Constipation with blood in the stool is hemorrhoids?

Question
Hello doctor,
I am female, 18 years old this year. About 2 weeks ago, I had mild constipation, but about 4 days ago, I started having bloody stools, when I went, my anus was painful. I bought medicine at the drugstore, the situation got better, but when I went, I still had a little bleeding. So the doctor asked me if constipation with blood in the stool is hemorrhoids? Or is it because you are constipated and have difficulty passing stools, so it causes bleeding, doctor? Please advise doctor, thank you.
Anonymous customer
Answer
Answered by doctor Department of Medical Examination & Internal Medicine, Vinmec Hai Phong International General Hospital.
Hello,
With the question "Constipation accompanied by bloody stool is hemorrhoids? ", the doctor would like to answer as follows:
This year you are 18 years old, blood in the stool after constipation with anal pain has 2 possibilities: High possibility due to anal fissure due to constipation, second possibility low than hemorrhoids.
You need to adjust your lifestyle: Eat lots of vegetables, fiber, especially sweet potatoes and bananas, drink enough water (2 liters / day), avoid spicy, hot spices, stimulants, avoid constipation (feces). must be soft), maintain defecation once a day. If you have followed the above measures but your condition does not improve, you need to see a Gastroenterologist for proper diagnosis and treatment.
If you still have questions about constipation with bloody stools, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!