About all

Can hemorrhoids cause small stools: Do Hemorrhoids Cause Narrow Stools- 94 Questions Answered


Symptoms & Causes of Fecal Incontinence

What are the symptoms of fecal incontinence?

The symptoms of fecal incontinence depend on the type.

  • If you have urge fecal incontinence, you will know when you need to pass stool but not be able to control passing stool before reaching a toilet.
  • If you have passive fecal incontinence, you will pass stool or mucus from your anus without knowing it.

Some medical experts include streaks or stains of stool or mucus on your underwear—called soiling—as a symptom of fecal incontinence.

When should I see a doctor for fecal incontinence?

You should see a doctor if your fecal incontinence is frequent or severe. Although some people are able to manage mild or infrequent fecal incontinence on their own, you should see a doctor if your fecal incontinence is affecting your quality of life or causing emotional or social distress.

What causes fecal incontinence in adults?

Fecal incontinence has many causes, including digestive tract disorders and chronic diseases. Some causes of fecal incontinence, such as childbirth by vaginal delivery, happen only in women.


Loose, watery stools from diarrhea fill your rectum quickly and are harder to hold in than solid stools. Diarrhea is the most common risk factor for fecal incontinence for people not staying in hospitals, nursing homes, or other similar institutions. Diarrhea may be caused by digestive tract problems such as

  • inflammatory bowel disease
  • irritable bowel syndrome
  • proctitis


Constipation can lead to large, hard stools that are difficult to pass. The hard stools stretch and, over time, weaken the muscles in your rectum. The weakened muscles let watery stools that build up behind the hard stool leak out.

Muscle injury or weakness

If the muscles in your anus, pelvic floor, or rectum are injured or weakened, they may not be able to keep your anus closed, letting stool leak out. These muscles can be injured or weakened by

  • surgery to
    • remove cancer in the anus or rectum
    • remove hemorrhoids
    • treat anal abscesses and fistulas
  • trauma

Nerve damage

If the nerves that control your anus, pelvic floor, and rectum are damaged, the muscles can’t work the way they should. Damage to the nerves that tell you when there is stool in your rectum makes it hard to know when you need to look for a toilet. Nerves can be damaged by

  • a long-term habit of straining to pass stool
  • brain injury
  • spinal cord injury

Neurologic diseases

Neurologic diseases that affect the nerves of the anus, pelvic floor, or rectum can cause fecal incontinence. These diseases include

  • dementia
  • multiple sclerosis
  • Parkinson’s disease
  • stroke
  • type 2 diabetes

Loss of stretch in the rectum

If your rectum is scarred or inflamed, it becomes stiff and can’t stretch as much to hold stool. Your rectum can get full quickly, and stool can leak out. Rectal surgery, radiation therapy in the pelvic area, and inflammatory bowel disease can cause scarring and inflammation in your rectum.


Hemorrhoids can keep the muscles around your anus from closing completely, which lets small amounts of stool or mucus to leak out.

Rectal prolapse

Rectal prolapse—a condition that causes your rectum to drop down through your anus—can also keep the muscles around your anus from closing completely, which lets small amounts of stool or mucus leak out.

Physical inactivity

If you are not physically active, especially if you spend many hours a day sitting or lying down, you may be holding a lot of stool in your rectum. Liquid stool can then leak around the more solid stool. Frail, older adults are most likely to develop constipation-related fecal incontinence for this reason.

Childbirth by vaginal delivery

Childbirth sometimes causes injuries to the anal sphincters, which can cause fecal incontinence. The chances are greater if

  • your baby was large
  • forceps were used to help deliver your baby
  • you had a vacuum-assisted delivery
  • the doctor made a cut, called an episiotomy, in your vaginal area to prevent the baby’s head from tearing your vagina during birth


Rectocele is a condition that causes your rectum to bulge out through your vagina. Rectocele can happen when the thin layer of muscles separating your rectum from your vagina becomes weak. Stool may stay in your rectum because the rectocele makes it harder to push stool out.

