What is the reason for vaginal bleeding when straining during a bowel movement?

Patient's question:

Gender: Female
Age: 24
I have constipation. When I use a squat toilet outside to defecate, there is bleeding in front of my vagina. However, when I use a toilet at home, it never happens. What could be the reason, and how should it be treated?

Doctor's answer:

In this case, it is first necessary to determine whether the bleeding is from the vagina or the anus. If there are hemorrhoids or other colorectal diseases, it is very easy for bleeding to occur during a bowel movement. If it is not the menstrual period, the vagina generally does not bleed without external force. If there are hemorrhoids, it is important to eat more fruits and vegetables and maintain soft stools. Gynecological diseases are not easy to recover from. Friends who are patients should maintain a positive mindset and face it with a proactive attitude. Only in this way can they improve their confidence in fighting gynecological diseases and believe that they can definitely recover.