Could A Hemorrhoid Cause Slight Bleeding Seen On The Pantyliner?

Posted on Tue, 12 Apr 2022

Question: I noticed a little spotting on my pantyliner last night. I do have hemorrhoids but it is hard to tell if it was coming from the hemorrhoid. Should I be concerned

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Do have straining at times, Do have hemorrhoid, Urination is ok. Went to Dr for vaginal burning on Wednesday. He said slight yeast infection, but it seemed to be getting better at that time so he did not give me anything. Called office on Friday, and asked if something could be prescribed, but Doctor will not be in office until Monday so used using Vagisil for now which helps somewhat. Did you see attached picture? Should I be overly concerned?

Answered by Dr. Bhagyesh V. Patel (54 minutes later)

Brief Answer:
Possible hemorrhoid, fissure or some skin problem.

Detailed Answer:

Hello,

* There can be various reasons for the underwear staining or spotting as hemorrhoid,
fissure or some sort of skin problem through infection.

* The staining sounds very faint and disperse, suggestive of minor bleed or oozing which
can be from serous discharge more likely.

Kindly provide me further details so that I can answer your query completely.

1. Are you having any discomfort in passing stool as straining, burning?
2. Do you have constipation?
3. Is urination okay?
4. Any noticeable changes over the anal or genital part?

Awaiting for your response.
Thanks.

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Brief Answer:
Genital infection most likely.

Detailed Answer:

Hi,

* Most possible genital infection giving spotting.

* Guidelines at present

- Drink plenty of liquids.
- Consume cranberry packet once daily in a glass of drinking water.
- Balanced nutritious diet to combat any underlying infection.
- Do not panic and have regular sound sleep.
- There is no need of any antibiotic or other stuffs at present for this issue.

Wish you fine recovery. Do feel free to ask further doubts.
Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Bhagyesh V. Patel (1 hour later)

So are you thinking yeast infection? Should I be overly concerned?

Answered by Dr. Bhagyesh V. Patel (1 hour later)

Brief Answer:
Follow up.

Detailed Answer:

Hi,

* It could be any sort of bacterial or yeast infection.
* Maintenance of hydration, local hygiene and sitz-bath with Epsom salt lukewarm water will help great.

I again request you not to be overly concerned.
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Bhagyesh V. Patel (1 hour later)

Could the spotting be from the hemorrhoid as I did strain yesterday? Did you see the picture I attached? So you are thinking this will clear on its own? Is it good that I have not noticed any more spotting?

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The main symptoms I am experiencing is burning in the vaginal area which comes and goes. Is it good that I have not noticed any mote spotting?

Answered by Dr. Bhagyesh V. Patel (7 hours later)

Brief Answer:
Follow up.

Detailed Answer:

Hi,

I had seen the picture attached.

* The issue may be of multiple reasons the diagnosis of which depends upon the microbiology of vaginal swab or urine sample. The hemorrhoid seems very less likely as it gives spotting before, with or after passage of stool, but not spontaneously during night.

* Plenty of liquids and hygiene care solve majority of the instances and rest cases require medicine support.

Wish you fine day ahead.
Take care.

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Brief Answer:
Follow up.

Detailed Answer:

Hi,

It is good sign that you have not noticed further spotting. Burning will also cool down gradually. Have you noticed decrease in burning since the onset or not?

Thanks.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Bhagyesh V. Patel (10 hours later)

It is about the same. Sometimes I will go for hours with no burning and then it returns.

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Went to Dr this morning due to spotting that I had noticed. Upon examination he noticed a cut on the outside of vagina which he thinks was cause of spotting and also burning. He suggested using Vaseline to help heal it. He said ice pack could also be used to cool the burning.

Answered by Dr. Bhagyesh V. Patel (36 minutes later)

Brief Answer:
Follow up.

Detailed Answer:

Hi,

* Intermittent burning presents when there is irritation of the mucosa of vagina.

* Currently it will be taken fine care with plenty of liquids, cranberry sachets and Aleve. Later once you get lab reports with your doctor, prescription of antibiotic will recover it faster.

Thanks.
Wish you fine recovery.

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Brief Answer:
Follow up.

Detailed Answer:

Hi,

* In my first answer I had written possibility of some skin problem.

* As per the advise of your doctor, Vaseline and ice pack will heal it much faster. There is no need of antibiotics at this stage.

Regards

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Above answer was peer-reviewed by : Dr. Raju A.T