What causes fecal incontinence in children?

For children older than age 4, the most common cause of fecal incontinence is constipation with a large amount of stool in the rectum. When this happens, a child may not be able to sense when a new stool is coming into the rectum. The child may not know that he or she needs to have a bowel movement. A large amount of stool in the rectum can cause the internal anal sphincters to become chronically relaxed, which lets soft stool seep around hard stool in the rectum and leak out.

Birth defects of the anus, rectum, or colon, such as Hirschsprung disease, can cause fecal incontinence in children. These birth defects may weaken pelvic floor muscles or damage nerves in the anus or rectum. Injuries to the nerves in the anus and rectum can also cause fecal incontinence, as can spinal cord injuries and birth defects of the spinal cord.

4 Signs Your Hemorrhoids Require Medical Intervention: Betsy F. Clemens, M.D.: Board Certified Physician

4 Signs Your Hemorrhoids Require Medical Intervention: Betsy F. Clemens, M.D.: Board Certified Physician

You may, understandably, not like to talk about it, but hemorrhoids are pretty common. They affect about 10 million adults in the United States annually. It’s estimated, in fact, that as many as three in four adults will experience problems with hemorrhoids at some point in their lives.

Take a walk down the pharmacy aisle at your local grocery store and you’ll likely find plenty of treatments that promise to help. But what do you do when home remedies don’t work? Is there a medical treatment that will help heal your hemorrhoids and resolve your pain?

“Yes,” says Dr. Betsy Clemens. And the good news? Effective hemorrhoid treatment doesn’t always mean surgery. In fact, most of the time it does not.

Dr. Clemens leads our team here at Midwest Hemorrhoid Treatment Center in Creve Coeur, Missouri. She’s a specialist who is well known for her medical expertise as well as her passion for making her patients feel comfortable when addressing this sometimes embarrassing condition.

What are hemorrhoids?

Simply put, hemorrhoids are swollen and bulging veins that occur in your anorectal region. Hemorrhoids are similar to varicose veins and can occur anywhere from your lower rectum to just outside the anus. Internal hemorrhoids occur inside and external hemorrhoids form under the skin of the anal opening.

Depending on their location, hemorrhoids may cause excessive bleeding with little discomfort or become exquisitely painful. As with many medical conditions, early treatment for your hemorrhoids can often spare you needless pain and discomfort.

4 signs that hemorrhoids require medical intervention

Here are the four signs that Dr. Clemens says indicate your hemorrhoids require medical intervention and why early treatment matters.

1. Bleeding during bowel movements

There are many underlying causes of rectal bleeding, including hemorrhoids. Blood associated with internal hemorrhoids is typically bright red, causes no pain, occurs with bowel movements, and may be mild to moderate in amount.

You can’t assume, however, that your symptoms are due to hemorrhoids. If you’ve never been diagnosed with hemorrhoids or have noted a change in the characteristics of the bleeding you’ve associated with hemorrhoids, see a doctor for an accurate diagnosis.

2. A noticeable bulge at the anus that seems to retract following a bowel movement

Internal hemorrhoids can prolapse or fall outside of the anal opening during a bowel movement. Initially, the tissue may retract on its own or be easily pushed back inside. But prolapse can worsen over time and can eventually cause significant irritation, itching, bleeding, and pain as this internal tissue becomes trapped outside of the anus. Early treatment helps prevent the prolapse from worsening.

3. The sensation that you’re not emptying your stool completely

Prolapsing internal hemorrhoids can cause the feeling that your stool is stuck at the anus. Or you may note a mucous discharge and difficulty in cleaning yourself following a bowel movement because of the displaced tissue. We can remedy these symptoms by treating the hemorrhoid.

