2. Bleeding: The Alarming Red Flag of an Anal Fistula
Bleeding from any part of the body is a cause for concern, and when it originates from the anus, it becomes particularly alarming. Anal fistula-related bleeding is distinctive. The blood is usually fresh, bright red, and is often noticed on toilet paper after wiping or in the toilet bowl after a bowel movement.
The bleeding, though not profuse, is consistent. It’s not the sporadic spotting one might associate with minor injuries or hemorrhoids. This bleeding is a direct result of the fistula’s pathway, which often intersects with blood vessels, leading to the consistent blood presence.
One might wonder about the implications of such bleeding. While it might not lead to significant blood loss, the consistent bleeding can result in localized soreness and further irritation. The constant exposure to blood can also change the skin’s pH, making it more susceptible to secondary infections.
Interestingly, the body’s response to this bleeding is multifaceted. In some cases, clotting might occur, leading to a temporary cessation of bleeding. However, with continued irritation, especially during bowel movements, the bleeding often resumes. This cycle provides a palpable reminder of the ongoing issue and the body’s relentless effort to heal. (2)
