Mucus in Stool: Is It Related to Internal Hemorrhoids?

Mucus in stool with internal hemorrhoids?

Hello doctor, two weeks ago I visited the outpatient clinic due to blood in my stool.
After examination, the doctor diagnosed me with internal hemorrhoids and prescribed a suppository for treatment.
However, the symptoms of blood in my stool have persisted.
My bowel movements are normal in frequency, but the stools are usually small pieces rather than hard, and there are black spots.
Sometimes, there is also white mucus or a layer of oil-like substance in the toilet.
Is this related to the original symptoms of internal hemorrhoids or could it be related to the suppository? Do I need to undergo further examination?

wendy, 20~29 year old female. Ask Date: 2016/03/19

Dr. Ke Fangxu reply Surgery

The ingredients of the rectal suppository include glycerin, which serves to constrict and lubricate.
It is normal to experience oily discharge after using the suppository, and there is no need for excessive concern.
As for the presence of black spots and small pieces of stool, they are mostly related to insufficient intake of dietary fiber.
It is recommended to consume more fruits and vegetables to improve this condition.
If the symptoms persist without improvement, it is necessary to consult a physician for further evaluation.

Reply Date: 2016/03/19

More Info

Understanding mucus in stool can be quite concerning, especially when accompanied by other symptoms such as blood in the stool. In your case, you mentioned that you have been experiencing blood in your stool, and after a consultation, your doctor diagnosed you with internal hemorrhoids and prescribed a suppository. However, the presence of mucus, black specks, and the consistency of your stool raises some important points to consider.

Firstly, it is essential to understand that mucus in stool can be a normal occurrence. The intestines produce mucus to help lubricate the stool and facilitate its passage through the digestive tract. However, an increase in mucus production or changes in its appearance can sometimes indicate an underlying issue. In your case, the presence of white mucus could be related to the irritation caused by hemorrhoids, as they can lead to inflammation in the anal area and the surrounding tissues.

The black specks you mentioned in your stool could be attributed to several factors. They might be undigested food particles, or they could indicate the presence of blood that has been digested, which can appear black (known as melena). This is particularly concerning and warrants further investigation, especially since you have a history of blood in your stool.
Regarding the oily layer you observed in the toilet, this could suggest the presence of fat in your stool, a condition known as steatorrhea. This can occur due to malabsorption issues, where the body is unable to absorb fats properly. It is essential to consider whether you have experienced any other symptoms such as weight loss, abdominal pain, or changes in appetite, as these could provide additional clues about your digestive health.

Given that your symptoms have persisted despite using the prescribed suppository, it would be prudent to follow up with your healthcare provider. They may recommend further diagnostic tests, such as a colonoscopy, to visualize the interior of your colon and rectum, especially since you have experienced blood in your stool. This procedure can help rule out other potential causes of your symptoms, including inflammatory bowel disease, infections, or even polyps and tumors.

In summary, while the mucus in your stool may be related to your internal hemorrhoids, the presence of blood, black specks, and an oily appearance warrants further investigation. It is crucial to communicate your ongoing symptoms to your healthcare provider, who can guide you on the appropriate next steps for diagnosis and treatment. Early intervention can be key in addressing any underlying issues and ensuring your digestive health is managed effectively.

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