diet, daily exercise. Good wishes:)

In brief: Mild trauma

When stool is quite hard and typically difficult to pass, micro trauma occurs in the anal tissues.
This can lead to an actual slit-type opening called a fissure and/or hemorrhoids. The fact that the blood is bright red indicates that it is coming from low down in the GI tract, i.e. anus. Work to soften stool: drink a generous amount of water, increase fiber in diet, daily exercise. Good wishes:)
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