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problem whith stool passing and see a blood spot on the last sttol.
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Digestive Health
Question #23032
135 days ago
261

problem whith stool passing and see a blood spot on the last sttol. - #23032

isha

i am facing discomfot while passing stool..basically i am one of those who go to washroom eother in afternoon or evening..today i feel pain while passing stool..and it feel like cracking from inside when anal spinchter open..then after passing stool what i see is i see reed spot on the stool..it is blood may be..is it pile??twoweek ago i see the same then i am sure thta it is anal fissure becasue i feel my stool is so hard..then i start isabgol with ilk at night and one fruit ata tiem..then after one week everything felt norma..btu today i see this..is it due to stool or less fibre or soemthign else??doctor please reply..is it pile??or it canb be cured?

Please reply just need your consultation doctor..i am to shy to go to doctor
Please helo me
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
135 days ago
5

You first had very hard stool and constipation, which can cause a small tear (fissure) in the anal skin. A fissure typically causes:

Sharp pain or burning during or after passing stool

Irritation when the sphincter opens

Small amount of bright red blood spots on stool or tissue

Pain more than bleeding

This matches your symptoms closely.

Piles (hemorrhoids) usually cause:

Painless bleeding

Swelling or lump around anus

Itching or heaviness

Less sharp cutting pain

Since you feel pain + irritation + small blood spot, fissure is more likely.

The good news is: This is common and usually not serious, especially at your age (22), and it often heals with proper care

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
135 days ago
5

Hello

This is most likely an anal fissure, not piles.

What to do now: Continue Isabgol daily (with warm water or milk) Drink 2.5–3 liters water/day Eat high-fiber foods (fruits, vegetables)

Avoid straining and sitting long in toilet

🛑🛑Warm sitz bath (10–15 min, 2× daily) Apply lidocaine gel before and after passing stool Use fissure ointment (like nitroglycerin or diltiazem) Eat oats at night

Is it curable? Yes, most fissures heal completely with stool control and local treatment.

See a surgeon urgently if: Bleeding increases Pain becomes severe No improvement in 1–2 weeks

You’re doing the right things—just need consistent stool softening. Don’t hesitate to poop this will lead to dry fecus, thereby constipation, fissure worsens

Get well soon Take care I trust this helps Thank you!

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
135 days ago
5

Hello dear See it seems minor injury due to constipation or irritation of rectum Iam suggesting some medication for improvement Please follow them for atleast a week Lignocaine gel topical application twice a day for 1 week Clobetasol 1 percent topical application twice a day for 5 days Petroleum jelly application Take fibres Esr plenty of food Avoid junk food Avoid heavy meals In addition please get following tests done for confirmation and share result with gastroenterologist for better clarity. CBC Esr Colonoscopy Anascopy Sigmoidoscopy Rectal physical examination Rectum USG Serum ferritin Hopefully you recover soon Regards

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Given the symptoms you’re describing—pain during bowel movements, a sensation of cracking, and noticing bright red blood on the stools— it sounds more like an anal fissure than hemorrhoids, also known as piles. Anal fissures are small tears in the lining of the anus, often caused by passing hard or large stools. They can cause pain and bleeding, particularly with bowel movements. Since you’ve already had relief with increased dietary fiber and isabgol (psyllium husk), it suggests that hard stools and possibly straining are contributing factors. To address this, continue with a high-fiber diet, aiming for around 25 to 30 grams of fiber daily. Include whole grains, fruits, vegetables, and legumes to naturally boost your intake. Hydration is equally crucial— aim for at least 8-10 glasses of water a day to help keep the stools soft. Sometimes, warm sitz baths for about 15-20 minutes a couple of times a day can offer relief by relaxing the anal muscles and improving blood flow to the area. Over-the-counter topical treatments like hydrocortisone creams or lidocaine can also help with pain and inflammation. However, if the bleeding persists or worsens, or if you notice any change in the color of the blood (like dark, tarry stools), it would be vital to see a doctor to rule out other possible conditions, like hemorrhoids or less commonly, more serious gastrointestinal issues. Persistent or severe fissures might need further evaluation or treatment by a healthcare professional. While self-management is appropriate to start, don’t hesitate to reach out for a more thorough evaluation if your symptoms don’t improve or recur frequently.

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