4. Discomfort, itching, and irritation in the anal region

There’s really no reason to try and live with your hemorrhoids until the pain becomes severe enough to disrupt your life. Many effective nonsurgical treatments exist that can resolve your hemorrhoids, including:

Infrared coagulation (IRC)

The highly effective IRC method utilizes infrared light delivered via a small probe to painlessly coagulate (clot) the blood vessels supplying your hemorrhoid. As the blood flow is blocked, the enlarged hemorrhoidal tissue shrinks and your symptoms resolve.

Rubber band ligation

This method also blocks blood flow to the hemorrhoidal tissue, which eventually causes the hemorrhoid to wither and “die. ” It’s admittedly more painful overall than IRC and may cause bleeding, but it remains an effective, nonsurgical solution for treating hemorrhoids.

You can rely on Dr. Clemens to focus first on diagnosing your condition correctly and then recommending the most conservative and effective hemorrhoid treatment available, including tips that help prevent hemorrhoids from recurring. Schedule your appointment today at Midwest Hemorrhoid Treatment Center.

The Link Between STDs and Anal Discomfort

Anal pain and sexually transmitted diseases (STDs) are complex subjects to discuss, but not symptoms or conditions you should ignore. Learn more about the link between STDs and anal discomfort to get the necessary care.

3 Lifestyle Changes to Make If You Experience Anal Discomfort

Anal discomfort can make life unbearable. Though you shouldn’t ignore ongoing anal pain, there are steps you can take at home that might ease your discomfort. Find out more about lifestyle changes that can help your anal discomfort.

Why You Should Never Ignore Blood in Your Stool

Bowel habits aren’t something you regularly discuss, but you need to talk with your health provider when you have blood in your stool. Learn what blood in your stools might mean and why you should never ignore it.

Why Do I Have Anal Itchiness When I Sit Down?

Anal itchiness is an embarrassing symptom that may occur from any number of causes. Why does it itch so much when you sit down? Learn more about what’s causing your discomfort and what you can do about it.

It Hurts Every Time I Have a Bowel Movement

If it hurts every time you have a bowel movement, you may avoid the bathroom. But your pain is a symptom of some health issue that may not disappear if you ignore it. Click here to find out what causes painful bowel movements and what to do about it.

causes, what to do, methods of treatment

Contents of the article

  • 1 Main causes of diarrhea
  • 2 Danger of diarrhea with hemorrhoids
  • 3 How to treat diarrhea with hemorrhoids?
  • 4 Diet for diarrhea
  • 5 Hygiene for diarrhea
  • 6 Prevention of diarrhea for hemorrhoids
  • 7 Conclusion

Main causes of diarrhea

Many patients ask the question is, can there be diarrhea with hemorrhoids? This is quite possible, and some reasons may contribute to its occurrence:

  • low-quality food;
  • long-term use of drugs;
  • frequent exposure to stress;
  • diseases of the gastrointestinal tract.

In addition, diarrhea may develop after surgical interventions, with exacerbated diseases of the gastrointestinal tract or antibiotic treatment.

When diarrhea does not go away for a long time, and no therapeutic measures are taken, hemorrhoids aggravate. It is necessary to immediately begin to act and deal with the treatment of diarrhea. In particular, you need to adjust the diet and abandon foods that can provoke an upset of the gastrointestinal tract.

Hemorrhoids that appear after diarrhea cause painful sensations during bowel movements. The result is artificial restraint when going to the toilet. This causes constipation, and leads to even more health problems.

Danger of diarrhea with hemorrhoids

The presence of loose stools with hemorrhoids is a rather dangerous phenomenon. This is because a person with hemorrhoids is not enough to visit the toilet once in 24 hours. During bowel movements, the patient feels pain, which can increase the risk of injury to the nodes.

In the case of diarrhea, a person defecates about 10 times a day. Feces with loose stools are quite toxic due to the increased concentration of food residues contained in it, food enzymes and pathogenic microflora. Such components can become a source of infection of hemorrhoids and complicate the disease.

