It’s pretty gnarly.
If you’re straining to poop, Dr. Schnoll-Sussman recommends keeping a stool diary to better understand your bowel movements. This also comes in handy so you can talk to your doctor about your symptoms if you decide to seek treatment. She recommends tracking your answers to a few key questions each day if you can:How do I feel when I don’t have a bowel movement?You may notice that you’re not really eating as much fiber as you think.
Generally, it’s safest to see your doctor if you are having any form of consistent rectal bleeding, according to Dr. Poppers. “It’s always a good idea to contact your doctor if you have any unexpected change in bowel habits and certainly any rectal bleeding—even a small volume—if that’s not typical for you or otherwise explained by a prior diagnostic workup,” he says.
Further, if your bleeding is recurrent and you have other symptoms, such as nausea and dizziness, or if there’s a lot of blood in your stool, Dr. Schnoll-Sussman recommends getting an evaluation immediately. “You could be potentially having a life-threatening bleed that could happen for many, many different reasons,” she says. “It could be a sign of colon cancer. It could be a sign of inflammatory bowel disease. It could be a sign of some abnormal blood vessels in the colon.
All of that said, having a small amount of blood on your toilet paper might indicate you have hemorrhoids or anal fissures, which can typically be treated easily, Dr. Schnoll-Sussman says. If youthink you just pushed too hard and have hemorrhoids, you can try at-home treatments before going to the doctor. Hemorrhoids can be pretty responsive to over-the-counter creams, an ice pack, soaking in a, or using a suppository with corticosteroid creams to alleviate pain and swelling.
Bottom line: Many people strain to poop at some point, but it’s worth seeing a doctor if it’s bothering you. And there’s no need to feel bashful about the situation either. Again, pooping is part of human nature, which means constipation is, too. “Gastrointestinal symptoms are very common,” Dr. Poppers says. “There’s nothing to be embarrassed about.” Plus, gastroenterologists are so fascinated by the digestive system they spent years in medical school just to learn more about it.
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