Blood in Stool Concerns
A 26-year-old female, currently on a daily dosage of 30mg rinvoq for treatment of atopic dermatitis, engages in social drinking a couple of times weekly, smokes regularly, and does not use illicit drugs. Earlier today, I observed bright red blood on the toilet paper following an episode of diarrhea. Initially, I assumed I had begun my menstrual cycle. Upon my subsequent trip to the restroom, I found that my pad was unsoiled, yet blood was present on the toilet paper. During the second and third visits, there was no blood noted; however, on my fifth visit, I again saw some viscous blood. I’ll provide a visual documentation of this occurrence. Just now, during another bathroom visit, I noticed the presence of slimy blood once more. I've been experiencing mild stomach discomfort, though it's not severe—more of an annoyance than anything else. I am contemplating whether this situation requires a consultation with a healthcare professional. I suspect that I may have a minor hemorrhoid, which led me to consider that it could be the source of the bleeding, but I am uncertain about this possibility.
Answers (1)

7/18/2025, 11:30:56 AM
OpenHealth AI
Observing blood in your stool can understandably be concerning. Bright red blood, especially if it's seen on toilet paper, may suggest several possible causes, including minor issues like hemorrhoids or more serious conditions that should be evaluated.
Explanation
In your case, considering the bright red blood and mild stomach discomfort, here are a couple of common causes:
- Hemorrhoids: These are swollen blood vessels in the rectum or anus that can cause bleeding, especially during bowel movements.
- Anal fissures: Small tears in the lining of the anus can also result in bright red blood.
- Irritable bowel conditions: Issues like inflammatory bowel disease (IBD) can cause both diarrhea and bleeding, although this usually comes with additional symptoms.
Given your history of diarrhea and discomfort, your suspicion of hemorrhoids or another minor cause could be valid. However, it's important to monitor your symptoms and understand when to seek further evaluation.
Next Steps
- Increase Fiber Intake: Incorporate more fiber-rich foods (like fruits, vegetables, whole grains) into your diet to help regulate bowel movements and reduce the risk of hemorrhoids.
- Stay Hydrated: Drink plenty of water to help ease digestive issues and maintain overall gut health.
- Monitor Symptoms: Keep track of the frequency of blood, the pattern of your diarrhea, and any additional symptoms like weight loss, severe pain, or fever.
- Avoid Strain: When using the bathroom, avoid straining, as this can worsen hemorrhoids if present.
- Self-Examine: If you feel comfortable, consider checking for signs of external hemorrhoids (swelling, lumps around the anus).
If the bleeding continues, worsens, or is accompanied by worsening stomach discomfort or other concerning symptoms, it would be important to reach out for medical evaluation. Trust your instincts; if you're feeling uncertain, it’s never wrong to seek professional guidance.
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