If the diarrhea lasts for a long time, the nodes become loose, unnaturally elastic and can fall out of the anal area. When the patient defecates frequently, there may be great tension in the region of the anus and rectum. This leads to injuries and bleeding from the nodes, to severe pain during defecation, as well as in a calm state.

It is also necessary to take into account the fact that many vitamins, micro and macro elements, liquid and minerals leave the body with diarrhea.

In difficult situations, diarrhea causes severe dehydration and intoxication of the body. If the patient has bleeding hemorrhoids, in addition, the person suffers from anemia, then there is a danger to his life.

Therefore, before getting rid of hemorrhoids, it is necessary to cure diarrhea and bring the stool back to normal. If the first signs of diarrhea appear, seek help from a specialist. This will help to avoid possible deterioration in hemorrhoidal inflammation.

How to treat diarrhea with hemorrhoids?

If a patient has inflamed hemorrhoids and diarrhea, he should know what to do first. Diarrhea should be treated first.

When the source of diarrhea is eating poor quality foods, you can take active sorbents and the problem will disappear in a couple of days. To treat loose stools that have arisen due to dysbacteriosis, it is necessary to take medications that restore the microflora in the intestine.

The most dangerous is loose stools in patients with inflammation of the hemorrhoids, which arose due to food intoxication or intestinal infection. The body begins to fight the toxins that have accumulated in the intestines. All toxic substances leave the body through feces, which leads to infection through cracks in the anus.

With loose stools, a person’s body becomes dehydrated, and many vital substances and forces are lost. In such a situation, the specialist prescribes not only sorbents, but also the restoration of the water-salt balance in the body.

Diet for diarrhea

Diarrhea is possible both in a healthy person and in a sick person. When there is hemorrhoids, it is necessary to immediately get rid of diarrhea in order to avoid complications of the disease. This will help taking medications that contain enzymes. A diet is also recommended.

When you have inflamed hemorrhoids, you need a balanced diet that will supply the body with all the nutrients it needs. Initially, the intestines should be freed from food debris and bacterial deposits accumulated in it. The patient is advised to drink plenty of fluids.

To improve the digestive process, patients with hemorrhoids should start every day with a tablespoon of olive oil. To prevent diarrhea, it is necessary to eat oatmeal, buckwheat, barley and barley porridge, 1 tablespoon three times a day.

It is necessary to cook soups with these cereals. In addition, it is necessary to include fermented milk products, vinaigrette, zucchini, pumpkin and only lean soups in the diet.

Meals must be stewed or steamed. Avoid spicy, fried and spicy foods to prevent diarrhea. In addition, remove from the diet foods such as chocolate, radish, sorrel, black bread, canned vegetables and canned fish.

Doctors also recommend avoiding these drinks at the time of diarrhea:

  • coffee and cocoa;
  • alcoholic beverages, even in small quantities;
  • carbonated drinks, soft drinks;
  • freshly squeezed and commercial juices;
  • compotes.

From drinks, pure water without gas and decoctions of medicinal herbs are allowed. To improve the stool during diarrhea, it is necessary to drink a decoction of rice and strong tea, and also eat rice porridge.

About how important a diet is for hemorrhoids and what are the rules for compiling a competent diet, a specialist proctologist will tell.

To prevent diarrhea in hemorrhoidal inflammation, carefully monitor your own diet and the quality of the products you use. If diarrhea appears, do not delay its treatment.

Hygiene for diarrhea

If a person has exacerbated hemorrhoidal inflammation and loose stools, then certain rules of hygiene should be observed. First, don’t use toilet paper. This can lead to irritation in the anus. It is recommended to wash after each bowel movement using cool water. This will reduce irritation of the skin and hemorrhoids from the outside.

If it is not possible to completely stop using toilet paper, use paper that has many layers (hence softer).

