If you're experiencing fresh red rectal bleeding on toilet paper when wiping, it's most likely due to haemorrhoids (also known as piles).
These are swollen blood vessels around the anus or lower rectum and are a common cause of rectal bleeding.
While they often improve with self-care, it's essential to manage them properly to prevent recurrence and complications.
Understanding Haemorrhoids
Haemorrhoids can cause:
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Bright red blood on toilet paper after bowel movements
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Itching or discomfort around the anus
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A lump near the anus
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Pain during or after bowel movements
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A feeling of incomplete evacuation
These symptoms often arise from constipation, straining, or prolonged sitting on the toilet. While haemorrhoids are usually not serious, persistent or heavy bleeding warrants medical attention.
Dietary Changes to Prevent Haemorrhoids
A high-fibre diet helps soften stools and reduces straining:
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Fruits & Vegetables: Aim for at least 5 portions daily.
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Whole Grains: Include wholemeal bread, brown rice, and oats.
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Legumes: Incorporate beans, lentils, and peas.
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Nuts & Seeds: Add almonds, walnuts, and flaxseeds.
Gradually increase fibre intake to avoid bloating. Drink at least 2 litres of water daily to aid digestion.
Healthy Bowel Habits
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Don't Delay: Respond promptly to the urge to have a bowel movement.
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Avoid Straining: Relax and allow stools to pass naturally.
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Limit Toilet Time: Spend no more than 5 minutes on the toilet.
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Positioning: Consider raising your feet on a stool to align the rectum properly.
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Stay Active: Regular exercise promotes healthy bowel function.
Over-the-Counter Treatments
For relief from haemorrhoid symptoms:
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Topical Creams/Ointments: Products like Anusol® or Germoloids® can soothe itching and swelling.
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Suppositories: Useful for internal haemorrhoids; follow package instructions.
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Pain Relief: Paracetamol can alleviate discomfort; avoid NSAIDs like ibuprofen if bleeding is present.
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Stool Softeners: Mild laxatives like Fybogel® or Laxido® can ease constipation.
Consult a pharmacist for personalized recommendations.
When to Seek Medical Advice
Contact your GP or NHS 111 if you experience:
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Persistent or increasing bleeding
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Severe pain
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No improvement after a week of self-care
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New or unusual symptoms around the anus
In rare cases, persistent or severe haemorrhoids may require medical treatments such as rubber band ligation, sclerotherapy, or surgery.
For more detailed information, visit the NHS pages on haemorrhoids and dietary management of constipation.