Patients with diseases of the urinary system should wash daily with warm water and gentle hygiene products. After that, you need to wash the anus with water at room temperature to increase the tone and blood supply in the venous vessels.

Prevention of diarrhea in hemorrhoids

Like any ailment, loose stools with hemorrhoidal inflammation are best prevented, not treated. As preventive measures to prevent diarrhea, a special diet and certain medications are needed.

The diet should contain all the necessary vitamins and minerals that normalize the functions of the gastrointestinal tract, preventing the occurrence of diarrhea.

  • Eat the optimal amount of fiber, which is found in raw vegetables and fruits (that is, too much fruit is also bad).
  • If diarrhea is suspected, stop eating sweets and baked goods.
  • Drink more water.
  • Add 1 tbsp. a spoonful of olive oil. It helps prevent diarrhea.

If diarrhea develops, see a specialist.


If loose stools occur in a person with hemorrhoidal inflammation, immediate treatment will be required to prevent complications. In addition, hemorrhoids after diarrhea can have severe pain.

Follow a diet to prevent diarrhea. When the hemorrhoidal disease worsens, and the diarrhea does not stop for seven days, discard false modesty and seek medical help.

Diarrhea and diarrhea with hemorrhoids: causes, treatment, prevention

Inflammation of hemorrhoids can cause problems with the gastrointestinal tract. Why does diarrhea occur with hemorrhoids and what to do if there is severe diarrhea?

Today, one of the most common chronic diseases, both among men and women, is hemorrhoids. People of different ages turn to a proctologist to get rid of the symptoms of an unpleasant disease. Often, hemorrhoidal disease is accompanied not only by spotting and pain after defecation, but also by diarrhea (loose stools).

Diarrhea is usually caused by poor diet and junk food. Also, the causes of its appearance include various diseases of the gastrointestinal tract.

Features of pathology
Symptoms of diarrhea An intestinal disorder in which stools can be more than three times a day. Defecation may be accompanied by colic and discomfort in the abdomen. The stool is liquid. Often, frequent diarrhea leads to further dehydration.
Will it pass by itself If loose stools are associated with infectious poisoning, then its duration can be from one to three days. You can help the body with the help of Smecta or other drugs with a similar effect. In the case of chronic hemorrhoids, bouts of poor bowel movements can last for weeks.
Which doctor treats If, along with proctological diseases, diarrhea occurs, then it is worth making an appointment with a proctologist. The doctor may also refer you to a gastroenterologist.

Why diarrhea happens

Diarrhea with hemorrhoids can be caused by many factors. For example, food poisoning, prolonged abstinence from emptying during an acute course, gastrointestinal diseases, and even infection inside.

Acute diarrhea usually occurs for the following reasons:

  • Certain medications may also affect stools;
  • Stress conditions;
  • Chronic pathologies of the gastrointestinal tract.
  • Sometimes loose stools occur after certain surgeries or during an exacerbation of a disease.

    Acute diarrhea should not be ignored. If loose stools do not go away for several days and at the same time there is a deterioration in well-being, then you should immediately consult a doctor.

    Diarrhea with hemorrhoids is complicated by the fact that hemorrhoids become much more inflamed. Because of this, discomfort and pain are constantly felt.

    What to do first

    In this case, the help of a medical specialist is needed. Self-prescribing and taking medication for diarrhea can aggravate the situation. Only a doctor can choose the right medication or advise a suitable diet to normalize the stool.

    If diarrhea is due to food poisoning, you can take activated charcoal, smectite, or another sorbent.

    In this case, indigestion should go away on its own in 2-3 days and the doctor’s help is not required.

    Proper nutrition

    The elimination of loose stools should be combined not only with taking the right medications, but also with proper nutrition. Usually, doctors recommend eliminating milk, flour products, canned food and fried foods from the diet.

    It is recommended to eat cereals, vegetables, stew, boil or steam. You need to eat 5-6 times a day, while portions should be small.

    Drink water (preferably mineral water) to avoid dehydration. You can use compote or kefir.

    A well-chosen diet will help eliminate the symptoms of diarrhea and normalize bowel function.

    What to eat with loose stools What not to eat
    Bananas, baked apples are recommended for fruits. From fermented milk products – kefir and yogurt. Also in the diet should be non-fat meat (poultry) and cereals. Flour products are banned until bowel function is restored. You should also avoid vegetables and fruits that lead to flatulence. Avoid juices, peas and beans, pork and beef. It is better not to do frying, and if possible, remove desserts.

    Drink plenty of fluids, at least 7-8 glasses a day. This will help avoid dehydration.


    Hemorrhoids require careful hygiene of intimate areas. It is recommended to wash with warm water after each bowel movement. If not possible, use wet wipes.

    Toilet paper is best purchased soft or damp to avoid irritation.

    Effective treatment after diarrhea

    To normalize loose stools, drugs such as Bifiform, Biobacton, Acipol, Linex and other drugs against dysbacteriosis may be suitable.

    Since frequent stools cause irritation, it is recommended to make lotions for the inflamed area, or use special creams against hemorrhoids.

    After a bowel movement, it is very good to take baths with the addition of a small amount of potassium permanganate. Sitz baths will help relieve pain. When this is not possible, you can use wet wipes for children. Better when they are fragrance-free.

    Appeared acute hemorrhoids after diarrhea effectively stop rectal suppositories. It is desirable that they contain beneficial bacteria. If the proctological ailment is accompanied by diarrhea, then such suppositories will help normalize the work of the gastrointestinal tract.

    Folk remedies

    There are several proven folk remedies against the symptoms of diarrhea:

    • It is necessary to take a glass of boiling water, add oak bark to it. Boil this mixture over medium heat for 5-7 minutes. Then cool and drink a tablespoon three times a day.
    • You can also prepare the following decoction. Take three tablespoons of horse sorrel in crushed form. Pour 1.5 cups of boiling water and simmer for about half an hour. Next, the mixture must be filtered with gauze and taken 100 ml before meals. Repeat 2-3 times a day until the dysbacteriosis passes.

    In the event of an acute course of the disease, consultation with the attending physician is required.

    After knot removal surgery

    It is important to follow a special diet after surgery. Also, doctors usually prescribe medications that must be taken strictly according to the scheme. If there is increased gas formation and bloating, then experts may advise taking sorbents.

    There may be loose stools or gas after the operation. But the main thing is that after a bowel movement there should be no mucus with blood. This may indicate the occurrence of complications.

    Possible complications

    Diarrhea caused by food poisoning is not a problem. It usually resolves quickly on its own. But if an infection enters the body, then serious inflammation can occur.

    Thus, diarrhea accompanied by bloody mucus can even lead to death. Therefore, when such symptoms appear, it is important to immediately consult a doctor and not self-medicate.

    The most common complication of loose stools is dehydration. Together with water, important vitamins and salts leave. To restore them, you need to drink enough fluids and salt food. You can buy special drugs to normalize the water and electrolyte balance. For example, Regidron, Hydrovit, etc.


    It is easier to prevent any disease than to treat it all your life. To prevent hemorrhoidal disease, you need to follow several recommendations on nutrition, lifestyle and physical activity.

    First of all, you need to move enough. This is especially true for anyone who has a sedentary job. It is important to take small breaks to warm up or walk. It is also worth abandoning soft beds, sofas and armchairs. A chair at work should also be with a hard seat.

    Recommendations for the prevention of proctological diseases:

    1. Diet change. This applies to the rejection of spicy, salty, smoked dishes. Alcohol is also desirable to limit.
    2. After a bowel movement, it is recommended to wash your face or use damp toilet paper.
    3. If you already have hemorrhoids at the initial stage, then you should give up heavy physical exertion.
    4. Inflammation of hemorrhoids is a common problem for pregnant girls and women.